Clinical Operations Nurse - Emergency Department Transitions

WellSky Administrative Services Corporation; United States; Remote; USD 70,000 - 100,000; Full time

Benefits offered by this job

Excellent medical with Rx, dental, and

Vision benefits

Mental Health support through EAP

Generous paid time off and 13 holidays

100% vested 401(k) retirement plans

Educational assistance up to $2500 per

Job summary

WellSky Administrative Services Corporation is seeking a licensed RN to perform telephonic patient evaluations and assessments for our payer programs, covering Pacific time zone hours. The role emphasizes adherence to program protocols and collaboration with stakeholders to ensure timely patient visits and accurate documentation.

The candidate will review assessments, identify trends and opportunities, schedule visits, and contribute to program reporting and quality improvement initiatives.

Qualifications

• Active RN licensure.
• Bachelor’s degree or equivalent work experience.
• 2–4 years related work experience.
• At least 2 years’ experience in emergency departments.

Responsibilities

• Conduct telephonic assessments to determine level of care for patients in adherence with program protocols.
• Review and analyze patient assessments to identify trends, opportunities, and areas for improvement.
• Schedule and perform telephonic visits, document assessments, and communicate follow-up plans within established timelines.
• Collaborate with internal and external stakeholders to ensure timely and accurate patient visits and address scheduling needs.
• Assist with reporting on program progress, outcomes, and other key performance indicators as required.
• Perform other job duties as assigned.

Skills

Communication skills

Time management

Collaboration

Attention to detail

Education

Bachelor’s degree or equivalent

Job description

*This role will cover Pacific time zone hours. This job is responsible for completing telephonic patient evaluations and assessments for WellSky's various payer programs.

Key Responsibilities

• Conduct telephonic assessments to determine level of care for patients in adherence with program protocols.
• Participate in solution and program planning meetings to assist in the development of protocols, procedures, and policies.
• Review and analyze patient assessments to identify trends, opportunities, and areas for improvement.
• Schedule and perform telephonic visits, document assessments, and communicate follow-up plans within established timelines.
• Collaborate with internal and external stakeholders to ensure timely and accurate patient visits and address scheduling needs.
• Assist with reporting on program progress, outcomes, and other key performance indicators as required.
• Perform other job duties as assigned.

Required Qualifications

• At least 2-4 years related work experience.
• Bachelor’s degree or equivalent work experience.
• Active RN Licensure
• At least 2 years’ experience in emergency departments.

Preferred Qualifications

• Experience in acute/ACO/post-acute care facility care coordination, discharge planning, social services, disease management, population health, home health, and/or post-acute care facilities.

Job Expectations

• Willing to work additional or irregular hours as needed.
• Must work in accordance with applicable security policies and procedures to safeguard company and client information.
• Must be able to sit and view a computer screen for extended periods of time.

WellSky is where independent thinking and collaboration come together to create an authentic culture. We thrive on innovation, inclusiveness, and cohesive perspectives. At WellSky you can make a difference.

Here are some of the exciting benefits full-time teammates are eligible to receive at WellSky:

• Excellent medical with Rx, dental, and vision benefits
• Mental Health support through EAP
• Generous paid time off, plus 13 paid holidays
• 100% vested 401(K) retirement plans
• Educational assistance up to $2500 per year

WellSky provides equal employment opportunities to all people without regard to race, color, national origin, ancestry, citizenship, age, religion, gender, sex, sexual orientation, gender identity, gender expression, marital status, pregnancy, physical or mental disability, protected medical condition, genetic information, military service, veteran status, or any other status or characteristic protected by law.

WellSky is proud to be a drug‑free workplace.

Applicants for U.S.-based positions with WellSky must be legally authorized to work in the United States. Verification of employment eligibility will be required at the time of hire.

Certain client‑facing positions may be required to comply with applicable requirements, such as immunizations and occupational health mandates.

Data Privacy Notice for Job Applicants and Teammates

WellSky is a technology company leading the movement for intelligent, coordinated care worldwide. Our next‑level software, analytics, and services power better outcomes and lower costs for stakeholders across the health and community care continuum. In today’s value‑based care environment, WellSky helps providers, payers, health systems, and community organizations solve tough challenges, improve collaboration for growth, harness the power of data analytics, and achieve better outcomes by further connecting clinical and social care.