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Remote Kaiser Rn Jobs in Missouri (NOW HIRING)

BetterHelp

Clinical Psychologist- Remote

Kansas City, MO · Remote

$67.30K - $83.40K/yr

Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...

CorVel

Care Advocate Nurse

Jefferson City, MO · Remote

$61.05K - $98.33K/yr

This is a remote role. Essential Functions & Responsibilities Initiates and receives telephonic ... unencumbered RN Licensure in state of residency and practicing state(s) must be maintained ...

Scribe-X

Remote Medical Scribe

Kansas City, MO · Remote

$14 - $17/hr

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a medical scribe first! Scribe Pay Structure: $11/hour - No scribe experience $12/hour - 6+ months scribe ...

Scribe-X

Remote Medical Scribe

Springfield, MO · Remote

$14 - $17/hr

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a medical scribe first! Scribe Pay Structure: $11/hour - No scribe experience $12/hour - 6+ months scribe ...

Scribe-X

Remote Medical Scribe

Saint Louis, MO · Remote

$14 - $17/hr

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a medical scribe first! Scribe Pay Structure: $11/hour - No scribe experience $12/hour - 6+ months scribe ...

CorVel

Telephonic Case Manager I

Saint Louis, MO · Remote

$62.31K - $93.12K/yr

This is a remote position, but all candidates must reside in one of the following states: NE, IA ... Current RN Licensure in state of operation 3 or more years of recent clinical experience ...

ZOLL Medical

Patient Service Representative

Rolla, MO · Remote

$17.25 - $21.75/hr

Patient Service Representative (PSR) Remote independent contract worker position Competitive fee ... Preferred Candidates include (not limited to): RN, EMT, Paramedic, EMS, Firefighter, PA, LPN, MA ...

ZOLL Medical

Patient Service Representative

Poplar Bluff, MO · Remote

$15.75 - $20/hr

Patient Service Representative (PSR) Remote independent contract worker position Competitive fee ... Preferred Candidates include (not limited to): RN, EMT, Paramedic, EMS, Firefighter, PA, LPN, MA ...

ComForCare

Assistant & Research Intern

MO · On-site +1

Is an experienced clinician or student, a registered nurse, or holds an associates degree or the ... This is a remote position. Live your best life possible while helping others live theirs Our ...

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Remote Kaiser Rn information

What is a Remote Kaiser RN job?

A Remote Kaiser RN job is a nursing position with Kaiser Permanente that allows registered nurses (RNs) to work from home or a remote location. These nurses typically provide virtual patient care, conduct telehealth assessments, offer patient education, and assist with case management. They use electronic health records and telecommunication tools to coordinate care and ensure patients receive necessary support. This role requires an active RN license, clinical experience, and proficiency with technology.

What are the key skills and qualifications needed to thrive in the Remote Kaiser Rn position, and why are they important?

To thrive as a Remote Kaiser RN, you need a valid registered nursing license, strong clinical assessment skills, and experience with telehealth or remote patient care. Familiarity with Kaiser's electronic health record (EHR) systems, HIPAA compliance, and telemedicine technology is usually required. Excellent communication, critical thinking, and time management abilities are vital soft skills for succeeding in a remote setting. These skills ensure you can deliver quality patient care and coordinate effectively with both patients and interdisciplinary care teams from a distance.

What are the typical daily responsibilities of a Remote Kaiser RN?

As a Remote Kaiser RN, your daily responsibilities typically include conducting virtual patient assessments, providing health education, managing care coordination, and documenting patient interactions in the EHR system. You'll triage patient needs, offer evidence-based guidance, and often collaborate with physicians, pharmacists, and other healthcare specialists via secure digital platforms. The role may also involve following up on test results, arranging referrals, and responding to patient inquiries in a timely manner. Strong organizational skills are important, as you will manage your caseload independently while ensuring adherence to Kaiser's standards and protocols.
More about Remote Kaiser Rn jobs
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Remote Kaiser Rn jobs near you
Remote - PFS Denial Nurse Auditor

Remote - PFS Denial Nurse Auditor

Mosaic Life Care

Saint Joseph, MO • On-site, Remote

Full-time

Posted 23 days ago

Mosaic Life Care rating

6.4

Company rating: 6.4 out of 10

Based on 61 frontline employees who took The Breakroom Quiz

627th of 864 rated healthcare providers

Job description

Job Description
The PFS Denials Auditor works under the supervision of the manager of PFS Denials. The PFS Denials Auditor is responsible for completing, appealing, tracking, and reporting clinical denial reviews to determine the appropriate actions for post-billing denials. This Individual will combine clinical, financial, and regulatory knowledge and skill to reduce financial risk and exposure caused by payer denials for rendered services. The PFS Denials Auditor has highly developed knowledge and skills in areas of: Medical Necessity, Authorizations, Experimental/Investigational denials, payer audits and filing appeals as well as Government and Non-Government payor requirements with Denial Management.
Responsibilities
  • Completes clinical review of appropriate post-claim denials; prepares clinical discussion and appeal letters for denied accounts.
  • Consults clinical and hospital appeal guidelines; provides appeal direction using payer guidelines to appropriate departments via monthly denials meetings.
  • Ensures compliance with all federal, state, and local regulations governing rendered patient services and reimbursement.
  • Reviews and analyzes specific audit information and provides education to other caregivers both internal and external to the PFS Denial Management team. Identifies, and initiates clinical and hospital quality improvement initiatives focused on improving both quality indicators and outcomes.
  • Responds to all internal and external requests for information, data, and/or education specific to clinical and hospital Denial Management.
  • Collaborates with Revenue Cycle, Admissions, Coding, and other departments as needed to answer clinical questions specific to denial management. Seeks consultation from appropriate departments as required to expedite clinical review of potential denials.
  • Research industry best practices and recommends process improvements to leadership.
  • Participates in the review of workflow processes. Recommends and participates in the implementation of process improvements.
  • Recommends policies which support the direction of the Denials Management Team to improve and reduce denials.
  • Responsible for other miscellaneous duties assigned by PFS Leadership.

Education
  • Degree from an accredited school of practical nursing - Required

Work Experience
  • 5 Years - Experience in health care as a registered nurse, preferably in revenue cycle - Required
  • Excellent understanding of financial and health care strategies - Required

Licenses and Certifications
  • LPN - Licensed Practical Nurse - State Licensure and/or Compact State Licensure - Licensed Practical Nurse - Required

Travel Requirements
  • None

    • Qualifications
    Skills and Abilities
    Essential Technical/Motor Skills
    • Input data, type, manipulate small equipment, speak clearly, and answer telephone.

    Interpersonal Skills
    • Exceptional oral/written communication skills
    • Ability to independently research using critical thinking skills
    • Effectively resolve complex denials
    • Excellent organizational skills and attention to detail
    • Competence in Microsoft Office applications

    Essential Physical Requirements
    • Lifting, moving, reaching, bending, stooping, and climbing.

    Essential Mental Abilities
    • Analyze, interprets, calculates, manipulates, understands, follows rules, memorize, organize, assess, explain, speak in front of group.

    Essential Sensory Requirements
    • Visual skills, hearing

    Exposure to Hazards
    • Electrical output of personal computer, eye/neck strain.

    Other Skills and Abilities

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    Benefits

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