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Remote Rn Insurance Assessment Jobs in Boston, MA

RN Care Manager

Lynn, MA · Remote

$79K - $97K/yr

... insurance is required * Experience in case management, care planning and assessment for cases ... With flexible schedules, a remote-first culture, and a nationally recognized wellness program, our ...

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

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 ...

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 ...

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 ...

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 ...

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 ...

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 ...

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 ...

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 ...

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 ...

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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 Boston, MA? The most popular types of Rn Insurance Assessment jobs in Boston, MA are:
Virtual Registered Nurse, Home Hospital

Virtual Registered Nurse, Home Hospital

Mass General Brigham

Somerville, MA • On-site, Remote

Full-time

Posted 11 days ago


Brigham and Women's Hospital rating

8.0

Company rating: 8.0 out of 10

Based on 98 frontline employees who took The Breakroom Quiz

125th of 1,002 rated hospitals


Job description

Site: Mass General Brigham Home Care, Inc.
Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Job Summary
Join the Future of Acute Care-From Our State-of-the-Art Virtual Command Center
The position to which you are applying is represented by a collective bargaining unit, Massachusetts Nurses Association.
Mass General Brigham's Home Hospital is transforming acute care by bringing hospital-level services directly into the home. As a Virtual Registered Nurse (VRN), you will deliver high-quality, patient-centered care using advanced technology, remote patient monitoring, and a collaborative team-based model.
We provide hospital-level care for a diverse adult patient population, including those with:
• Acute medical conditions such as heart failure, COPD exacerbations, pneumonia, and cellulitis
• Dehydration requiring acute intervention
• Postpartum patients with hypertension
This full-time, 36-hour on-site role (9:00am to 9:30pm) is based at our Logistic Command Center at Assembly Row in Somerville, MA-a high-tech, innovative environment dedicated to ensuring safe, evidence-based care for Home Hospital patients.
You'll also benefit from a self-scheduling model, where nurses build their schedules 4-6 weeks in advance, ensuring work-life balance and flexibility. Our RN's work every 3rd weekend, along with one of the three winter holidays and one of the summer holidays.
Job Summary
The Virtual Registered Nurse (VRN) is responsible for providing essential elements of the patient care delivery model into the patient's defined living space. The VRN provides quality care to patients through the implementation of nursing process, applied through a team-based nursing model, employing technology and remote care coordination to facilitate care delivery.
Our Virtual Registered Nurses provide high quality, patient-centered, nursing care to patients across the continuum of services provided by Healthcare at Home. The VRN will work with a robust interdisciplinary team to promote highest patient outcomes.
This role will utilize remote patient monitoring, assessment, planning, intervention, and critical thinking skills to care for patient populations in the home. Leveraging the resources and expertise of the MGB team to implement collaborative workflows, standards, policies, protocols, guidelines, and documentation systems to support safe, reliable, high-quality evidence-based care within clinical protocols as the foundation.
Role Responsibilities
• Performs and documents nursing process, assessment, diagnosis, planning, implementation, and evaluation of patients receiving care remotely, in their defined home.
• Performs virtual care, patient assessment, remote patient monitoring (as ordered) and works with the clinical care team to provide care, trend data, and respond accordingly.
• Provides protocol driven assessments, care coordination and intervenes as appropriate and defined by MGB Healthcare at Home protocols.
• Exhibits sound clinical decision making and critical thinking skills for a diverse patient population.
• Maintains and practices in accordance with nursing guidelines, as well as institutional, local, and state regulations.
• Performs admissions, discharges, and episodic visits within MGB Home Hospital, through high quality virtual patient-centered care.
• Performs triage of patient care calls outside of regular business hours for post-acute home care patients; requests a home care in-person visit as appropriate by the home care on-call nurse.
• Serves as a role model for professional nursing practice.
• Utilizes nursing knowledge to identify, prevent and or solve complex acute and/or recurring patient care problems.
• Shares expertise with multidisciplinary teams to serve as a staff resource.
• Supports research efforts to advance knowledge and promote evidence-based practice.
• Performs other duties and responsibilities as assigned by Nursing Leadership.
• Provides medication teaching, assists with medication administration and education to patients and families. Collaborates closely with pharmacy and care team regarding medication reconciliation process.
• Completes timely documentation for all nursing care in Epic.
• Answers, directs, and provides follow up on incoming clinical patient concerns
Quality and Safety
• Ensures compliance with reporting requirements in RL Solutions.
• Participates in quality and safety education, rounds, and evaluations.
• Promotes professional practice and a culture of safety; engages in process improvement efforts.
• Must be able to work in a HIPPA compliant environment.
Qualifications
Qualifications
Education/Licensure
  • Graduation from an accredited school of nursing. BSN preferred.
  • BLS
  • Current license to practice as a Registered Nurse in Massachusetts

Experience/Skills
  • At least 3 years of Emergency Department experience required.
  • Telemetry experience preferred
  • Telehealth and remote patient monitoring experience preferred
  • Telephone triage experience preferred
  • Proficiency with Epic, Microsoft Outlook, Microsoft Teams, and other web-based platforms preferred

Additional Job Details (if applicable)
  • Excellent communication, interpersonal, and organizational skills required
  • Experience working in a start-up environment and/or willingness to adapt to continuous change encouraged

Remote Type
Onsite
Work Location
399 Revolution Drive
Scheduled Weekly Hours
36
Employee Type
Regular
Work Shift
Day (United States of America)
Pay Range
$40.09 - $78.04/Hourly
Grade
HCBRN124
At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.
EEO Statement:
1410 Mass General Brigham Home Care, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

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