Remote Telehealth Compact and State Specific - PM- EO
A leading healthcare client is seeking Remote Registered Nurses to support a new program that reviews health risk assessments and supports HEDIS gap closure. In this role, you will conduct inbound and outbound calls to assess patients, gather health history, and provide guidance based on physician-approved triage protocols. You will use your clinical judgment to help patients navigate the next steps in their care. This is a remote position offering the opportunity to make a meaningful impact in a healthcare program focused on patient care and well-being. Your key responsibilities include taking inbound and making outbound calls. You'll complete a brief historical intake and record any symptoms. You will provide guidance using a physician-approved triage protocol, advising patients on whether to follow up with their provider, seek same-day care, or go to the emergency department. You'll utilize strong clinical judgment to ensure patients take appropriate next steps in their care. You'll offer concise, supportive patient education during calls and accurately document all phone call details using Athena encounter templates and text macros. We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to [email protected] learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/. Required Skills & Experience
- Minimum of 2+ years' experience working as a Registered Nurse,
- 1+ year of experience in telehealth
- 1+ yr in care management/HEDIS/Stars, women's health, or imaging navigation
- Active Registered Nurse (RN) Compact License and RN License in one or more of the following:
CA, IL, NY, MN, MI, OR, NV, AK, CT, HI
- Electronic Medical Record (EMR) experience
- Experience with handling a high volume of medical phone calls.
- Tech-savvy, ability to quickly learn new technology platforms and tools, including Slack and Google Suite.
- Strong clinical judgment and the ability to work independently in assessing patient needs.
- Excellent communication skills with the ability to provide clear and focused patient education.
- Proven ability to manage and prioritize patient cases based on urgency while working effectively with diverse
populations.
Nice to Have
Skills & Experience
- Bilingual in Spanish
- Experience within Women's Wellness, Dialysis, Oncology highly preferred (eg. Breast Cancer Screening
HEDIS BCS measure or Osteoporosis Screening in Women, HEDIS OSW measure experience)
- Athena EMR experience preferred; this is the EMR used for this role.
- Preferred Zendesk VoIP, computer-based calling software used in this role.
- HEDIS or Risk-Based Assessment knowledge
Benefit packages for this role will start on the 1st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.