The Registered Nurse, Clinical Delivery will manage the communication of critical and abnormal lab results to patients. This includes contacting patients, documenting communications, following up on lab escalations, and collaborating with providers. This role is also responsible for patient education and serves as a point of escalation for the Member Services team.
Job listings
As a Utilization Management (UM) Nurse, you will provide UM services, transition of care and support to members and health care providers. You will utilize clinical knowledge and expertise to interpret and appropriately apply medical policy, medical necessity criteria (InterQual), and benefit information to provide consultation and responses to UM requests. You will proactively assess and assist members to help move them through the continuum of care by utilizing services and resources efficiently.
$33–$57
USD/year
The Triage RN, Access provides clinically expert virtual triage service, functioning as a liaison between the patient and their physician. They assess the presenting problem, utilize evidence based triage protocols to identify acuity, and develop appropriate care advice and next-step recommendations. The role requires excellent customer service, communication skills, and the ability to function as part of an effective team that prioritizes patient care.