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

To excel as a Weekend RN Insurance Claims specialist, you need a current RN license, strong clinical knowledge, and experience with medical documentation and insurance processes. Familiarity with claims management software, electronic health records (EHRs), and healthcare compliance regulations is typical in this role. Outstanding attention to detail, critical thinking, and effective communication are vital soft skills for accurate claim reviews and collaboration with stakeholders. These competencies ensure precise claim evaluations, minimize errors, and support efficient, compliant insurance operations.

How does a Weekend RN Insurance Claims role typically interact with other departments within an insurance company?

As a Weekend RN working in insurance claims, you'll frequently collaborate with claims adjusters, case managers, and underwriters to review and assess medical records for claim determinations. Effective communication and timely reporting are essential, especially since you'll often provide clinical expertise to support case evaluations and help clarify medical issues. The work environment is usually fast-paced, with the need to prioritize urgent claims and coordinate with team members who may be working different schedules. This collaborative approach ensures accurate claim processing and helps maintain compliance with regulatory standards.

What are Weekend RN Insurance Claims jobs?

Weekend RN Insurance Claims jobs involve registered nurses (RNs) working primarily on weekends to review, assess, and process insurance claims related to healthcare services. These professionals use their clinical expertise to evaluate medical records, determine the necessity of treatments, and ensure that claims comply with insurance policies and regulations. Their role is essential in preventing fraud, maintaining compliance, and supporting fair reimbursement for medical services rendered. Weekend positions offer flexible schedules, making them ideal for nurses seeking work-life balance or supplemental income.

What is the difference between Weekend Rn Insurance Claims vs Weekend Lpn Insurance Claims?

AspectWeekend Rn Insurance ClaimsWeekend Lpn Insurance Claims
CredentialsRegistered Nurse (RN) licenseLicensed Practical Nurse (LPN) license
Work EnvironmentHospitals, clinics, insurance companiesLong-term care facilities, clinics, insurance companies
Job ResponsibilitiesAssessing patient claims, reviewing medical documentation, coordinating careProcessing insurance claims, verifying patient information, basic claim review

Weekend Rn Insurance Claims typically require an RN license and involve detailed medical assessments and coordination, while Weekend Lpn Insurance Claims focus on processing claims with LPN credentials, often handling more routine tasks. Both roles operate in healthcare and insurance settings but differ in scope and responsibilities.

What cities in Washington are hiring for Weekend Rn Insurance Claims jobs? Cities in Washington with the most Weekend Rn Insurance Claims job openings:
Weekend Rn Insurance Claims jobs near you
RN, Nights & Weekends - Per Diem

