All roles

Open role

INDIANA Registered Nurse REMOTE – Telehealth Pt Assessment

Remote · United Arab Emirates Full-time

MUST HAVE VALID INDIANA RN LICENSE. NLC is a Plus! Our Nursing Team is growing in Indiana! Great Benefits after 30 days! PTO & Holiday Pay after 90! NEW HIRE REMOTE TRAINING STARTS MARCH 18TH! Summary: Our Staff Nurse's are responsible for conducting patient assessments by phone (ours) to determine individual needs for incontinence supplies. Essential Functions Consults by phone with client, primary caregiver, primary care physician or specialist, case managers and other community resources to determine if client qualifies for a particular program.

  • Expectation is that Nurse will complete 20-25 assessments daily, on average with 98% accuracy.
  • Conducts clinical assessments by phone and documents the client’s medical history. Monitors success rates. All products ordered must be assessed for use and quantity needs per day.
  • Identifies appropriate product and quantity needs based on assessment. If formulary product will not meet needs, then reviews needs and potential solutions with Nurse Manager.
  • Reassesses if there is a change in a client’s medical condition or an increase in quantity request.
  • Obtains prior authorization from the state contract administrator for off-formulary or over-quantity requests.
  • Reviews letters of medical necessity to determine if client qualifies for product or quantity requested.
  • Reviews accounts for accuracy, reporting any errors to the appropriate department manager/leader.
  • Participates in after-hours emergency call rotation.
  • Understanding of insurance guidelines.
  • Utilize intranet tools to complete assessments.
  • Provides education to other J & B employees or external clients regarding products.

Position Type This is a full time REMOTE position 40 hours per week. Monday through Friday, hours of work vary between 8:00am to 6:00pm. Occasional early mornings, evening and weekend work may be required as job duties demand.

Requirements

  • Current Registered Nursing License (RN) with the State of INDIANA or NLC
  • 2+ years previous work experience demonstrating patience, compassion and strong communication skills
  • Must be great on the computer, able to use multiple databases simultaneously

Preferred Education and Experience

  • 3 years of nursing experience
  • Knowledge of medical terminology
  • Medicare and Medicaid background
  • Durable Medical Equipment (DME)

Equipment is not provided. You must have your own computer setup in a private work area free from distractions. Other Duties All other duties as assigned by management. Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are request of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Salary Description $35.00 hr

More open positions

Case Manager, Ambulatory – CA. Licensure Required Hybrid (Remote Considered) - Multiple Positions

Work from home Full-time role

Virtual Clinical Asst

Work from home Full-time role

Medical Assistant (Part Time)

Work from home Full-time role

RCI-ABBV-33543 Pharmacovigilance / Drug Safety Specialist (RN/AE/SAE Case Assessment/Safety Surveillance) (Hospital/Clinical Setting)

Work from home Full-time role

Senior Director/VP, Pharmacovigilance (PV)

Work from home Full-time role

[Hiring] Service Delivery Specialist 1 @Datavant

Work from home Full-time role

K-8 Fine Arts and Computer Science Elective Teacher - Arkansas Connections Academy

Work from home Full-time role

Salesforce / OmniStudio Developer

Work from home Full-time role

Principal HR Business Partner, International - Germany (m/w/d)*

Work from home Full-time role

Manager, UM Administration

Work from home Full-time role

Medical Billing Collection Specialist

Work from home Full-time role

Docketly Coverage Operations Specialist-Remote

Work from home Full-time role

Remote English Proofreader Job at Tonic3 in Chicago

Work from home Full-time role

(Live Chat Remote Jobs) Walmart Customer Service - Work From Home $19 hour

Work from home Full-time role

Senior Strategic Buying Services Analyst

Work from home Full-time role

Drug Safety Analyst – Remote

Work from home Full-time role

1099 Contractor Sales Specialist - Fully Remote

Work from home Full-time role

Demand Generation Manager

Work from home Full-time role

Medical-Only Claim Representative-Workers' Compensation

Work from home Full-time role

Remote Customer Support Advocate – Work From Home Opportunity with Flexible Hours & Competitive Pay at careerzynith

Work from home Full-time role

Sr. Solutions Architect

Work from home Full-time role