Remote rn jobs in Jacksonville, FloridaCrear alertas

What You’ll Do** - Write and refine prompts to guide model behavior in healthcare scenarios - Evaluate LLM-generated responses to healthcare-related queries for accuracy, reasoning, clarity, and completeness - Conduct fact-checking of all medical and healthcare claims using trusted pub

The RN Clinical Appeals Nurse provides support for internal appeals clinical processes - ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. We are seekin

Job Description Position Title: Patient Service Representative (PSR) Remote independent contract worker position Competitive fee for service Flexibility – work around your schedule Lifesaving medical technology The Cardiac Management Solutions division of ZOLL Medical Corporation develops products to protect and manage cardiac patients, including the LifeVest® wearable cardioverter defibrillator (WCD) and associated technologies. Heart disease is the leading cause of death for both men and women in the U.S. At ZOLL, your services will help to ensure cardiac patients get the life-saving therapy they need. To date, the LifeVest® has been worn by hundreds of thousands of patients and saved thousands of lives. Preferred Candidates include (not limited to): RN, EMT, Paramedic, EMS, Firefighter, PA, LPN, MA, Phlebotomy, RCIS, CVT, EKG Technician, etc. All candidates reviewed on an individual basis. Summary Description: The Cardiac Management Solutions division of ZOLL, manufacturer of the LifeVest®, is seeking a Patient Service Representative (PSR) in an independent contractor role to train patients on the use and care of LifeVest ®. LifeVest® is worn by patients at risk for sudden cardiac arrest (SCA), providing protection during their changing condition. It is lightweight and easy to wear, allowing patients to return to their common activities of daily living, while having the peace of mind that they are protected from SCA. This is the perfect opportunity for the health professional with patient care and teaching experience to supplement his or her income. A typical LifeVest® patient is in the hospital awaiting discharge, and the Patient Service Representative sets up the equipment and trains the patient and caregivers on the use and care of the device. They also follow up with patients as needed to assure patient understanding and satisfaction. PSRs retain the flexibility to accept or decline assignments as their schedules dictate. Most assignments can be scheduled during free time – before/after work, and on days off. Responsibilities: • Contact caregivers and family to schedule services, • Willingness to accept assignments which could include daytime, evenings, and/or weekends., • Travel to patient’s homes and health care facilities to provide services, • Train the patient and other caregivers of patient (if applicable) in the use of LifeVest®, • Program LifeVest® according to the prescribing physician’s orders, • Measure the patient and determine correct garment size, • Review with patient, and have patient sign, all necessary paperwork applicable to the service., • Transmit signed copy of the Patient Agreement and WEAR Checklist to ZOLL within 24 hours of the assignment, • Manage device and garment inventory, • Have 1 year patient care experience, • Patient experience must be in a paid professional environment (not family caregiver), • Patient experience must be documented on resume, • Completion of background check, • Florida and Ohio candidates must complete a level 2 screening, fee not paid by ZOLL, • Disclosure of personal NPI number (if applicable), • Valid driver’s license and car insurance and/or valid state ID, • Willingness to pay a $30 annual DME fee which is deducted from a completed Work Order, • Willingness to pay for additional vendor credentialing (i.e. RepTrax) if needed geographically Powered by JazzHR qQSsdmOVmT

Job DescriptionActalent is Hiring a Team of Remote Nurses // Case Management / Must be a Licensed Nurse in FL!! Job Description The OB RN Case Manager will coordinate care for maternal and child health populations, ensuring safe, evidence-based interventions across the continuum of care. This role is integral in conducting intake assessments, creating individualized care plans, coordinating discharges, and continuously monitoring clinical outcomes to support compliance with Medicaid contracts and promote improved maternal and neonatal outcomes. Responsibilities • Conduct intake assessments for maternal and child health populations., • Develop individualized care plans based on evidence-based interventions., • Coordinate discharge planning and ensure seamless transitions of care., • Monitor clinical outcomes and maintain high-quality standards., • Manage a high-volume caseload effectively and efficiently., • Ensure compliance with Medicaid contracts., • Provide support for improved maternal and neonatal outcomes., • Active RN license in Florida., • 3–5 years of clinical experience in obstetrics, high-risk antepartum, or NICU., • 3–5 years of experience in case management within a managed care organization, health plan, or insurance carrier., • Experience with utilization management., • Strong organizational and documentation skills., • Proficiency in care coordination and discharge planning., • Bachelor’s Degree in Nursing (Master’s preferred)., • Strong communication and interpersonal skills., • Ability to work collaboratively in a multidisciplinary team., • Proficiency with Microsoft Office and EHR platforms., • Flexibility to adapt to changing priorities and hybrid schedules., • InterQual experience., • Certified Case Manager., • Familiarity with Medicaid/Medicare regulations., • Experience with motivational interviewing., • Understanding of maternal health quality measures (HEDIS)., • Experience in managed care or health plan settings., • Cultural competence and patient engagement skills. This position is based in a remote work environment in Florida. The schedule is Monday through Friday, from 8:30 AM to 5:00 PM with a 30-minute lunch break. There is flexibility in start times. Must be ok going on-site 2 times a year for meetings (will be paid). The role offers a supportive environment that emphasizes professional growth, collaboration, and the chance to make a meaningful impact on community health. Job Type & Location This is a Contract to Hire position based out of Jacksonville, FL. Pay and Benefits The pay range for this position is $38.00 - $43.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a hybrid position in Jacksonville,FL. Application Deadline This position is anticipated to close on Jan 19, 2026. About Actalent Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability, please email for other accommodation options.

