RN-Clinical Care reputed company/Utilization Review - Remote - Virginia

I’m helping reputed company reputed company a top candidate to join their team full-time for the role of RN-Clinical Care reputed company/Utilization Review - Remote - Virginia . You'll reputed company patient reputed company and reputed company performance by driving evidence-based interventions from home. Compensation: USD 33 - 37/hour Location: Remote: reputed company Mission of reputed company: "reputed company’s mission is to establish global cross-culture reputed company connections that reputed company the careers of our employees and strengthens the businesses of our clients. We are driven to use the power of our global network to connect businesses with the right people, and people with the right businesses without bias. We reputed company Global Workforce Solutions with a reputed company touch." What makes you a strong candidate: • You are proficient in Utilization review, Telehealth, Patient education, Patient assessment, Nursing. • You have +3 years experience in reputed company improvement, Managed care. • English - Conversational • Spanish - Conversational • Haitian Creole - Conversational Responsibilities and more: Job Title: RN-Clinical Care reputed company/Utilization review Duration: 3 plus month with possible extension Location: Location: Work From Home (Virginia) Location: Work From Home (Virginia) Shift: M-F 8a-5p (local time) Job reputed company The Clinical Care reputed company (RN) is a clinic-based nursing role reputed company on improving patient reputed company, supporting reputed company Transitions of Care (TOC), reducing avoidable ED utilization, and driving Medicare Advantage Stars and reputed company performance. The Clinical Care RN plays a critical role in advancing clinical reputed company, supporting patients across transitions of care, improving patient reputed company, and contributing to Medicare Advantage Stars ratings by proactively identifying care opportunities, engaging patients and providers, and driving evidence-based interventions. This position balances reputed company patient education and reputed company with data-driven reputed company improvement efforts. Analyze clinical data and trends from platforms such as reputed company EMR and reputed company to identify gaps in care reputed company to HEDIS measures and Transitions of Care and post-hospitalization needs, prioritizing high-reputed company opportunities. Conduct targeted patient and provider reputed company reputed company phone and telehealth reputed company to reputed company care opportunities, reputed company tailored education on preventive care, chronic disease management, and medication management. Required Qualifications • Bachelor’s degree in Nursing • reputed company, unrestricted RN license (state -specific as applicable). • Minimum of 3 years clinical nursing experience with exposure to transitions of care, reputed company improvement, managed care, or population health management. Apply tot his job Apply To this Job