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Remote Rn Insurance Assessment Jobs in Texas (NOW HIRING)

Bracane Co

Utilization Review Nurse

Plano, TX · Remote

***REMOTE - Candidates must be based in Texas: Austin area - Travis/Williamson Counties or Richardson area - Dallas/Collin Counties*** RN working in the insurance or managed care industry using ...

UT Health East Texas

Charge RN / Virtual Care

Tyler, TX · Remote

Registered Nurse from an accredited school of professional nursing * Current Multistate Compact RN ... Experience supporting remote patient monitoring or virtual observation programs * Proficiency in ...

UT Health East Texas

Charge RN / Virtual Care

Tyler, TX · Remote

Registered Nurse from an accredited school of professional nursing * Current Multistate Compact RN ... Experience supporting remote patient monitoring or virtual observation programs * Proficiency in ...

ATULO HEALTH INC

PEDS Home Infusion RN

Houston, TX · Remote

PEDS Home Infusion RN Per Diem Company: Atulo Health About Atulo Health: Atulo Health is a multi ... Strong clinical and assessment skills * Proficiency in medication administration * Excellent ...

ATULO HEALTH INC

PEDS Home Infusion RN

Houston, TX · Remote

Home Infusion RN Per Diem Company: Atulo Health About Atulo Health: Atulo Health is a multi-state ... Strong clinical and assessment skills * Proficiency in medication administration * Excellent ...

Renalogic

Bilingual Clinical Nurse Coach (RN)

Houston, TX · On-site +1

$80K - $100K/yr

US; remote with minimal travel Schedule: Monday - Friday, with three late shifts (11 am - 8 pm) and ... Assess members health status and care coordination needs. * Collaborate with members' health care ...

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All JobsRemote Rn Insurance Assessment JobsRemote Rn Insurance Assessment Jobs in Texas

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
Registered Nurse (OB/GYN Centralized Phone Triage) - Remote Opportunity

Registered Nurse (OB/GYN Centralized Phone Triage) - Remote Opportunity

St. Louis Arc

Austin, TX • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 14 days ago

Job description

ABOUT AUSTIN REGIONAL CLINIC:
Austin Regional Clinic has been voted a top Central Texas employer by our employees for over 15 years! We are one of central Texas' largest professional medical groups with 35+ locations and we are continuing to grow. We offer the following benefits to eligible team members: Medical, Dental, Vision, Flexible Spending Accounts, PTO, 401(k), EAP, Life Insurance, Long Term Disability, Tuition Reimbursement, Child Care Assistance, Health & Fitness, Sick Child Care Assistance, Development and more. For additional information visit https://www.austinregionalclinic.com/careers/
PURPOSE
Under general supervision, provides routine nursing care via telephone within the limits of nursing knowledge, education, licensure, experience and ethical, legal standards of care. Carries out all duties while maintaining compliance and confidentiality and promoting the mission and philosophy of the organization.
ESSENTIAL FUNCTIONS
  • Assesses and prioritizes medical needs via telephone and directs patients to appropriate and necessary care.
  • Calls pharmacy with prescription refills as prescribed by and under the direction of the physician.
  • Guides evaluation including instructing patient/caller how to evaluate normal/abnormal symptoms, effectiveness of treatment and when to call back.
  • Documents symptoms/complaints, nursing assessment, advice and patient/caller response.
  • Follows policies, procedures, and protocols to ensure consistency and departmental effectiveness as well as improve health care outcomes of patients/callers and their access to appropriate health care.
  • Collects data and make assessments, develops a working diagnosis, determines interventions and disposition per guidelines.
  • Demonstrates best practices and quality care.
  • Assesses the physical, social, and emotional needs of patients and families.
  • Teaches and counsels patients and families concerning heath assessment and care including prevention of disease and health maintenance.
  • Accurately and completely reports and documents status, care rendered, response to care, provider orders, contacts with patient and/or other healthcare providers.
  • Accurately and completely performs patient follow-up activities including laboratory results and diagnostics, appointments, referrals, medications, and call backs.
  • Participates in orienting, training, and guiding team members.
  • Adheres to all company policies, including but not limited to, OSHA, HIPAA, compliance and Code of Conduct.
  • Regular and dependable attendance due to teamwork, face to face interaction with patients and/or working with equipment.
  • Follows the core competencies set forth by the Company, which are available for review on CMSweb.
  • Works holiday shift(s) as required by Company policy.

OTHER DUTIES AND RESPONSIBILITIES
  • Performs other duties as assigned.

QUALIFICATIONS
Education and Experience
Education: High school diploma or equivalent. Graduation from an accredited school of nursing. Experience:
Required: One (1) or more years of RN experience or one (1) or more years of nursing experience working in triage.
Preferred: Telephone triage experience. Previous experience in an ambulatory, hospital, or home health setting. Bilingual in English and Spanish.
Certificate/License
  • Current licensure as a Registered Nurse (RN) in the State of Texas. Required to maintain a current registered nursing license during employment.

Knowledge, Skills and Abilities
  • Knowledge of all activities associated with the delivery of quality nursing practices and duties assigned to this role.
  • Skill in nursing practices within the scope of responsibilities assigned to this role.
  • Skill in organization and efficiency.
  • Ability to manage multiple nursing activities simultaneously with frequent interruptions in a fast -paced environment
  • Ability to have excellent attention to detail.
  • Ability to utilize computer software and associated programs to triage and send reports to appropriate agencies or clinics.
  • Ability to use nursing judgment as an adjunct to the computer Software Program to reach appropriate dispositions and care advice.
  • Ability to respond appropriately to emergency situations.
  • Ability to apply nursing principles, practices and techniques.
  • Ability to exercise initiative and judgment in selecting proper treatment.
  • Ability to engage others, listen and adapt response to meet others' needs.
  • Ability to align own actions with those of other team members committed to common goals.
  • Ability to demonstrate personal responsibility and accountability and reflect a positive image in dress and demeanor.
  • Skill at finding and providing solutions that are customized to meet customers' needs and concerns.
  • Ability to apply standardized processes appropriately; continuously improving processes.
  • Ability to collaborate with other groups and departments to reach common goals.
  • Ability to continuously adapt and contribute to meet growth and market needs of the company and own career.
  • Ability to demonstrate functional capabilities in areas related to job roles; continuously seek to advance knowledge.
  • Ability to readily learn and apply information technology applications and take responsibility for updating skills.
  • Excellent computer and keyboarding skills, including familiarity with Windows.
  • Excellent verbal and written communication skills.
  • Ability to manage competing priorities.
  • Ability to perform job duties in a professional manner at all times.
  • Ability to understand, recall, and communicate, factual information.
  • Ability to understand, recall, and apply oral and/or written instructions or other information.
  • Ability to organize thoughts and ideas into understandable terminology.
  • Ability to apply common sense in performing job.
  • Ability to understand and follow instructions and guidelines.

Work Location: Training and orientation at our Administrative facility. Work-from-home opportunities after ~90 days. Must reside in Texas and be willing to attend on-site training and occasional in-person department meetings in Austin, TX.Work Schedule: Monday-Friday 8:30am to 5:30pm
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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