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Remote Navihealth Rn Jobs (NOW HIRING)

The CKHobbie Group

This is a remote position. Seeking a detail-oriented and highly analytical Registered Nurse (RN) to join our team in a HEDIS Abstraction role, supporting critical healthcare quality initiatives ...

TheraCare

RN Supervisor (Hybrid Remote)

Bronx, NY · On-site +1

$80K - $85K/yr

... and remote training * Proficiency with Word, Excel, Outlook Calendar, and other software programs needed in the role Supervisory Responsibilities: * Supervise Registered Nurses in school/clinic ...

TheraCare

RN Supervisor (Hybrid Remote)

Bronx, NY · On-site +1

$80K - $85K/yr

... and remote training * Proficiency with Word, Excel, Outlook Calendar, and other software programs needed in the role Supervisory Responsibilities: * Supervise Registered Nurses in school/clinic ...

TheraCare

RN Supervisor (Hybrid Remote)

Bronx, NY · On-site +1

$80K - $85K/yr

... and remote training * Proficiency with Word, Excel, Outlook Calendar, and other software programs needed in the role Supervisory Responsibilities: * Supervise Registered Nurses in school/clinic ...

DermaVe Spa

Registered Nurse Trainer

Orlando, FL · Remote

$22 - $27/hr

Registered Nurse Trainer Employment Type: Full-Time Work Schedule: 80% Remote / 20% Travel Role Overview We are looking for a licensed RN or APRN with experience in aesthetics or med spa settings to ...

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Remote Navihealth Rn information

What are the key skills and qualifications needed to thrive as a Remote Navihealth RN, and why are they important?

To thrive as a Remote Navihealth RN, you need a valid RN license, strong clinical assessment skills, and experience in care management or utilization review. Familiarity with Navihealth's care coordination platforms, electronic health records (EHRs), and telehealth systems is typically required. Outstanding communication, critical thinking, and self-motivation are crucial soft skills for engaging with patients and collaborating remotely with interdisciplinary teams. These abilities ensure efficient, high-quality care transitions and optimal patient outcomes in a virtual healthcare environment.

What is the difference between Remote Navihealth Rn vs Remote Case Manager?

AspectRemote Navihealth RnRemote Case Manager
CredentialsRegistered Nurse (RN) licenseLicensed Nurse or Social Worker
Work EnvironmentTelehealth, healthcare facilities, patient homesTelehealth, insurance companies, healthcare organizations
Industry UsagePost-acute care, rehab, skilled nursing facilitiesInsurance, healthcare management, patient advocacy

Remote Navihealth Rn and Remote Case Manager roles both require healthcare-related licenses and involve telehealth work. While Navihealth Rns focus on post-acute care coordination, Remote Case Managers often handle patient assessments and care planning within insurance or healthcare management settings. Both roles are vital in healthcare delivery but differ in specific responsibilities and work environments.

How does a Remote Navihealth RN typically collaborate with interdisciplinary teams to coordinate patient care?

As a Remote Navihealth RN, you play a pivotal role in care coordination by regularly communicating with physicians, therapists, social workers, and other healthcare professionals through virtual meetings, secure messaging, and phone calls. You will review patient cases, contribute to care planning, and ensure smooth transitions between care settings. Effective collaboration requires strong communication skills and the ability to synthesize information from multiple disciplines to advocate for the patient's best outcomes, all while working remotely within a supportive virtual team environment.

What is a Remote NaviHealth RN?

A Remote NaviHealth RN is a registered nurse who works for NaviHealth, typically in a telehealth or remote setting. Their primary role involves assessing patients, coordinating care transitions, and supporting discharge planning to ensure patients receive appropriate post-acute care. Remote NaviHealth RNs collaborate with healthcare providers, patients, and families via phone or digital platforms. They focus on care management, utilization review, and ensuring patients have the resources needed for a safe recovery at home or in another care setting.
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Remote Navihealth Rn jobs near you
Registered Nurse (RN) - HEDIS Abstraction Specialist (Remote - Pennsylvania)

Registered Nurse (RN) - HEDIS Abstraction Specialist (Remote - Pennsylvania)

The CKHobbie Group

On-site, Remote

Full-time

Posted 21 days ago

Job description


This is a remote position.
Seeking a detail-oriented and highly analytical Registered Nurse (RN) to join our team in a HEDIS Abstraction role, supporting critical healthcare quality initiatives across Pennsylvania. While the home office is based in Harrisburg, this position is fully virtual and open to candidates located anywhere within the state. This role offers a unique opportunity for experienced RNs who are looking to step away from bedside care and apply their clinical expertise in a focused, data-driven environment that directly influences patient outcomes and healthcare performance.
In this role, you will be responsible for reviewing and abstracting clinical data from medical records in accordance with HEDIS (Healthcare Effectiveness Data and Information Set) measures. You will analyze documentation related to preventive care, chronic disease management, and behavioral health services, ensuring all information is accurately captured and compliant with NCQA guidelines and measure specifications. Your clinical judgment and attention to detail will be essential in interpreting complex medical records and ensuring the integrity of reported data.
You will utilize abstraction tools and electronic medical record systems to document findings while meeting strict productivity and quality benchmarks. This includes maintaining audit readiness, ensuring a high level of accuracy, and consistently meeting deadlines during peak reporting periods. The work you perform directly impacts healthcare quality scores, reimbursement, and public reporting, making your contribution vital to both patient care recognition and organizational success.
Collaboration is also a key component of this position. You will work closely with healthcare providers, health plans, and internal quality teams to resolve discrepancies and clarify documentation when needed. Simultaneously, the role offers a high level of independence, allowing you to manage your workflow in a structured remote environment while maintaining performance expectations.
This position is ideal for Registered Nurses seeking greater flexibility, a predictable schedule, and the opportunity to leverage their clinical knowledge in a non-patient-facing role. It provides exposure to healthcare quality improvement, compliance, and population health, helping you build specialized skills that are highly valued across the healthcare industry.
Qualified candidates must hold an active RN license and have a strong understanding of medical terminology, clinical documentation, and healthcare data. Experience with electronic medical records and familiarity with coding systems such as ICD-10 and CPT are highly preferred. The ideal candidate is detail-driven, organized, and comfortable working independently in a fully remote environment while maintaining high standards of accuracy and productivity.

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