Job DescriptionDescription: The International College of Health Sciences (ICHS) is seeking dedicated and skilled Clinical Instructor to join our academic team. This position offers an exciting opportunity for experienced nursing professionals to instruct and supervise nursing students in clinical patient care settings. Our faculty plays a vital role in shaping the next generation of healthcare professionals, supporting ICHS’ mission to deliver innovative and quality education. Located in the vibrant Boynton Beach area of Florida, ICHS is dedicated to shaping the future of healthcare professionals through innovative educational approaches. Purpose The Clinical Instructor provides direct supervision and instruction to nursing students during their clinical rotations in various patient care environments. This role ensures students develop practical skills, clinical judgment, and professional behaviors necessary for safe and effective patient care. Responsibilities Clinical Instruction & Supervision • Supervise, mentor, and evaluate nursing students in clinical settings, • Demonstrate and teach best practices in nursing care, • Ensure student compliance with clinical site policies and procedures, • Provide timely, constructive feedback and document student performance, • Collaborate with academic leadership to deliver clinical objectives aligned with course outcomes, • Integrate evidence-based practices and current nursing standards into instruction, • Serve as a liaison between ICHS, clinical site staff, and students, • Maintain open, professional communication with faculty, administration, and clinical partners, • Complete accurate and timely documentation of student attendance, progress, and evaluations, • Report any student or site concerns to the appropriate academic leadership Education / Experience / Knowledge • Unencumbered Florida or Compact State RN License required, • Minimum 4 years clinical experience as an RN required, • Minimum of an Associate of Science in Nursing (ASN) from an accredited school; Bachelor of Science in Nursing (BSN) preferred, • Strong clinical knowledge in nursing, • Excellent verbal and written communication skills, • Ability to provide clear, constructive feedback and foster student growth, • Proficiency with electronic documentation and Microsoft Office Suite, • Demonstrated ability to work collaboratively in diverse teams, • Must reside within commuting distance of Jacksonville, Florida, • This is not a remote position; on-site presence at clinical locations is required

Job DescriptionCompany Description International SOS delivers customized medical and security risk management and wellbeing solutions to enable our clients to operate safely and effectively in environments far from home. Founded in 1984, we operate in 92 countries providing integrated medical solutions to organizations with international operations. Our innovative technology and medical and security expertise focus on prevention, offering real-time, actionable insights and on-the-ground quality delivery. We provide clinical services to include “hands on” direct care at over 800 sites around the world, many of which include inpatient clinical care capabilities. With 12,000 staff (including 5,200 medical and behavioral health providers) our services include the design, deployment, and operation of healthcare solutions including freestanding surgical facilities in remote and austere environments, telemedicine consultation through a wide range of virtual modalities, referrals to a global network of more than 100,000 vetted providers, and global aeromedical evacuation. Within our portfolio of companies, International SOS, headquartered in Houston, Texas provides contracted healthcare support to Government defense and civil agencies and government contractors, including support to military exercises and operations, diplomatic missions, natural disasters, and refugee care. Job Description The Operating Room (OR) Registered Nurse (RN) in this position will represent International SOS Government Medical Services, Inc. and will provide comprehensive health services to DOS, DOD, and contractor personnel stationed in Iraq. The OR RN will use a holistic approach to care for the patients requiring acute medical or surgical interventions. Nurses will be accountable clinically for ensuring nursing care compliance within accepted standards of care and clinical practice. Nurses will use clinical judgment in assessing, planning, implementing, documenting, and evaluating patient care in the pre-operative, surgical and post-operative environments where life-threatening disease or injury requires close monitoring and at times quick intervention. The Nurse functions both dependently and independently within guidance and direction from the Nurse Manager/designee. • Provide OR Nurse coverage for all patients in the acute and intensive care settings, short stay unit, acute and chronic pain management services., • Assist with diagnostic transesophageal echocardiogram for medical and surgical patients, and emergency airway management., • Prepare patient prior to surgery to alleviate concerns., • Gather all supplies needed for the operation., • Assume responsibility of keeping the operating room sterilized., • Position and prepare patient on operating room table., • Pass medical instruments or objects to the surgeon during operation., • Evaluate patient in post operative phases., • Assist surgeon at the patients’ bedside if the patient is not ambulatory, and in the clinic setting if the patient is able to report to the outpatient clinic., • Assist with emergency airway management and surgeon provided consultative services at the patient’s bedside or in the outpatient clinic as needed., • Ensure timely presence for scheduled clinics/surgeries, documented by physical presence in the clinic or operating room at the scheduled start time., • Maintain compliance with all project site procedures, standards, and continuing educational and mandatory training requirements., • Maintain compliance with all project site procedures, standards, and continuing educational and mandatory training requirements. Basic Requirements/Certifications: • Current, full, active, and unrestricted Registered Nurse license in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia., • Certified in Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS)., • 3+ years’ experience, 6 months OR RN experience within the past year, experience abroad or in austere environment preferred., • Basic proficiency with Microsoft Office. Education Required: • Associates, Bachelor or Master of Science in Nursing - Candidates must be a graduate of a school of nursing that was approved and/or accredited by the appropriate State agency and accredited by either the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE) at the time the program was completed. Physical Requirements: • Must meet pre-deployment physical requirements, • Work involves sitting and standing for prolonged periods of time., • May require bending, stooping and lifting to 25 lbs. Other Special Qualifications: • US Citizen or Permanent Resident Card is required., • Valid US Passport with at least 18 months before expiration date. Must maintain a current passport during your stay in Iraq., • Ability to obtain and maintain a U.S. Government security clearance, specifically a MRPT. Applicants with current clearances are preferred., • Must be able to relocate to Iraq for the duration of the project., • Must be able to read, write and speak English to effectively communicate. Additional Information Pay range is based on several factors and may vary in addition to a full range of medical, financial, and/or other benefits. Final salary and offer will be determined by the applicant’s background, experience, skills, internal equity, and alignment with geographical market data. Benefits – Full-time positions are eligible for our comprehensive and competitive benefits package including medical, dental, vision, and basic life insurance. Additional benefits include a 401k plan paid time off and an annual bonus. International SOS complies with all federal, state, and local minimum wage laws. International SOS is an equal opportunity employer and does not discriminate against employees or job applicants on the basis of race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, amnesty or status as a covered veteran in accordance with the applicable federal, state and local laws.

