Registered Nurse, RN

Carenet Health

. Provide telephonic clinical assessments, health education, and utilization management services .

Posted 10/16/2026full-timeRemote • United StatesMid-LevelSenior💰 $34 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in telephonic clinical assessments, health education, and utilization management while adhering to nursing standards and quality management guidelines. Proficient in applying clinical knowledge to meet business standards and ensuring compliance with performance metrics.

Highest-signal resume keywords

Current RN LicensureClinical ExperienceTelephone Triage ExperienceAbility to Apply Clinical KnowledgeBilingual Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Telephonic Clinical AssessmentsUtilization ManagementTriage AssessmentsPatient Care Needs IdentificationHealthcare ReferralsQuality Management ComplianceComputer-Based AlgorithmsClinical Knowledge ApplicationRunning Multiple Computer ProgramsEscalation of Issues

Soft Skills

Comprehensive Communication SkillsListening SkillsReflection SkillsClarification Skills

Certifications & Qualifications

RN Licensure in Compact StateCEU Maintenance

Industry Keywords

Health EducationUtilization Management ServicesInsurance IndustryHealthcare ReferralsQuality Management Guidelines

About the role

Key responsibilities & impact

Provide telephonic clinical assessments, health education, and utilization management services
Perform triage assessments using telecommunications, computer-based algorithms, protocols, and guidelines
Use the nursing process to identify patient care needs, risks, safety issues, educational opportunities, and appropriate healthcare referrals
Process calls based on Quality Management guidelines
Demonstrate compliance with product-specific performance metrics
Assess, disposition, make care recommendations, and provide education and health information
Maintain nursing standards, company policies, and shared principles during clinical assessments and health education
Work 4 weekend shifts per month, either every Saturday or every other weekend
Work evening shifts, including at least two weekend days every two weeks
Attend 2–4 weeks of virtual, interactive classroom training; first two weeks are during daytime hours
Maintain regular, reliable attendance and timeliness
Perform other duties as assigned

Requirements

What you’ll need

Current, unrestricted RN licensure in a compact state that is your state of residence
Must reside in a compact state and maintain a compact multistate license
Current home state RN license in good standing
Minimum of an associate degree from a two-year college or technical school or Diploma Nursing Program; BSN preferred
Minimum 3 years of Registered Nurse clinical experience
Ability to become licensed in additional states as required
Must currently reside and have a Multi-State (compact) unrestricted RN license in AL, AR, CO, FL, GA, IA, ID, IN, KS, KY, LA, ME, MS, MO, MT, NE, NM, NC, ND, NH, OK, SC, SD, TN, TX, VA, WI, or WY
CEU subscription provided at hire; RNs must maintain the mandatory number of credits per year to maintain assigned licenses
Must attend 100% of training hours and pass intra-training testing components
Ability to apply clinical knowledge to meet clinical business standards
Ability to run multiple computer programs simultaneously
Ability to determine when to escalate issues appropriately and in a timely manner
Comprehensive communication (listening, reflection, and clarification) skills
Bilingual skills are a plus
Telephone triage experience and understanding of health benefit plans and the insurance industry are helpful, but not required
Home office must meet certification requirements

Benefits

Comp & perks

Health, dental, and vision insurance
A 401(k) plan with company match
Paid time off (PTO) and holidays
Flexible spending accounts (FSAs)
Employee wellness programs
Career development opportunities
CEU subscription provided at hire
Differential pay may be earned for certain shifts
Work-from-home option