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Remote Rn Case Review Jobs in Nebraska (NOW HIRING)

Harris

$10/hr

Current COMPACT license to practice as an RN/ LVN/LPN held in current state of residence with no ... A minimum of two (2) years of clinical experience in a Med/Surg, Case Management, and/or home ...

Imedica

Supervisor, Clinical Quality Review

Omaha, NE · Remote

Oversee & assist with medical record retrieval work including remote electronic health record (EHR ... Candidates without an RN license must possess relevant clinical licensure or credentials ...

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All JobsRemote Rn Case Review JobsRemote Rn Case Review Jobs in Nebraska

Remote Rn Case Review information

What is the difference between Remote Rn Case Review vs Remote Rn Utilization Review?

AspectRemote Rn Case ReviewRemote Rn Utilization Review
CredentialsRegistered Nurse (RN), licensure, case review certificationsRegistered Nurse (RN), licensure, utilization review certifications
Work EnvironmentRemote, healthcare settings, insurance companiesRemote, healthcare settings, insurance companies
Employer & IndustryHospitals, insurance firms, healthcare providersInsurance companies, healthcare management organizations

Remote Rn Case Review and Remote Rn Utilization Review roles both involve remote nursing work within the healthcare and insurance industries. While they share similar credentials and work environments, case review focuses on evaluating individual patient cases, whereas utilization review assesses the necessity and appropriateness of healthcare services. Understanding these distinctions helps job seekers identify the right role based on their skills and career goals.

What are popular job titles related to Remote Rn Case Review jobs in Nebraska? For Remote Rn Case Review jobs in Nebraska, the most frequently searched job titles are:
What job categories do people searching Remote Rn Case Review jobs in Nebraska look for? The top searched job categories for Remote Rn Case Review jobs in Nebraska are:
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Remote Rn Case Review jobs near you
Onsite Virtual Registered Nurse - 24 hours/week

Onsite Virtual Registered Nurse - 24 hours/week

Methodist Health System

Omaha, NE • On-site, Remote

Full-time

Posted 5 days ago

Job description

Why work for Nebraska Methodist Health System?
At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care - a culture that has and will continue to set us apart. It's helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient's needs, or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay, excellent benefits and a great work environment where all employees are valued! Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in.
Job Summary:
Location: Methodist Corporate Office
Address: 825 S 169th St. - Omaha, NE
Work Schedule: 24 hours/week on a rotating schedule Mon - Fri between 8:00am and 9:00pm. With the intention of this program moving to 24/7, weekend and/or night shifts will likely be coming soon.
Accountable for the delivery of quality care to patients and families according to the individualized needs of the patient.
Responsibilities:
Essential Job Functions
Responsible for providing remote nursing care to the patient and assistance to the bedside Registered Nurse (RN) through use of technology.
  • Virtually administer patient care by utilizing the nursing process of assessing, planning, implementing, coordinating, monitoring, and evaluating the patient's care plan from admission to discharge.
  • Collaborate with other healthcare professionals to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes.
  • Utilize virtual tools to communicate effectively with patients.
  • Troubleshoot technical issues.

Provide appropriate care specific to the age of the customer/patient to ensure understanding and comfort level of treatment as outlined in the Population Specific Criteria.
  • Demonstrate ability to identify opportunities for and give individualized customer/patient care according to customer/patient needs.

Perform initial and ongoing evaluation to determine the assigned patient's ongoing nursing care needs.
  • Include data from the patient/significant other(s) in the evaluation, as appropriate.
  • Prioritize data collection according to the patient's immediate needs.
  • Use evaluation findings in discharge planning.

Develop/review/revise and individualize the plan of care to address the patient's nursing care needs for optimum patient care outcomes.
  • Provide teaching specific to the patient's health care problem.
  • Evaluate care plan for continuing care needs and/or referrals for discharge/transfer.
  • Collaborate with providers and other clinical disciplines, as appropriate.

Perform tasks that are consistent with the established plan of care in a safe and appropriate manner.
  • Is familiar with, and follows, nursing protocols and standards of care for each nursing unit served.
  • Use current knowledge in nursing practice based on standards and research literature.

Evaluate patient care to determine response to care/interventions for optimal patient outcome.
  • Monitor and document patient response to appropriate interventions.
  • Evaluate the patient's capabilities and/or limitations related to nursing and medical interventions.
  • Monitor the patient and/or significant other(s) ability to manage care needs after dismissal.
  • Recognize and address patient and family capabilities and limitations (physical and mental).

