7 rn telephone triage jobs found

This is a remote position supporting Louisiana. Candidates must be licensed in Louisiana. Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings. Collects and analyzes utilization data. Assists with discharge planning and care coordination. Provides member assistance with mental health and substance abuse issues, and participates in special quality improvement projects. Monitors inpatient and/or outpatient level of care services related to mental health and substance abuse treatment to ensure medical necessity and effectiveness. Provides telephone triage, crisis intervention and emergency authorizations as assigned. Performs concurrent reviews for inpatient and/or outpatient care and other levels of care as allowed by scope of practice and experience.  In conjunction with providers and facilities,...

Job Specific: The main purpose of this position is to reduce the personal and work costs associated with emotional health issues, assist in maintaining a safe workplace, and act as a tangible demonstration that the corporation is concerned about its employees.  Through working with employees regarding behavioral and emotional health issues, substance abuse and other personal matters, efficient and compassionate services are provided toward restoring diminished workplace performance and supporting healthy functioning of employees and their families. ESSENTIAL FUNCTIONS Provides expert consultation to employees and/or supervisors on a variety of workplace and work based issues. Provides employee consultation related to specific personal problems and concerns. Provides information and referral to community resources as appropriate. Provides crisis assessment and intervention as needed. Completes clinical and administrative documentation and required forms in a clear and concise...

Seeking active independent CA State behavioral health or RN licensed candidates with behavioral health/psychiatric healthcare experience, (LCSW, LMFT, LPCC, RN etc). Previous experience in Eating Disorders or Substance Abuse a plus! This position is responsible for the assessment, reassessment, care planning and coordination of care and services including ongoing monitoring of an appropriate and effective person-centered care plan, member education and care management. Conducts initial and concurrent review for prior authorization of higher levels of care against medical necessity criteria. Responsible for the development of individualized care plans for high and moderate stratified members in the Medicaid, Medicare, and Whole Health markets. Possesses clinical knowledge, understands best practices and continuous learning skills, reviews member records, and works in conjunction with primary care, community benefits, and other support opportunities to develop a long term care...

This position is responsible for the assessment, reassessment, care planning and coordination of care and services including ongoing monitoring of an appropriate and effective person-centered care plan, member education and care management. Conducts initial and concurrent review for prior authorization of higher levels of care against medical necessity criteria. Responsible for the development of individualized care plans for high and moderate stratified members in the Medicaid, Medicare, and Whole Health markets. Possesses clinical knowledge, understands best practices and continuous learning skills, reviews member records, and works in conjunction with primary care, community benefits, and other support opportunities to develop a long term care plan to guide the member through their mental health care. Oversees the work of its assigned care support team and work with non-licensed support staff to meet standards of care and performance set by Member Market Leads and the Care...

Work from home after 6 months!! Eligible for up to $5,000 sign on bonus!! Purpose The Registered Nurse (RN) works in partnership and joint accountability within an interdisciplinary team to achieve Neighborcare's Mission, Guiding Principles and goals. The primary focus of the RN is to optimize the health status of patients across the lifespan through chronic condition management, patient education, emergent triage, and performing complex procedures. RNs build relationships with their patients through face-to-face and telephonic care and work in partnership with each other to meet the needs of patients throughout Neighborcare Health. The RN follows the Nursing Process to assess, plan, implement and evaluate nursing care in a Patient Centered Medical Home. This position is eligible for the Staff Referral Program. Neighborcare Health offers a robust benefit package including Continuing Education, Health (Med/Dent/Vision) & Wellness, 18+ days Paid Time Off (for 1.0 FTE),...

You'll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. The HouseCalls Clinical Support Team (HCCST) supports Advanced Practice Clinicians (APCs) in the HouseCalls and Complex Care Management businesses by providing telephonic consultation to plan members and their healthcare providers in a call center environment, receiving and processing...

Nice to meet you, we're Vesta Healthcare. Vesta Healthcare is a startup with a simple mission: Delivering extraordinary outcomes by unlocking the power of caregivers. We enable people with personal assistance to thrive at home, in their community by assuring their caregivers have the resources, data, and support they need. We achieve this through a combination of analytics, technology, services, and deep healthcare expertise. At Vesta Healthcare, we enable people with personal assistance to thrive at home, in their community by assuring the people they rely on, their caregivers, have the resources, data, and support they need. We achieve this through a combination of analytics, technology, services, and deep healthcare expertise. Our analytics help identify and target the right people and populations. Our technology creates real-time connectivity and actionable data out of observations. Our services connect to real people who can help when needs arise, and our healthcare...