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Remote Weekend Rn Jobs in Portland, OR (NOW HIRING)

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RN

Hillsboro, OR · Remote

$40 - $60/hr

MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

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RN

Portland, OR · Remote

$40 - $60/hr

MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

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RN

Beaverton, OR · Remote

$40 - $60/hr

MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

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RN

Vancouver, WA · Remote

$40 - $60/hr

MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

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RN

Gresham, OR · Remote

$40 - $60/hr

MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

Firefly Health

Nurse Practitioner

Portland, OR · On-site +1

$130K - $150K/yr

... registered nurses, health guides, and other cross-functional colleagues. This is a great ... Work independently in a remote setting from a private, HIPAA-compliant home office. * Be timely ...

Firefly Health

Nurse Practitioner

Portland, OR · Remote

$130K - $150K/yr

... registered nurses, health guides, and other cross-functional colleagues. This is a great ... Work independently in a remote setting from a private, HIPAA-compliant home office. * Be timely ...

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Remote Weekend Rn information

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

To thrive as a Remote Weekend RN, you need a current RN license, strong clinical assessment skills, and experience in telehealth or remote patient care. Familiarity with telemedicine platforms, secure messaging systems, and electronic health records (EHRs) is typically required. Exceptional communication, self-motivation, and time management skills are crucial for providing quality care independently and efficiently from a distance. These competencies ensure that patients receive timely, accurate care and support outside of traditional clinical settings, especially during weekend hours.

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

Remote Weekend RNs often encounter challenges such as managing patient care with limited on-site resources, coordinating with multidisciplinary teams outside traditional office hours, and addressing urgent situations remotely. Effective communication skills and familiarity with telehealth platforms are crucial for handling these obstacles. Developing strong organizational habits and staying proactive in following up with patients and colleagues can help ensure a smooth workflow and high-quality care, even during weekends when support staff may be limited.

What is a Remote Weekend RN?

A Remote Weekend RN is a registered nurse who works remotely, typically from home, providing nursing care, triage, or case management services during weekends. They use telehealth technologies to assess patients, offer medical advice, coordinate care, or manage chronic conditions outside of traditional clinical settings. This role allows nurses to maintain patient care continuity while offering flexibility in scheduling. Weekend shifts are common in this position to ensure patients have access to nursing support outside of standard business hours. Remote Weekend RNs are required to have an RN license and may need experience in telehealth or related fields.

What is the difference between Remote Weekend Rn vs Remote Night Rn?

AspectRemote Weekend RnRemote Night Rn
Work ScheduleWeekend shifts, typically Saturday and SundayNight shifts, usually overnight hours
CertificationsRegistered Nurse (RN) license, CPR, BLSRegistered Nurse (RN) license, CPR, BLS
Work EnvironmentHome-based telehealth or remote hospital settingsHome-based telehealth or remote hospital settings
Industry UsageHealthcare, telehealth servicesHealthcare, telehealth services

The main difference between a Remote Weekend Rn and a Remote Night Rn lies in their work schedules. Weekend RNs work primarily on weekends, while Night RNs cover overnight shifts. Both roles require similar certifications and work in remote healthcare environments, serving telehealth or remote hospital settings. Your choice depends on your preferred working hours and schedule flexibility.

What are the most commonly searched types of Weekend Rn jobs in Portland, OR? The most popular types of Weekend Rn jobs in Portland, OR are:
What are popular job titles related to Remote Weekend Rn jobs in Portland, OR? For Remote Weekend Rn jobs in Portland, OR, the most frequently searched job titles are:
What job categories do people searching Remote Weekend Rn jobs in Portland, OR look for? The top searched job categories for Remote Weekend Rn jobs in Portland, OR are:
What cities near Portland, OR are hiring for Remote Weekend Rn jobs? Cities near Portland, OR with the most Remote Weekend Rn job openings:
Remote Weekend Rn jobs near you
Registered Nurse / RN - Utilization Management I

Registered Nurse / RN - Utilization Management I

CareOregon

Portland, OR • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 7 days ago

CareOregon rating

7.6

Company rating: 7.6 out of 10

Based on 7 frontline employees who took The Breakroom Quiz

183rd of 259 rated insurance

Job description

Registered Nurse / RN - Utilization Management I
The Registered Nurse - Utilization Management I is responsible for supporting specific utilization management (UM) program functions within the Clinical Operations department. UM program functions include Benefit Management, Benefit Review, Appeals and Grievances and Health Related Services (HRS). Together they support the healthcare needs of members, determine the best medically appropriate services, and apply clinical-based criteria for decision-making while managing medical expenses.
NOTE: This position focuses on Appeals and Grievance.
Estimated Hiring Range:
$102,330.00 - $125,070.00
Bonus Target:
Bonus - SIP Target, 5% Annual
Current CareOregon Employees: Please use the internal Workday site to submit an application for this job.
Essential Responsibilities
General Duties
  • Communicate with members and/or providers in a professional manner and in accordance with State and Federal requirements as needed to complete requests.
  • Maintain confidentiality of all discussions, records, and other data in connection with quality management activities according to professional standards.
  • Refer members to care coordination per policies and procedures.
  • Maintain accurate and complete documentation.
  • Collaborate with Medical Directors to determine medical necessity and appropriateness of care for benefits requested and/or rendered.
  • Work with clinical support staff to ensure service requests, authorizations and/or grievances are managed in accordance with state and federal guidelines.
  • Identify and refer potential quality of care issues for peer review.
  • Ensure that authorization decisions are based on organizational policy and state and federal coverage rules.
  • Gather and submit documents for third party case review; this includes all documentation and follow-up activities.
  • Issue denial notices based on established unit protocols and state and/or federal requirements.
  • Assist with periodic audits, general quality management and improvement activities, and other regulatory activities as needed.
  • Foster collaboration with teams across the Clinical Operations department to ensure work and goals are met.
  • Meet or exceed department production, timelines, and quality standards established for level I.
  • May participate in departmental workgroups or projects as assigned.
  • Support testing for system updates and implementations as assigned.
  • May help train new staff and teammates as assigned.
  • Cross train in additional functional focus areas as assigned.

