The company I work for (examine.com) is looking for a medical reviewer for our women’s health pages. This isn’t a full- or part-time job, but rather a small supplementary job. It involves reviewing a draft website page on a women’s health topic and making sure the content aligns with clinical practice. We are looking or someone who is board certified in Women’s Health and has at least 3 to 5 years of clinical experience. The reviewer would receive a stipend for pages reviewed.
Telemed Psychiatric Nurse Practitioner (PMHNP) – CA licensed
Vivo HealthStaff is searching for a Telemedicine Psychiatric Nurse Practitioner with a California license for a long-term locum opportunity (6 months-1 year).
Position Details:
- 2 days per week (16 hours per week)
- Community Mental Health Clinic
- Need a provider to see all ages
- Must Speak Spanish
Requirements:
- CA Nurse Practitioners License
- DEA
- Psychiatric NP Certification
- At least 1 year of experience (Will take experienced FNP who is a new Psych NP grad)
Additional Details:
- Weekly pay
- Malpractice provided
Remote Records Review and Summary Writer – LPN/RN – Temp/Contract
CWI, Inc.
Records Review and Summary Writer
Remote – Contract – Temporary
$15 – $20 per hour (estimated 10 hours per week)
Seeking a reliable and detail-oriented LPN or RN to review and summarize records, including:
- Psychological Reports
- Functional Capacity Evaluation Reports
- Imaging Reports
- Primary Care Case Notes
- Counseling/Therapy Progress Notes
- IEP / 504 Plans
- Academic Transcripts
- Employment Records
- Resume
- Other Miscellaneous Documents
An active state license is not required. I’m looking for someone who can do the job reliably.
Accuracy and attention to detail (Required)
Good grammar (Required)
Proficiency using Microsoft Word (Required)
Experience using SharePoint (Preferred)
Email your resume to chris@barehab.com
Remote Clinical Reviewer RN Position – Massachusetts
Job Title: Clinical Reviewer, Precertification RN
Job Type: Temp to Perm – 2 months long
Position Address: : Fully remote, MA license required
Hours: Mon-Friday, 8:30 – 5pm
Pay Rate: $42.07/hr
Job Summary The Clinical Reviewer is a Registered Nurse preferred– that is expected to function independently in her / his role and is responsible for managing a clinically complex caseload of varied requests for services. The Clinical Reviewer is responsible for making the determination of medical necessity and, therefore, benefit coverage for multiple products / lines of business; such as state specific Medicaid and Senior Products (Medicare Advantage and SCO).
The Clinical Reviewer ensures consistent and timely disposition of coverage decisions as required by product specific compliance and regulatory time frames. The Clinical Reviewer functions as a member of the Precert / Outpatient UM team and works under the general direction of the Precertification Team Manager or department Manager. The Clinical Reviewer is expected to demonstrate the ability to work independently as well as collaboratively within a team environment. The Clinical Reviewer will be expected to demonstrate sound clinical and health plan business knowledge in their decision making processes, on behalf of the health plan. Key Responsibilities/Duties – what you will be doing
- Provides all aspects of clinical decision making and support needed to perform utilization management, medical necessity determinations and benefit determinations using applicable coverage documents, purchased clinical guidelines or Medical Necessity Guidelines for clinically complex services / coverage requests in a consistent manner and within established, product specific time frames.
- Collaborates with Medical Directors when determination to deny a request is indicated, advising the Medical Directors on standard business processes, ensuring those processes are followed or variances to the process are escalated, if needed, and agreed to and well documented.
- Coaches letter writers to assure that appropriate medical necessity language is clearly defined in the denial letter.
- Communicates frequently through the day with in network and non-network physicians, practices, facilities and/or allied health providers.
- Communicates frequently through the day with members and other external customers (agents acting on behalf of the provider or member or both) regarding the rational for a determination, as well as the status and disposition of cases.
- Orients new staff to role as needed.
- Interfaces between Precertification staff and providers when issues arise regarding policy interpretation, potential access availability or other quality assurance issues to ensure that members receive coverage decisions timely within all accrediting and regulatory guidelines.
- Facilitates communication between Precertification and other internal Tufts Health Plan departments by acting as a liaison or committee member on the development or implementation of new programs.
- Provides input to the Medical Policy Department regarding the development of Medical Necessity Guidelines and adding input to purchased criteria through participation in the IMPAC.
- Proactively identifies trends in Utilization Management applicable to the precertification and outpatient UM processes.
- Assists in the screening of appeal cases to provide clinical input as needed or requested.
- Models professionalism and leadership in all capacities of the position to all audiences.
Qualifications – what you need to perform the job
- Bachelor’s degree in Nursing, preferred
- Registered Nurse with current a and unrestricted Massachusetts license required
- Minimum of five years clinical experience in utilization management, clinical review, precertification
- Previous experience in a managed care setting desirable
- Requires an individual with highly developed critical thinking skills and the ability to investigate, evaluate and problem solve using sound clinical judgment and business knowledge.
