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Remote Telephonic Rn Health Coach Jobs in Worcester, MA

DaVita

Director, Clinical Services

Southbridge, MA · On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Provide coaching and leadership including effective performance feedback to Clinical Team * Ensure ... Active RN License: Current Registered Nurse (RN) license in good standing. * Education: Bachelor of ...

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All JobsTelephonic Rn Health Coach JobsRemote Telephonic Rn Health Coach JobsRemote Telephonic Rn Health Coach Jobs in Worcester, MA

Remote Telephonic Rn Health Coach information

See Worcester, MA salary details

$16

$36

$59

How much do remote telephonic rn health coach jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for remote telephonic rn health coach in Worcester, MA is $36.41, according to ZipRecruiter salary data. Most workers in this role earn between $29.52 and $38.37 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a remote telephonic RN health coach, and why are they important?

To thrive as a Remote Telephonic RN Health Coach, you need a registered nursing license, experience in case management or health coaching, and strong knowledge of chronic disease management. Familiarity with telephonic coaching platforms, electronic health records (EHRs), and care management software is typically required. Excellent communication, motivational interviewing, and active listening skills make someone stand out in this role. These abilities are crucial for effectively supporting patients remotely, fostering engagement, and promoting positive health outcomes.

What are some common challenges faced by remote telephonic RN health coaches, and how can they be addressed?

Remote Telephonic RN Health Coaches often face challenges such as building rapport with patients without face-to-face interaction, managing a high volume of calls, and ensuring patient engagement remotely. To address these, strong communication skills, empathy, and the use of structured coaching frameworks are essential. Leveraging technology for documentation and scheduling, participating in regular team huddles, and staying updated with best practices also help maintain efficiency and effectiveness in delivering patient care and support.

What is the difference between Remote Telephonic Rn Health Coach vs Remote Telephonic Rn Case Manager?

AspectRemote Telephonic Rn Health CoachRemote Telephonic Rn Case Manager
CredentialsRN license, health coaching certificationRN license, case management certification (e.g., CCM)
Work EnvironmentRemote, telephonic coaching sessionsRemote, coordinating patient care
Employer & IndustryHealth and wellness companies, insuranceHealthcare providers, insurance companies
Job FocusPromoting healthy behaviors, lifestyle coachingManaging patient care plans, resource coordination

While both roles require RN licensure and involve telephonic work, the Remote Telephonic Rn Health Coach primarily focuses on health promotion and lifestyle coaching. In contrast, the Remote Telephonic Rn Case Manager concentrates on coordinating patient care and managing treatment plans. Understanding these differences helps job seekers find roles aligned with their skills and career goals.

What is a remote telephonic RN health coach?

A Remote Telephonic RN Health Coach is a registered nurse who provides health education, support, and guidance to patients over the phone or through virtual platforms. Their primary role is to help individuals manage chronic conditions, improve their lifestyle choices, and achieve better health outcomes by offering personalized coaching and resources. Working remotely, these professionals collaborate with patients, families, and other healthcare providers to create care plans, monitor progress, and motivate individuals toward healthier behaviors. They play a key role in preventive care, disease management, and patient empowerment. This position allows nurses to make a positive impact without direct, in-person contact.

What are popular job titles related to Remote Telephonic Rn Health Coach jobs in Worcester, MA?

For Remote Telephonic Rn Health Coach jobs in Worcester, MA, the most frequently searched job titles are:

What job categories do people searching Remote Telephonic Rn Health Coach jobs in Worcester, MA look for?

The top searched job categories for Remote Telephonic Rn Health Coach jobs in Worcester, MA are:

What cities near Worcester, MA are hiring for Remote Telephonic Rn Health Coach jobs?

Cities near Worcester, MA with the most Remote Telephonic Rn Health Coach job openings:

Remote Telephonic Rn Health Coach jobs near you

Remote Pharmacist - Prior Authorization / Coverage Determination

A-Line Staffing Solutions

Woonsocket, RI • Remote

$53/hr

Full-time

Medical, Dental, Vision

Re-posted 3 hours ago

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Job description

Remote Pharmacist – Prior Authorization / Coverage Determination

Pay Rate: $53.00/hr

Start Dates

  • September 7
  • September 28

Training Requirements

  • Mandatory paid training is held Monday – Friday, 9:00 AM – 5:30 PM EST for approximately 8–10 weeks.
  • Attendance is mandatory during training. No planned vacation or scheduling conflicts are permitted during this period.
  • Candidates must be available for the entire training schedule before accepting the assignment.
  • Camera must remain on during all virtual training sessions, supervisor meetings, and team meetings.

