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Remote Tricare Rn Jobs in Boca Raton, FL (NOW HIRING)

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

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Remote Tricare Rn information

What is the difference between Remote Tricare Rn vs Remote VA Rn?

AspectRemote Tricare RnRemote VA Rn
CredentialsRegistered Nurse (RN) license, Tricare-specific trainingRegistered Nurse (RN) license, VA healthcare system familiarity
Work EnvironmentRemote healthcare support for Tricare beneficiariesRemote patient care for VA patients
Employer & IndustryMilitary healthcare, Tricare programsVeterans Affairs healthcare system
Common Search IntentRemote Tricare RN vs Remote VA RNRemote VA RN vs Remote Tricare RN

The main difference between Remote Tricare Rn and Remote VA Rn lies in their employer and patient focus. Remote Tricare Rns support military beneficiaries through Tricare programs, while Remote VA Rns serve veterans within the VA healthcare system. Both roles require RN licensure and specialized training, but their work environments and patient populations differ, aligning with their respective organizations.

What is a Remote Tricare RN?

A Remote Tricare RN is a registered nurse who provides healthcare services and support to patients covered by Tricare, the health insurance program for military members and their families, while working remotely. These nurses may conduct patient assessments, coordinate care, offer health education, and assist with case management through phone or online platforms. Working remotely allows them to support military families regardless of location, ensuring continuity of care. They must be licensed RNs and often have experience in case management, utilization review, or similar fields.

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

To thrive as a Remote Tricare RN, you need a current RN license, experience in case management or telehealth, and knowledge of Tricare policies and procedures. Familiarity with electronic medical record (EMR) systems, telehealth platforms, and case management software is typically required. Excellent communication, critical thinking, and self-motivation are essential soft skills for remote coordination with patients and healthcare teams. These competencies ensure effective patient care, compliance with Tricare standards, and high-quality outcomes in a virtual environment.

What are some common challenges faced by Remote Tricare RNs, and how can they be managed effectively?

Remote Tricare RNs often face challenges such as maintaining clear communication with patients and care teams across different time zones, navigating complex Tricare policies, and ensuring patient privacy in a virtual setting. To manage these, it's important to stay updated on Tricare guidelines, utilize secure digital communication tools, and participate in regular virtual meetings with the healthcare team. Developing strong organizational skills and proactively seeking support from colleagues can also help remote RNs deliver high-quality care.
What are the most commonly searched types of Tricare Rn jobs in Boca Raton, FL? The most popular types of Tricare Rn jobs in Boca Raton, FL are:
What are popular job titles related to Remote Tricare Rn jobs in Boca Raton, FL? For Remote Tricare Rn jobs in Boca Raton, FL, the most frequently searched job titles are:
What job categories do people searching Remote Tricare Rn jobs in Boca Raton, FL look for? The top searched job categories for Remote Tricare Rn jobs in Boca Raton, FL are:
What cities near Boca Raton, FL are hiring for Remote Tricare Rn jobs? Cities near Boca Raton, FL with the most Remote Tricare Rn job openings:
Utilization Review Registered Nurse, Case Management, FT, 07A-7:30P Local Remote

Utilization Review Registered Nurse, Case Management, FT, 07A-7:30P Local Remote

Baptist Health South Florida

Boca Raton, FL • Remote

$73K - $96K/yr

Full-time

This job post has expired 1 day ago. Applications are no longer accepted.


Baptist Health South Florida rating

7.9

Company rating: 7.9 out of 10

Based on 96 frontline employees who took The Breakroom Quiz

1st of 23 rated health and beauty retailers


Job description

The purpose of this position is to conduct initial, concurrent, retrospective chart review for clinical financial resource utilization. Coordinates with healthcare team for optimal/efficient patient outcomes, while decreasing length of stay (LOS) and avoid delays and denied days. They are accountable for a designated patient caseload and provides intervention, coordination to decrease avoidable delays, denial of reimbursement. Specific functions within this role include: Screens pre-admission, admission process using established criteria for all points of entry. Facilitates communication between payers, review agencies, healthcare team. Identify delays in treatment or inappropriate utilization and serves as a resource. Coordinates communication with physicians. Identify opportunities for expedited appeals and collaborates to resolve payer issues. Ensures/Maintains effective communication with Revenue Cycle Departments.Estimated salary range for this position is $73860.80 - $96019.04 / year depending on experience.

Degrees:

  • Associates.

Licenses & Certifications:

  • MCG Care Guidelines Specialist.
  • Registered Nurse.

Additional Qualifications:

  • RNs hired prior to 2-2012 (10/1/2017 at Bethesda or 7/1/2019 at BRRH) with an Associates Degree in Nursing are not required to have a BSN to continue their non-leadership role as an RN.
  • however, they are required to complete the BSN within 3 years of job entry date.
  • MCG Specialist Certification ISC/HRC required within 12 months of job entry date.
  • 3 years of Nursing experience preferred.
  • Excellent written, interpersonal communication and negotiation skills.
  • Strong critical thinking skills and the ability to perform clinical/chart review abstract information efficiently.
  • Strong analytical, data management and computer skills.
  • Strong organizational and time management skills, as evidenced by capacity to prioritize multiple tasks and role components.
  • Current working knowledge of payer and managed care reimbursement preferred.
  • Ability to work independently and exercise sound judgment in interactions with the health care team and patients/families.
  • Knowledgeable in local, state, and federal legislation and regulations.
  • Ability to tolerate high volume production standards.

Minimum Required Experience: 

3 Years of Nursing experience with 1 year of previous Utilization Review experience required. 


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About Baptist Health South Florida

Sourced by ZipRecruiter

Baptist Health South Florida is the largest healthcare organization in the region, with 12 hospitals, more than 27,000 employees, 4,000 physicians and 100 outpatient centers, urgent care facilities and physician practices spanning across Miami-Dade, Monroe, Broward and Palm Beach counties. Baptist Health has internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences. A not-for-profit organization supported by philanthropy and committed to its faith-based charitable mission of medical excellence, Baptist Health has been recognized by Fortune as one of the 100 Best Companies to Work For in America and by Ethisphere as one of the World's Most Ethical Companies.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Miami, FL, US