- Requires the ability to work in an extremely complex and potentially politically charged environment.
- Demonstrated skill in responding to inquiries from providers and/or members
- Must exhibit initiative and creativity in planning of work and be able to resolve cases correctly, effectively, expeditiously and within tight timeframes.
- Good organizational skills and a customer centered focus required.
- Individual must be able to use multiple software applications/ computer literate.
- Excellent oral and written communication skills required.
Working Conditions and Additional Requirements
- Fast paced business environment that requires prioritization and balancing of multiple demands.
- Continuous use of PC and telephone required.
- Ability to adjust work schedule on short notice to adapt to departmental, case driven needs.
To apply, please send resume to cogonzalez@greenkeyllc.com
Remote RNs – Paid Survey for Current Virtual RNs who are working alongside bedside nurses in virtual Inpt Settings
My company, gotoresearch.com, is conducting two studies with a larger medical firm about virtual nursing and telesitting. I was hoping you might be able to help spread the word about these studies. I’m happy to get on the phone to explain in more detail. Below is a brief explanation of both studies with links for anyone interested in participating.
We are looking to find Virtual nurses that work alongside bedside nurses in an inpatient hospital setting. These nurses work together by the use of a TV and audio video in the patient’s room and the virtual nurses support the bedside nurse with intake, discharge, rounding, education, etc. We are looking for 7 virtual nurses. These nurses should be RNs in the U.S. The sessions will be 1-1 through Zoom, and we are looking to conduct the sessions in the next couple of weeks. The pay for this is $300 for 75 minutes. We would discuss their workflow and how they work with bedside nurses. We are also looking for Virtual nurse managers too. Here is the link interested virtual nurses can fill out, https://www.surveymonkey.com/r/WKJN8LR
Additionally, we are also looking for telesitters. These would be people who monitor high-risk patients. For example, people who may be prone to falling. These would also be for inpatient hospital settings. These individuals do not need to be a licensed nurse. We are looking for 10 telesitters across the U.S. This would be a 1-1 Zoom meeting and we are conducting this study in the next couple weeks too. The pay is also $200 for 75-minutes of their time. Here is the survey interested telesitters can fill out, https://www.surveymonkey.com/r/WK76KPJ
Remote Nurse Practitioner – Medical Spa Good Faith Evaluations – Part Time – California
TBP is in search of a Nurse Practitioner to help support our team ! Responsible for conducting Medical Spa Good Faith Evaluations. GFE
Responsibilities:
- Performing Good Faith Exams
- Obtaining and reviewing client medial records
- Prepares timely, legible, and complete documentation of all client care as provided by law, regulation, and established policy; update client records and check records for accuracy at each client appointment
- Exhibits a high degree of courtesy, tact, and poise when interacting with clients
- Providing answers to pre-treatment and post-treatment questions
- Ability to consistently present a friendly, welcoming and professional manner
- Ability to adapt to a continually changing business
- Practical application of web-based technology with a good stable home internet connection
- Ability to deliver high level of service with immediate response to video consultation requests during scheduled hours
- Perform other duties assigned by manager related to your position/department
- Consistently supports compliance and the Principles of Responsibility by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state and local laws and regulations, accreditation and licenser requirements and office protocols (including but not limited to; JCAHO, OSHA, HIPAA)
Requirements:
- A valid California NP license is required
- Organizational and time management skills
- Excellent effective verbal, written and electronic communication skills
- Ability to effectively communicate with people at all levels and from various backgrounds
- Ability to work without direct supervision and practice autonomously
- Strong charting and documentation skills
- Possess good judgement and displayed the ability to make timely and sound decisions
Job Type: Part-time 5-10 Hours a week to start but will increase since we just hired more nurses and are launching new services.
Pay: From $60.00 per hour for online and can have future injectable job opportunities if getting into med spa is a goal.
Benefits:
• spa services valued at $3000.
work from home. Can be flexible.
Medical specialties we do:
Neurotoxin
Filler
Semaglutide
Laser hair removal
Standard shift:
- Day shift/flexible hrs
Work setting:
- Remote
- Telehealth
Experience:
No experience Required
License/Certification:
- Certified Nurse Practitioner (Required)
Work Location: Remote
Send resume : Penelopelyons@thebeautyparlour.net
Remote Utilization Management RN – TN or Compact License (UM + Pain Mgmt Experience Required)
Judge Healthcare is looking for a Utilization Management Nurse with a TN or Compact License for a REMOTE position!