Duties Specific to Functional Focus Area
  • Benefit Management
    • Review provider pre-service requests and determine benefit coverage according to Medicare, Medicaid and/or organizational guidelines.
  • Benefit Review
    • Determine appropriate level of care and length of stay for inpatient members to include hospitals, skilled nursing facilities, long term acute care hospitals, inpatient rehabilitation hospitals, and respite care programs.
    • Review inpatient admission for re-insurance clinical reporting.
  • Appeals and Grievance
    • Assemble evidence and build clinical cases for administrative hearings or Independent Review Entity (IRE) reviews.
    • Function as a CareOregon representative in administrative hearings.
    • Assist with the analysis and summary of data for written reports and public presentations as needed.
    • Communicate with members, providers, health plan administrators to manage grievances and appeals and provide case status updates as needed.
    • Investigate and use clinical judgement to identify quality of care or safety issues and present findings to an oversight committee.
  • Health Related Services
    • Review provider and member submitted HRSN and Flexible Services requests and determine benefit eligibility according to Medicaid and/or organizational guidelines.

Experience and/or Education
Required
  • Current unrestricted Oregon RN license
  • Minimum 2 years RN experience [OR 1 year RN experience AND 3 years' experience in healthcare setting role(s) such as billing, coding, medical assistant, etc.]

Preferred
  • More than 1 year RN experience
  • Healthcare utilization management experience in the functional focus area (Appeals and Grievance, Benefits Review or Benefit Management)
  • Experience with Medicaid and/or Medicare utilization management

Knowledge, Skills and Abilities Required
Knowledge
  • Knowledge of Medicaid health plan and Medicare benefits
  • Knowledge of applicable DMAP rules and regulations
  • Knowledge of ICD-10, CPT, and HCPCS codes
  • Familiarity with the principles of utilization management
  • Familiarity with healthcare documentation systems

Skills and Abilities
  • General computer skills including use of Microsoft Office applications and internet search functions
  • Ability to use review criteria in accordance with departmental policies
  • Ability to adhere to HIPAA regulations e.g., maintaining confidentiality of protected health information
  • Ability to interpret and apply complex policies and procedures
  • Ability to review work for accuracy
  • Ability to independently prioritize work
  • Ability to use critical thinking and problem-solving skills
  • Strong spoken and written communication skills
  • Strong interpersonal and customer service skills
  • Ability to work effectively with diverse individuals and groups
  • Ability to learn, focus, understand, and evaluate information and determine appropriate actions
  • Ability to accept direction and feedback, as well as tolerate and manage stress
  • Ability to see, read, and perform repetitive finger and wrist movement for at least 6 hours/day
  • Ability to hear and speak clearly for at least 3-6 hours/day

Working Conditions
Work Environment(s): ☒ Indoor/Office ☐ Community ☐ Facilities/Security ☐ Outdoor Exposure
Member/Patient Facing: ☒ No ☐ Telephonic ☐ In Person
Hazards: May include, but not limited to, physical and ergonomic hazards.
Equipment: General office equipment
Travel: May include occasional required or optional travel outside of the workplace; the employee's personal vehicle, local transit or other means of transportation may be used.
Work Location: Work from home
We offer a strong Total Rewards Program. This includes competitive pay, bonus opportunity, and a comprehensive benefits package. Eligibility for bonuses and benefits is dependent on factors such as the position type and the number of scheduled weekly hours. Benefits-eligible employees qualify for benefits beginning on the first of the month on or after their start date. CareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). We also offer a strong retirement plan with employer contributions. Benefits-eligible employees accrue PTO and Paid State Sick Time based on hours worked/scheduled hours and the primary work state. Employees may also receive paid holidays, volunteer time, jury duty, bereavement leave, and more, depending on eligibility. Non-benefits eligible employees can enjoy 401(k) contributions, Paid State Sick Time, wellness and employee assistance program benefits, and other perks. Please contact your recruiter for more information.
We are an equal opportunity employer
CareOregon is an equal opportunity employer. The organization selects the best individual for the job based upon job related qualifications, regardless of race, color, religion, sexual orientation, national origin, gender, gender identity, gender expression, genetic information, age, veteran status, ancestry, marital status or disability. The organization will make a reasonable accommodation to known physical or mental limitations of a qualified applicant or employee with a disability unless the accommodation will impose an undue hardship on the operation of our organization.

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