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Remote Rn Insurance Assessment Jobs in Texas (NOW HIRING)

TEKsystems

LPN - 100% Remote

Dallas, TX · Remote

$24 - $29/hr

Clinical Quality Assurance Nurse (RN or LPN) Schedule: 3 different openings * M-F 11:30am - 8pm EST ... Compliance Assessment -- Determine whether the services align with required guidelines, criteria ...

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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 Texas? The most popular types of Rn Insurance Assessment jobs in Texas are:
What cities in Texas are hiring for Remote Rn Insurance Assessment jobs? Cities in Texas with the most Remote Rn Insurance Assessment job openings:
Remote Rn Insurance Assessment jobs near you

Remote Registered Nurse (2843)

US Heart & Vascular

Irving, TX • Remote

Full-time

Posted 6 days ago

Job description

US Heart and Vascular is seeking a Remote Registered Nurse Care Manager to join our Value Based Care Management team.

M-F No weekends!! 

Position Summary: 

The Care Manager will perform telephonic Chronic Care Management, Principal Care Management, Remote Patient Monitoring and Transitional Care Management services to coordinate care for patients with chronic cardiovascular diseases and manage their post-acute care.   

Responsibilities & Duties:

Under the general guidance of nurse manager, practice physicians and advanced practice providers, the RN is primarily responsible for the following:
 

  • Outreaching referred and eligible patients to introduce care management services, obtain verbal consent for enrollment, and document in EHR per standard operating procedures 
  • Make outgoing calls to patients to assist patients in managing their chronic diseases - including education about their conditions and treatment regimens, medication management, appointment management 
  • Coordinates care across the continuum for patients with chronic cardiovascular conditions in collaboration with primary cardiologist, advanced practice providers, and other members of the multidisciplinary team within outpatient clinic setting  
  • Assesses patient health and SDOH need, documenting and implementing care plans that optimize health outcomes 
  • Serves as an important liaison for the interdisciplinary team and community organizations inclusive of other inpatient and outpatient care delivery organizations 
  • Provide patient-and-family-centered-care in the outpatient setting and telehealth setting, including triaging calls and patient messages in the EHR 
  • Provides patient and caregiver education related to health conditions, patient care, transitions of care, and ongoing chronic care management 
  • Evaluates remote patient monitoring technology, diagnostics, and laboratory results to engage advanced practice provider for appropriate patient care and interventions 
  • Ensures all CMS documentation and billing guidelines are adhered to in EHR 

Requirements: 

  • Requires excellent clinical, communication and organizational skills 
  • Requires multitasking and critical analysis 
  • Must be able to function independently within the limits of the position  
  • Ability to function in a team environment 
  • Demonstrate knowledge and competence in care management inclusive of transitional care management and complex care management 
  • Demonstrate knowledge and competence in basic cardiovascular technology, i.e., EKG, patient assessment and management of care, labs/hospital test results 
  • Strong understanding of population health concepts and clinical documentation requirements 
  • Able to demonstrate interpersonal skills to be approachable and understandable to patients, families, and care team members  
  • Minimum of an associate's degree in nursing; graduate of an accredited nursing program. 
    • Currently licensed to practice as registered nurse with a compact license or licensure for Alabama, Arizona, Kansas, Louisiana, Georgia  and Texas 
  • Current BLS for Healthcare Providers certification 

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