Please send your resume to Kevin Koren kkoren@judge.com 610-784-8284
MUST have: 5+ years of clinical exp+ UM RN + Pain management experience
Job Details:
- Title: Utilization Management RN
- Location: Remote in the US
- Type of engagement: Ongoing contract (6+ months)
- Hours: Reg business hours (Occasional weekend work may be required)
Responsibilities:
- Performs comprehensive pre-existing reviews and makes clinical determinations of pre-existing or not pre-existing status based on medical judgment and contractual eligibility of the services provided.
- Performs these reviews in a timely manner meeting departmental and corporate turnaround requirements.
- Performs thorough research and provides complete documentation for rationale to support both determinations of pre-existing and not pre-existing, as well as specific written instructions regarding additional information necessary to complete the review.
- Performs review of rider-related diagnoses, potential misrepresentation referrals, provider and member appeals, and rider-related drug appeals.
- Seeks the advice of the Utilization Management Medical Director as appropriate.
- Proficient in interpreting benefits, contract language specifically symptom-driven, treatment-driven, look-back periods, and rider information, and medical policy language.
- Maintains and/or assists with tracking reporting, and audits to monitor productivity, turnaround times, and quality.
- Interacts with Claims, Customer Service, Compliance, Configuration, and other departments as necessary to ensure all guidelines are followed.
- Performs or participates in special studies or projects as directed by department management.
- Promotes positive public relations with providers, member, employees, and the community at large.
- Assists or performs other duties as assigned.
Qualifications
- RN license in TN or compact license
- 5 years – Clinical experience required
- Utilization Management experience
- Pain Management experience
- CASE MANAGER experience is a plus
- Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint)
- Working knowledge of URAC, NCQA and CMS accreditations
- Must be able to work in an independent and creative manner.
- Excellent oral and written communication skills
- Strong interpersonal and organizational skills
- Ability to manage multiple projects and priorities
- Adaptive to a high pace and changing environment
- Customer service oriented
- Superior interpersonal, client relations and problem-solving skills
- Proficient in interpreting benefits, contract language specifically symptom-driven, treatment driven, look back periods, rider information and medical policy/medical review criteria
Please send your resume to Kevin Koren kkoren@judge.com 610-784-8284
Remote LPN – Flexible – Connecticut
Flexible remote LPN position
We are looking for a compassionate Licensed Practical Nurse (LPN) with an ability to remain calm under pressure. The LPN will be responsible for monitoring patients, performing routine checks, and assisting doctors and nurses.
To be successful as an LPN you should be able to take direction and work well in stressful situations. A good LPN has great observational skills and empathy for patients while remaining professional.
Responsibilities
1. Provide adjunctive treatment support by completing refills for patients in between
appointments, communicating with insurance companies regarding prior authorizations
and medical necessity for medications
2. Communicate with insurance companies regarding medical necessity for treatment (i.e.
Husky authorization forms, insurance pre-approval requirements)
3. Become a delegate for each WP provider within the Prescription Management Program
and pull patient PMPs in a timely manner
a. PMPs should be pulled prior to each scheduled appointment and with each request
of a refill for a controlled substance
4. Report any concerns or errors regarding prescriptions (i.e. incorrectly written scripts,
scripts requiring a diagnosis code, compliance or misuse of medication concerns,
inappropriate use of medications, PMP flags) to the prescribing provider in writing within
the EHR.
5. Chart/document patient concerns or issues with specific descriptions of the history and
complaint. Document in the patient record in accordance with Wholistic Perspective’s
policies, protocols and procedures, the approval or denial granted by the medical director
of any prescription issued by the Advanced Practice Registered Nurse for a controlled
substance in Schedule II or III.
6. Maintain relevant clinical records which meet medical-legal standards including the
standards governing informed consent and prescriptive practice.
7. Communicate with external agencies for collaboration and safety purposes as requested
by the providers of WP
8. Provide case management services on an as needed basis
9. Perform other duties as assigned.
10. Provide a consistent weekly schedule of 40 number of hours per week to be determined
by the Licensed Practical Nurse and communicated to Wholistic Perspective’s owners
and administrative staff
11. Participate in quality assurance activities of Wholistic Perspective as reasonably
requested.
12. Participate in in-service educational programs and compliance activities as reasonably
requested
13. Charting and reporting changes in conditions such as adverse reactions to medication or treatment and takes necessary actions.
14. Answers patients’ calls and determines how to assist them.
15. Records patients’ self reported vital signs such as height, weight, temperature, blood pressure, pulse, and respiration.
16. Works as part of a health care team to assess patient needs, plans and modifies care, and implements interventions.
17. Evaluates nursing intervention outcomes, conferring with other health care team members.
Requirements
Postsecondary certificate from vocational school or Associate’s degree in nursing required.
Current state licensure required.
General knowledge of nursing and health care terminology.
Current state licensure required.
General knowledge of nursing and health care terminology.
