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Remote Rn Insurance Assessment Jobs in Georgia (NOW HIRING)

Phoebe Putney Health System

Timely communication of clinical information and updates will be provided to the insurance ... Registered Nurse (RN) with current Georgia license * Preferred Certifications/Licensures: CCM or ...

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Remote Rn Insurance Assessment information

What are some common challenges faced by Remote RN Insurance Assessment nurses, and how can they overcome them?

Remote RN Insurance Assessment nurses often encounter challenges such as managing a high volume of assessments, navigating various electronic health record systems, and ensuring thorough documentation while working independently. Effective time management, strong organizational skills, and ongoing communication with team members and supervisors are essential for success. Utilizing available training resources and participating in regular team meetings can also help nurses stay updated on best practices and maintain a collaborative work environment, even while working remotely.

What are Remote RN Insurance Assessment jobs?

Remote RN Insurance Assessment jobs involve registered nurses working from home to assess patients' health status for insurance companies. These nurses review medical records, conduct telephonic or virtual health assessments, and document findings to help insurance companies make decisions on coverage, claims, or wellness programs. The role requires strong clinical knowledge, attention to detail, and excellent communication skills. It offers flexibility and the opportunity to use nursing expertise outside of traditional clinical settings.

What is the difference between Remote Rn Insurance Assessment vs Remote Rn Case Manager?

AspectRemote Rn Insurance AssessmentRemote Rn Case Manager
CredentialsRegistered Nurse (RN) license, insurance assessment certificationsRegistered Nurse (RN) license, case management certifications
Work EnvironmentRemote, primarily conducting assessments via phone or onlineRemote, coordinating patient care and services
Employer & IndustryInsurance companies, third-party administratorsHealthcare providers, insurance companies, managed care organizations

While both roles require an RN license and involve remote work, Remote Rn Insurance Assessment focuses on evaluating insurance claims and determining coverage eligibility. In contrast, Remote Rn Case Managers coordinate ongoing patient care, manage treatment plans, and liaise with healthcare providers. Understanding these differences helps professionals choose the role that best fits their skills and career goals.

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

To excel as a Remote RN Insurance Assessment Nurse, you need a current RN license, strong clinical assessment skills, and a thorough understanding of medical terminology and insurance protocols. Proficiency in telehealth platforms, electronic medical records (EMR), and insurance assessment tools such as MCG or InterQual is typically required. Exceptional communication, attention to detail, and the ability to work independently are crucial soft skills for this role. These competencies ensure accurate patient evaluations, effective remote collaboration, and compliance with insurance guidelines, ultimately leading to high-quality service and informed decision-making.
What are the most commonly searched types of Rn Insurance Assessment jobs in Georgia? The most popular types of Rn Insurance Assessment jobs in Georgia are:
What cities in Georgia are hiring for Remote Rn Insurance Assessment jobs? Cities in Georgia with the most Remote Rn Insurance Assessment job openings:
Remote Rn Insurance Assessment jobs near you

Remote Registered Nurse (Remote Patient Monitoring & Chronic Care Management)

3:15

Macon, GA • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 6 days ago

Job description

We believe everyone should have confidence in navigating their healthcare. We are looking for a qualified Registered Nurse (RN) to serve our patient population in the navigation, prevention and management of their health through continuous care programs like Remote Patient Monitoring and Chronic Care Management. Our team works fervently to anticipate the needs of our patients and connect on a personal level. We exist to coach people to their best health!


Responsibilities:
  • Welcome patients into continuous care program(s) and review benefits and services included
  • Educate patients on the frequency and use of their assigned in-home monitoring devices
  • Create a personalized, comprehensive care plan with the patient via phone or video visits
  • Identify and address any barriers to patient success
  • Provide specific education and coaching on patients' chronic conditions
  • Connect with the patient frequently to review readings and a monthly update of their plan of care
  • Serve as the patient's first contact for all non-emergent needs (example - medication refills, scheduling, appointment reminders, etc.)
  • Anticipate patients' needs and bridge any gaps in care
  • Assist patients in the navigation of their healthcare (example - assisting patients with scheduling appointments, coordinating with specialists, and ensuring preventative screenings are completed, etc.).
  • Review and evaluate in-home device readings in real time, during normal business hours
  • Follow established protocols for identifying, communicating and documenting device trends and any associated symptoms in the patient's medical record
  • Escalate concerning readings and/or symptoms to the provider following a communication protocol established by the provider
  • Establish a meaningful rapport that builds trust, open communication, and motivation to make a positive change in the patient's health
  • Collaborate with virtual team members and in-office staff to ensure patient's needs are being met

Requirements

  • Active and Unrestricted Georgia RN License (Compact License preferred)
  • At least three (3) years of experience in adult health preferred
  • Background in adult chronic health conditions (Medical Surgical, Outpatient/Clinic, Care Management) preferred
  • Variety of Electronic Medical Record (EMR) experience
  • Proficient knowledge, skill, and interest in basic computer skills
  • Proficient in problem solving and ability to multi-task
  • Excellent communication skills (oral and written)
  • Excellent teamwork skills
  • Clean background check and drug screening
  • Comfortable working remotely but collaboratively


Please note our interview process: application reviewed, one way video interview, workplace personality assessment, interview through Microsoft Teams, offer extended if applicable

Benefits

  • Health Care Plan (Medical, Dental & Vision)
  • Retirement Plan (401k, IRA)
  • Life Insurance (Basic, Voluntary & AD&D)
  • Paid Time Off (Vacation, Sick & Public Holidays)
  • Training & Development
  • Work From Home
  • Full Time, Salaried 55-65k

Apply