Remote Utilization Review Nurse Jobs in Decatur, GA

ABOUT RIA HEALTH

Ria Health, recognized as the leading national telehealth provider specializing in alcohol use disorder (AUD) treatment, recently raised $12.5 million through a Series B financing led by Peloton Equity.  Our existing investors SV Health, BPEA and SOSV also participated in the Series B. The investment will further the momentum of commercial partnerships that include regional and national health plans, including Anthem Blue Cross Blue Shield, UnitedHealth Group Optum, Beacon Health Options, Highmark Health, and Magellan Health. Ria Health will enable patients to achieve long term success in reducing or eliminating  their alcohol consumption, and live healthier and happier lives. We are seeking a Clinical Intake/Triage Nurse to join our rapidly growing team. 

WORK AS A RIA HEALTH PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER

Ria Health clinical personnel participate in a virtual team clinic environment, working interdependently with team members and departments. PMHNP’s use the Ria platform to monitor and support members’ progress to positive outcomes, and to collaborate with medical and supporting team members. All clinical staff participate in weekly Rounds to review and learn from case situations and the discussion of previous experience.

This is a contract (1099), fully remote role with an expected commitment of approximately 10–15 hours per week, offering flexibility in scheduling.

REQUIREMENTS 

• Board Certified Psychiatrist (or Physician Certified in Addiction Medicine). Preference given to candidates who possess additional COMPACT States Licenses (Interstate Medical Licensure Compact). This position is 100% Remote.

• 2+ years of experience (preferred) with added qualifications in Addiction.

• Technology-savvy and experienced with service apps such as Athenanet, Healthie, and Zoom.

• Experience in addiction; utilizing pharmacologic therapeutic interventions.

• Team player; maintains a high level of professionalism with members and team.

• People oriented, relationship focused; experience with telehealth is desirable.

• A secure private office with a professional background and appearance including proper lighting and direct high-speed internet capabilities to conduct video medical appointments.

• Acknowledgment that work may involve working with Protected Healthcare Information and agree to abide by all company policies and procedures for keeping that information secure and private.

• Agree to work within the policies and procedures of Ria Health, including the Information Security, Acceptable Use, Remote Work/Teleworking, and the Monitoring and Recording policies. Violation of company policies may be grounds for discipline, up to and including termination. 

COMPETENCIES

• Advanced Clinical Skills: Assess, diagnose, and manage mental health and substance use disorders.

• Integrated Care Delivery: Implement evidence-based interventions within a holistic care model.

• Policy Advocacy: Promote access to mental health and addiction services.
  Quality Assurance: Monitor and enhance the effectiveness of care practices.

PRINCIPLE DUTIES and ESSENTIAL RESPONSIBILITIES

• Assess patient history and evaluation to formulation and implementation of a care plan.

• Manage medication including prescription, dosage, and patient method of use.

• Order and interpret lab results as necessary.

• Monitor health outcomes and coordinate care.

• Revision of care plans in collaboration with other medical staff and coaches.

• Manage patient appointments according to company, medical, and insurance requirements.

• Lead 20- and 30-minute video appointments with patients.

• Communicate with patients through phone, app-based text messages, and HIPAA compliant email.

• Build relationships with Ria members to support engagement, quality experiences, and lasting outcomes.

• Provide prompt prescription renewals and changes.

• Demonstrate professionalism, attentiveness, and promptness during sessions, throughout the course of care, and by using technology interfaces with members.

• Enter medical documentation and billing information into Athenanet

• Participation in virtual rounds.

• Collaborate with the Product and Coaching team on program development.

• Comply with HIPAA/CFR 42 Part 2 privacy standards, Ria Health policies and procedures, reimbursement and accreditation requirements, and Federal/State/Local laws & regulations.

• Continuous learning and change advocacy as determined by industry trends, community needs, and best practices.

• Provide Ria services during normal business hours and/or as approved.

• Plan schedule around member load to optimize continuity of care.

ENJOY MANY RIA HEALTH BENEFITS

• Join a team of Mission driven professionals dedicated to offering a next-generation solution in the treatment of heavy alcohol use and addiction

• Experience professional growth within a rapidly expanding tech-healthcare company

• Work remotely anywhere in the United States

• Career opportunities include full-time, part-time, and on a contract basis

• Competitive compensation

• Telehealth training and development

• Obtain additional state licenses and credentialing through Ria Health

EQUAL EMPLOYMENT OPPORTUNITY

Ria Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

APPLY TO RIA HEALTH

Ria Health invites you to apply at RIAHEALTH.COM.

MAKE AN IMPACT AT A CRITICAL TIME

The pandemic has caused a global crisis; there has been a tremendous increase in anxiety, trauma, and stress for millions of people, increasing the misuse of alcohol. As a result, Ria Health has experienced a 500% increase in demand from patients seeking a  specialized treatment program for alcohol misuse. We seek team members motivated to provide high-quality, patient-centered, evidence-based care through telemedicine that improves the health and wellbeing of the people we support. 

Ria Health Vision:

A world with accessible, compassionate, and effective treatments to reduce the burden of all those who suffer from Alcohol Use Disorder.

Ria Health Mission:

We combine medical science, technology, and human compassion to deliver private, evidence-based, telehealth alcohol treatment programs for anyone who wants to drink less and live better.

Ria Health Values:

Compassion – we promote a culture of empathetic care and communication. We actively listen, we always encourage, and we provide support.

Integrity – We are honest, open, ethical, and fair. We hold ourselves accountable when we make mistakes.

Teamwork – working together, we will achieve great things.

Embrace Change – we work to drive improvement over perfection, measuring and questioning the status quo to make progress and enhancement.

Always Learning – We celebrate curiosity and discovery through development and research.