Shift Hours8
Shifts per Week4
Compensation$20/hour
Employer” Wholistic Perspective
To apply, please reach out to Esha Bhardwaj with resume attached @ esha@wholisticperspective.org
Remote PMHNP, Flexible – Fully remote – Connecticut
Flexible PMHNP, fully remote – Connecticut
Come join a growing, diverse remote mental health group! Wholistic Perspective is a growing virtual mental health practice in Connecticut. We have years of experience treating patients and while we may have grown in size, we still provide the same intimate, personal, and excellent service we did back then. We take great pride in providing our community with high-quality, patient-centric care and health education. We are staffed by a team of highly skilled psychiatric and medical professionals and an able administrative staff who keep our practice running efficiently.
Requirements
Provide psychiatric services, order/interpret laboratory and diagnostic tests and issue or
administer prescriptions for drugs and medical devices in accordance with the standard of
care and prevailing state and federal statutes and regulations and the Wholistic
Perspective’s policies, protocols and procedures, as same may be amended from time to
time.
2. Chart/document patient encounters with specific descriptions of the history and physical
evaluation performed, the plan of care and treatment recommended, the patient’s
informed consent to treatment, the drugs including controlled substances Schedules II, II,
IV and V and medical devices prescribed and/or administered and the basis for such
prescriptions/administrations. Seek approval from the medical director for the
prescription of a controlled substance in Schedule II or III. Document in the patient
record in accordance with Wholistic Perspective’s policies, protocols and procedures, the
approval granted by the medical director of any prescription issued by the Advanced
Practice Registered Nurse for a controlled substance in Schedule II or III.
3. Maintain relevant clinical records which meet medical-legal standards including the
standards governing informed consent and prescriptive practice.
4. Perform other duties as assigned.
5. Provide a consistent weekly schedule of 16 number of hours per week to be determined
by the Advanced Practice Registered Nurse and communicated to Wholistic Perspective’s
owners and administrative staff.
6. Participate in quality assurance activities of Wholistic Perspective as reasonably
requested.
7. Participate in in-service educational programs and compliance activities as reasonably
requested
administer prescriptions for drugs and medical devices in accordance with the standard of
care and prevailing state and federal statutes and regulations and the Wholistic
Perspective’s policies, protocols and procedures, as same may be amended from time to
time.
2. Chart/document patient encounters with specific descriptions of the history and physical
evaluation performed, the plan of care and treatment recommended, the patient’s
informed consent to treatment, the drugs including controlled substances Schedules II, II,
IV and V and medical devices prescribed and/or administered and the basis for such
prescriptions/administrations. Seek approval from the medical director for the
prescription of a controlled substance in Schedule II or III. Document in the patient
record in accordance with Wholistic Perspective’s policies, protocols and procedures, the
approval granted by the medical director of any prescription issued by the Advanced
Practice Registered Nurse for a controlled substance in Schedule II or III.
3. Maintain relevant clinical records which meet medical-legal standards including the
standards governing informed consent and prescriptive practice.
4. Perform other duties as assigned.
5. Provide a consistent weekly schedule of 16 number of hours per week to be determined
by the Advanced Practice Registered Nurse and communicated to Wholistic Perspective’s
owners and administrative staff.
6. Participate in quality assurance activities of Wholistic Perspective as reasonably
requested.
7. Participate in in-service educational programs and compliance activities as reasonably
requested
Compensation$80/hour
Start DateApr 30th, 2023
Employer: Wholistic Perspective
To apply, please reach out to Esha Bhardwaj with resume attached @ esha@wholisticperspective.org
Remote Nurse Practitioner – The Mama Coach – Family/Peds Education (Start Your Own Business)
Nurse Practitioners- Work from home with The Mama Coach Inc.
We are looking for NPs all over the United States looking to start their own mobile and/or virtual practice with The Mama Coach.
The Mama Coach is a global company that provides education and support and mobile and virtual healthcare services to families as their babies grow. We provide opportunities to NPs who are tired of employment and ready to start their own nursing practices.
We are a licensed based company that was founded by a Registered Nurse and IBCLC in 2015. We provide education and support to new families, and assist with feeding (breast, bottle, starting solids), sleep hygiene, CPR and Choking classes, toilet training and more, as well as mobile and virtual health care services.
We are a team of over 130 Registered Nurses and Nurse Practitioners globally. We are a licensed based company, meaning we help nurses start their own private practices, using The Mama Coach brand, our programming, our business tools and ongoing support.
Our programs are evidence based and centered around national guidelines.
We are looking for nurses who are looking to start their own nursing business, using The Mama Coach brand.
If you want more information about the brand, please see www.themamacoach.com/become-a-mama-coach or watch this link:
https://drive.google.com/file/d/1avNz1soDhLfzKYyGZqd2MFvvMBbMwdiS/view?usp=sharing