Schedule

Business Hours:

  • Monday – Friday: 7:00 AM – 8:00 PM EST
  • Saturday & Sunday: 7:00 AM – 4:30 PM EST

Schedule Type: Set Rotation

After training, candidates will be assigned an 8-hour shift based on business needs, which will include either:

  • One weekend day each week, or
  • A rotating weekend schedule.


Job Summary

We are seeking a licensed Registered Pharmacist to support a high-volume, remote Prior Authorization and Coverage Determination team. This role is responsible for reviewing pharmacy benefit requests, interpreting clinical criteria, evaluating Medicare Part D coverage determinations, and ensuring accurate, timely decisions while maintaining compliance with regulatory requirements.

The ideal candidate has experience in Pharmacy Benefit Management (PBM), prior authorizations, managed care, or clinical pharmacy operations and thrives in a productivity-driven remote environment with strict turnaround times.

This is a Safety Sensitive position.

Key Responsibilities

  • Review and evaluate prior authorization and coverage determination requests.
  • Interpret Medicare Part D guidelines, formulary requirements, and clinical criteria.
  • Apply evidence-based clinical judgment using drug information resources and clinical compendia.
  • Ensure compliance with CMS regulations, plan policies, and pharmacy benefit guidelines.
  • Document case reviews accurately and maintain audit-ready records.
  • Manage a high-volume case queue while meeting quality and productivity standards.
  • Perform provider outreach as needed to obtain clinical information or clarify requests.
  • Navigate multiple applications simultaneously while documenting case activity.
  • Work independently in a fast-paced remote environment with minimal supervision.
  • Participate in virtual meetings, coaching sessions, and required training.

Required Qualifications

  • Active Registered Pharmacist (RPh) license in good standing in the state of residence.
  • Experience with:
    • Pharmacy Benefit Management (PBM)
    • Prior Authorizations
    • Coverage Determinations
    • Medicare Part D
    • Formulary management
    • Drug Utilization Review (DUR)
  • Strong understanding of CMS regulations and managed care pharmacy.
  • Excellent documentation and data entry skills.
  • Experience working in high-volume, productivity-driven environments.
  • Strong computer skills, including Microsoft Excel and Word.
  • Ability to navigate multiple computer applications using dual monitors.

Preferred Qualifications

  • Experience with provider outreach and clinical case review.
  • Retail pharmacy combined with managed care or PBM experience.
  • Knowledge of Microsoft Access, PowerPoint, and Visio.
  • Previous remote clinical review experience.

Remote Work Requirements

Candidates must have:

  • A dedicated, quiet workspace free from interruptions.
  • Wired high-speed internet with a minimum of:
    • 25 Mbps download
    • 5 Mbps upload
  • Dual-monitor capability.
  • Ability to remain seated and focused throughout the workday.

Additional Requirements

  • Virtual interviews are conducted through Microsoft Teams.
  • Candidates must be comfortable with extensive data entry, multitasking, and working independently while maintaining productivity standards.
  • Opportunity for full-time employment based on performance.
A-Line Staffing Solutions logo

About A-Line Staffing Solutions

Sourced by ZipRecruiter

A-Line Staffing Solutions is an established full-service recruiting and staffing provider that operates in the industry of human resources and recruitment. Based in Utica, Michigan, A-Line Staffing Solutions has been committed to its mission of providing innovative and effective workforce solutions since its foundation. The company specializes in providing high-quality staffing solutions for a range of disciplines, including Information Technology, Professional, Administrative, Healthcare, and more. A-Line prides itself on its ability to offer comprehensive and tailored staffing solutions in line with the varying needs of different businesses, which has played a crucial role in the company's growth and success.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Utica, MI, US

Year founded

2004

Social media

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