Job DescriptionCLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct hire FTE positions with salary, benefits, etc. This is a fantastic opportunity to join a dynamic and well-respected organization offering tremendous career growth potential. At ARC Group, we are committed to fostering a diverse and inclusive workplace where everyone feels valued and respected. We believe that diverse perspectives lead to better innovation and problem-solving. As an organization, we embrace diversity in all its forms and encourage individuals from underrepresented groups to apply. 100% REMOTE! Candidates must currently have PERMANENT US work authorization. Sorry, but we are not considering any candidates from outside companies for this position (no C2C, 3rd party / brokering). SUMMARY STATEMENT The Clinical Review Nurse is responsible for reviewing and making medical determinations as to the validity of health claims and levels of payment in meeting national and local policies as well as accepted medical standards of care. The incumbent applies clinical knowledge to assess the medical necessity, level of services and appropriateness of care which may include cases requiring prior authorization, complex pre-payment medical review or post-payment medical review. ESSENTIAL DUTIES & RESPONSIBILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This list of essential job functions is not exhaustive and may be supplemented as necessary. 90% of time will be spent on one or more of the following activities depending on assignments: Review and analyze pre and post pay complex health care claims from a medical perspective, inclusive of prior authorization: • Perform clinical review work as assigned; may provide guidance to other team members and accurately interpret and apply broad CMS guidelines to specific and highly variable situations., • Conduct review of claim data and medical records to make clinical decisions on the coverage, medical necessity, utilization and appropriateness of care per national and local policies, as well as accepted medical standards of care., • Review provider practices and identify issues of concern, overpayment and need for corrective action as necessary; includes surfacing potential fraud and abuse or practice concerns., • May develop recommendations for further corrective action based on medical review findings., • May refer for review, or implement, corrective action related to medical review activities. Identify providers needing education and individually educate providers who are subject to medical review processes: • Initiate or participate in provider teaching activities, creating written teaching material, providing one on one education or education to a group as a result of a medical review (e.g., probe, progressive corrective action, consent, etc.) or appeal., • This may involve discussion with CMS leaders and leaders in the provider community., • Valid nursing degree, • 2 years' clinical experience, • Excellent written and oral communication skills, • Demonstrated experience with evaluating medical and health care delivery issues (e.g., Inpatient Rehab Facility), • Strong computer skills to include Microsoft Office proficiency, • Valid unrestricted Registered Nurse (RN) license PREFERRED QUALIFICATIONS • Inpatient Rehabilitation Facility Experience, • Bachelor of Science in Nursing (BSN), • Insurance industry experience, • Certified Coder ARC Group is a Forbes-ranked a top 20 recruiting and executive search firm working with clients nationwide to recruit the highest quality technical resources. We have achieved this by understanding both our candidate's and client's needs and goals and serving both with integrity and a shared desire to succeed. At ARC Group, we are committed to providing equal employment opportunities and fostering an inclusive work environment. We encourage applications from all qualified individuals regardless of race, ethnicity, religion, gender identity, sexual orientation, age, disability, or any other protected status. If you require accommodations during the recruitment process, please let us know. Position is offered with no fee to candidate.

Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. To all current Molina employees: If you are interested in applying