RN, Nights & Weekends - Per Diem

Chapters Health System

Falls Church, VA

Other

Medical, Vision

Posted 4 days ago

Chapters Health System rating

7.5

Company rating: 7.5 out of 10

Based on 18 frontline employees who took The Breakroom Quiz

Job description

It's inspiring to work with a company where people truly BELIEVE in what they're doing!
When you become part of the Chapters Health Team, you'll realize it's more than a job. It's a mission. We're committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!
Role:
The Nights & Weekends RN is to provide visits to patients with emergent, critical needs in a timely
manner. The Nights & Weekends RN arranges for, teaches, and supervises nursing care of patients in
home care and facility settings in collaboration with other members of the Interdisciplinary Group. The Nights & Weekends RN makes nursing assessments and uses critical thinking skills to provide care based on evidence-based practice.
Qualifications:
  • Current license as RN in the state where the employee will be working
  • Active BLS for healthcare professionals from the American Heart Association or Red Cross.
  • Minimum one (1) year of in-patient nursing or hospice experience for external candidates; for internal applicants, minimum of 6-months of LPN experience with hospice/home health within an affiliate
  • Previous experience working with an EMR/EHR (Electronic Medical/Health Record) system
  • Mobile Driver - Valid driver's license and automobile insurance per Company policy
  • Reliable transportation to meet visit schedule
  • Ability to use equipment with visual and auditory mechanisms
  • Ability to effectively communicate in English (verbal and written)
  • Flexible schedule to meet the needs of Hospice House patients
  • Ability to manage the emotional stress of working with and caring for terminally ill patients and their families
  • Ability to physically access patient rooms, other areas of the Hospice House/Hospital/ALF, etc., and any home (i.e., navigate stairs and narrow spaces, tolerate heat and lack of air conditioning) within any part of the service area
  • Ability to perform the essential functions and physical requirements (including, but not limited to: lifting patients and/or equipment, bending, pushing/pulling, kneeling) of the job with or without reasonable accommodation
Some locations may require:
  • Cross training to hospice house or field (home/facility/admission) positions of equal licensure/certification and scope when census calls for flexible staffing
  • Completes clinical admissions for all Company services including, but not limited to:
• Explains services to potential patients/families and addresses questions regarding patient fears, physical limitations, while putting the patient/family at ease; presents services in an empathetic and compassionate manner
• Identifies admission objections, concerns or other entry barriers and provides responses
• Educates patient/family on admission requirements and addresses immediate needs
• Completes informed consents and initial assessment according to regulations and Company policy • Provides information to Physicians and initiates Plan of Care to address patient's immediate needs
• Initiates skilled nursing interventions to prevent complications, alleviate symptoms and maximize physical and emotional comfort
  • Obtains Physician orders
• Completes documentation per Company policy
  • Acts as the Company representative at assigned facilities while facilitating referrals to all service lines; works closely with referring hospitals, physicians, facilities, patients, families, and the general public.
  • Communicates frequently with Admissions to ensure timely follow-up. When assignment is complete, informs Admissions and prepares for next assignment.
  • Provides all necessary clinical communication timely using SBAR.
  • Discusses any potential needs with after-hours staff.
  • Obtains consents for services and arranges safe discharge in an efficient manner for referred and eligible patients while meeting productivity expectations.
  • Obtains medical record information for the referral.
  • Develops strong relationships with case managers, physicians, etc. at facilities.
  • Works with Professional Relations Representatives (PRRs) to provide education on all available services.
  • Provides care for any GIP patients in a hospital including daily visits, professional management, documentation and efficient discharge.
Competencies:
  • Satisfactorily complete competency requirements for this position.
Responsibilities of all employees:
  • Represent the Company professionally at all times through care delivered and/or services provided to all clients.
  • Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse.
  • Comply with Company policies, procedures and standard practices.
  • Observe the Company's health, safety and security practices.
  • Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company.
  • Use resources in a fiscally responsible manner.
  • Promote the Company through participation in community and professional organizations.
  • Participate proactively in improving performance at the organizational, departmental and individual levels.
  • Improve own professional knowledge and skill level.
  • Advance electronic media skills.
  • Support Company research and educational activities.
  • Share expertise with co-workers both formally and informally.
  • Participate in Quality Assessment and Performance Improvement activities as appropriate for the position.
Job Responsibilities:
  • Provides and manages direct care to patients and families as part of Interdisciplinary Group (IDG), incorporating psychosocial, spiritual, cultural, physical and biological components, and appropriate nursing intervention and follow-up.
  • Coordinates the Plan of Care, ensuring that an individualized Plan of Care is developed that accurately reflects the patient's evolving needs.
  • Educates patient, family, caregivers and other health professionals about disease process and decline, palliative interventions, care giving, dying process and safety practices.
  • Reports changes in the patient's condition to appropriate members of the IDG or other health professionals.
  • Participates with the IDG to evaluate hospice referrals/admissions for level of care appropriateness.
  • Attends patient deaths; prepares body for transport; oversees disposal of medications.
  • Provides appropriate bereavement interventions to the family and caregiver in conjunction with psychosocial staff.
  • Presents concise and pertinent oral and written reports to IDG; respects and encourages input from all disciplines.
  • Communicates accurately and completely to physicians, staff members, patients, families, and supervisors; utilizes positive approaches when working with others.
  • Supervises patient care given by other nursing team members (i.e., LPNs, Hospice Aides, and contract nurses).
  • During times of emergencies (i.e. Hurricanes, etc.), the Triage RN may be required to report to work at a location designated by the company, to ensure continuity of services. This may include reporting to work ahead of your scheduled date/time due to planned lock down of unit, and staying overnight(s) based on duration of emergency.
  • Performs other duties as assigned.

Physical Demands for Post Offer/Pre-Placement (The demands described below are representative of those that must be met by an individual to perform the essential functions of the job, with or without reasonable accommodation.):
While performing the duties of this job, the following abilities are required: see; hear; talk; walk; use hands to finger, handle or feel.
Frequently required to: stand; sit; reach with hands/arms; lift; bend; balance.
Occasionally required to: pull; push; stoop/crouch; kneel; climb stairs.
Compensation Pay Range:
$47.00 - $47.00
This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.
All Chapters Health System employees performing services for Florida affiliates are submitted through the Florida Care Provider Background Screening Clearinghouse to verify eligibility after a conditional offer of employment is made as well as ongoing eligibility. For more information, please visit https://info.flclearinghouse.com/

What Chapters Health System employees say

Pay

Benefits

Hours and flexibility

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About Chapters Health System

Sourced by ZipRecruiter

Chapters Health System is a non-profit organization based in Temple Terrace, FL, in the United States and operating in the healthcare industry. The company provides a range of essential services, including hospice care, palliative care, home health care, grief support, and more. Chapters Health System was founded on a profound belief in enhancing the quality of life for individuals facing serious health conditions and providing support to their families. The mission of the organization revolves around providing support-centric healthcare services and compassionate care to its patients. Notably, the organization is acclaimed for its comprehensive approach to health care delivering holistic services that address physical, psychological, and emotional wellbeing.

Industry

Health care and social assistance

Company size

501 - 1,000 Employees

Headquarters location

Temple Terrace, FL, US

Year founded

1983

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