Maintain a professional behavior in attitude, demeanor, and interactions to achieve organization's mission.
  • Communicate effectively to solve problems at the personal and unit level.
  • Is approachable and professional in working with other health professionals, ancillary staff, patients, and family.
  • Maintain competence in area of expertise.
  • Participate in meetings and/or committees as needed to assist in decisions affecting area/unit or organization.
  • Take pride in the work area maintaining a clean environment.
  • Maintain a professional appearance, behavior, and work environment.

Initiate action to correct, prevent, and/or minimize risk(s) to the patient, family, or hospital employees (e.g., falls, needle sticks, patient concerns). (Quality of Care).
  • Complete appropriate report form for any risk (e.g. variance/incident report, patient concern report, maintenance request).
  • Communicate to appropriate personnel regarding unresolved issues.
  • Work within the scope of practice as defined by the State Nurse Practice Act.

Review, delegate, and evaluate plans for appropriate utilization of staff at all levels of practice in accordance with the provision of the state's Nurse Practice Act and the Professional Standards of Practice.
  • Right task (within the scope of practice, according to the job description, based on the desired outcome, task routine, non-complex, low risk and predictable outcome).
  • Right person (assess competency by: certification/licensure, job description, skills check list, demonstrated skill).
  • Right communication (clear, concise, correct, complete).
  • Right feedback: the Reciprocal Process (ask teammates' input first, recognize effort, get teammates' solution to problem, check off points).

Fiscally accountable.
  • Act professionally responsible for human and other resources.
  • Charge accurately for use of supplies and equipment, according to policy.

Schedule:
24 hours/week on a rotating schedule Mon - Fri between 8:00am and 9:00pm. With the intention of this program moving to 24/7, weekend and/or night shifts will likely be coming soon.
Job Description:
Job Requirements
Education:
  • Bachelor of Science in Nursing (BSN) or Master's Degree in Nursing (MSN) from an accredited college of nursing required OR obtained within 5 years from date of hire for nurses with an Associate Degree in Nursing (ADN).

Experience:
  • Five years previous inpatient nursing experience required.
  • Experience in telehealth or virtual care preferred.

License/Certification:
  • Current valid Registered Nurse (RN) license, valid compact multistate license, or a temporary permit while awaiting licensure required.

Skills/Knowledge and Abilities:
  • Proficient in using electronic medical records (EMR), Microsoft Office products, and virtual communication tools.
  • Excellent internal and external customer service skills.
  • Ability to effectively communicate (both verbally and written) with wide variety of disciplines.
  • Ability to demonstrate independent clinical reasoning and decision-making skills.
  • Flexibility and ability to thrive in a multi-tasking environment.

Physical Requirements
Weight Demands
  • Medium Light Work - Exerting up to 35 pounds of force.

Physical Activity
  • Not necessary for the position (0%):
    • Climbing
    • Crawling
    • Kneeling
  • Occasionally Performed (1%-33%):
    • Balancing
    • Carrying
    • Crouching
    • Distinguish colors
    • Lifting
    • Pulling/Pushing
    • Reaching
    • Standing
    • Stooping/bending
    • Twisting
    • Walking
  • Frequently Performed (34%-66%):
    • Grasping
    • Keyboarding/typing
    • Repetitive Motions
    • Sitting
    • Speaking/talking
  • Constantly Performed (67%-100%):
    • Hearing
    • Seeing/Visual

Job Hazards
  • Not Related:
    • Chemical agents (Toxic, Corrosive, Flammable, Latex)
    • Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)
    • Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)
    • Explosives (pressurized gas)
    • Electrical Shock/Static
    • Radiation Alpha, Beta and Gamma (particles such as X-ray, Cat Scan, Gamma Knife, etc)
    • Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means)
    • Mechanical moving parts/vibrations
  • Rare (1-33%):
    • Equipment/Machinery/Tools

About Methodist:
Nebraska Methodist Health System is made up of four hospitals in Nebraska and southwest Iowa, more than 30 clinic locations, a nursing and allied health college, and a medical supply distributorship and central laundry facility. From the day Methodist Hospital was chartered in 1891, service to our communities has been a top priority. Financial assistance, health education, outreach to our diverse communities and populations, and other community benefit activities have always been central to our mission.
Nebraska Methodist Health System is an Affirmative Action/Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation, gender identity, or any other classification protected by Federal, state or local law.

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