Remote RN – Medical Claims Reviewer

🏢 Summary: Full-time remote Registered Nurse position focused on conducting pre- and post-payment medical reviews to ensure compliance with clinical guidelines and reimbursement policies. The role involves assessing medical necessity, reviewing complex claims and appeals, and documenting determinations in accordance with regulatory standards. This position requires strong clinical expertise and experience in utilization or medical review environments. 🗂️ Requirements: Active unrestricted RN license (U.S. state of hire) or compact multistate RN license, Associate Degree in Nursing or graduation from accredited School of Nursing, Minimum 2 years of clinical experience, Minimum 2 years of experience in Home Health, Utilization/Medical Review, or Quality Assurance, Ability to interpret and apply medical review criteria and clinical guidelines, Proficiency in Microsoft Office and word processing software, Strong analytical and decision-making skills, Ability to work independently and manage priorities, Ability to handle confidential information 📃 Skills: Nursing, MedicalReview, UtilizationReview, QualityAssurance, ManagedCare, HomeHealth, Rehabilitation, MedicalSurgical, MicrosoftOffice, Documentation, ClaimsReview, Preauthorization, AppealsReview 🏢 Description: Job Type: Full-time (40 hours/week) Schedule: Monday–Friday, 8:00 AM – 5:00 PM Max Salary: W-2 ($60,000–$63,000) Location: Remote (U.S. – Work from home) Remote Work Requirements: High-speed internet (non-satellite) and a private, lockable home office. Equipment: You will be provided with all necessary equipment to perform your job effectively, including but not limited to a desktop computer, dual monitors, a headset, an ethernet cable, and additional accessories as needed. About the Role We are seeking a dedicated Registered Nurse (RN) to join our Medical Review team. This role involves conducting pre- and post-payment medical reviews to ensure compliance with established clinical criteria and guidelines. The ideal candidate will use their clinical expertise to assess medical necessity, appropriiateness, and reimbursement eligibility while documenting decisions in accordance with regulatory and organizational requirements. Key Responsibilities - Review medically complex claims, pre-authorization requests, appeals, and fraud/abuse referrals. - Assess payment determinations using clinical information and established guidelines. - Evaluate medical necessity, appropriateness, and reasonableness for coverage and reimbursement. - Provide clear, well-documented rationales for service approvals or denials. - Educate internal and external teams on medical review processes, coverage determinations, and coding requirements. - Support quality control activities to meet corporate and team objectives. - Provide guidance to LPN team members and support non-clinical staff through training and discussions. - Assist with special projects and additional responsibilities as assigned. Minimum Qualifications Licensure: - Active, unrestricted RN license in the U.S. and in the state of hire OR - Active compact multistate RN license (as defined by the Nurse Licensure Compact). Education: - Associate Degree in Nursing OR - Graduate of an accredited School of Nursing. Experience: - Two years of clinical experience plus at least two years in one of the following: - Home Health - Utilization/Medical Review - Quality Assurance Skills & Competencies: - Strong clinical background in managed care, home health, rehabilitation, and/or medical-surgical settings. - Ability to interpret and apply medical review criteria and clinical guidelines. - Proficiency in Microsoft Office and word processing software. - Strong analytical, organizational, and decision-making skills. - Ability to work independently while managing priorities effectively. - Excellent customer service, communication, and critical thinking skills. - Ability to handle confidential information with discretion. Preferred Qualifications - Three years of clinical nursing experience in Home Health, Utilization Review, Medical Review, or Quality Assurance (strongly preferred). - Proficiency in using multiple screens and software programs simultaneously.

🏢 Summary: Home Health Registered Nurse role providing skilled nursing care to patients in their homes, managing cases from admission through discharge. The position offers clinical autonomy, daily travel within the service area, and collaboration with physicians and interdisciplinary teams to support recovery and chronic disease management. Full-time schedule with benefits including PTO, insurance, and 401(k) match. 🗂️ Requirements: Graduate of accredited Diploma, Associate, or Baccalaureate School of Nursing, Current State Registered Nurse (RN) license, Minimum 1 year experience as licensed RN in clinical care setting, Valid driver's license, Valid automobile insurance, Reliable transportation, Willingness to travel daily within service area 📃 Skills: Nursing, OASIS, Documentation, CarePlanning, ClinicalAssessment, CriticalThinking, Medicare, Medicaid 🏢 Description: Optimal Care is where your dedication meets a rewarding career. Top Work Places for 12 consecutive years and Great Places to Work certified for 6 consecutive years, we believe that exceptional care starts with exceptional people. We are committed to supporting professional growth, valuing expertise, and creating an environment where clinicians can do their best work every day. As a clinician-owned and operated organization, we empower team members to provide personalized, compassionate care to patients and families. We provide Physician Services, Home Health, and Hospice, focusing on chronic disease management, rehabilitation, and end-of-life care to improve outcomes and enhance quality of life. Mission: Serve Together, Provide Value, and Deliver Exceptional Quality Care. About the Role Practice nursing with autonomy, time, and meaningful patient connection. As a Home Health Registered Nurse, you will deliver comprehensive skilled nursing care to patients in their homes, supporting recovery, chronic disease management, and overall health goals while helping individuals remain safely in their own environment. Manage a caseload from admission through discharge, providing skilled nursing care, conducting assessments, and developing individualized care plans tailored to patient needs. Collaborate with physicians and an interdisciplinary care team to coordinate services, make informed clinical decisions, and shape patient outcomes. Location Office Location: Carmel, IN Main Service Area Options: - Marion County - Hamilton County - Johnson County This is a high travel position requiring daily travel within the service area to provide care in homes, assisted living facilities, or nursing homes. Hours Monday to Friday, 8 a.m. to 5 p.m., with weekend rotation. Required Qualifications - Graduate of an accredited Diploma, Associate, or Baccalaureate School of Nursing - Current State License as a Registered Nurse - Minimum 1 year of experience as a licensed RN in a clinical care setting - Reliable transportation, valid driver's license, and valid automobile insurance coverage - Willingness to travel daily for home visits within service area Preferred Qualifications - Bachelor of Science in Nursing (BSN) - Experience in home health environment - OASIS certification or willingness to obtain Essential Skills and Competencies - Strong clinical assessment and critical thinking skills - Proficiency in OASIS documentation and care planning - Excellent time management and organizational abilities - Effective communication and teaching skills - Ability to work independently with minimal supervision - Comfort working in diverse home and facility environments - Strong clinical judgment and decision-making capabilities - Understanding of Medicare, Medicaid, and third-party payor requirements Pay Range $80,000—$87,000 USD How We Care for You - Minimum of 3 Weeks Paid Time Off (PTO) - Medical, Dental, and Vision Insurance - HSA and FSA options including Dependent Care - Company paid Short Term Disability - Company paid Life Insurance - 401(k) with Employer Match - Mileage Reimbursement - Company Vehicle Program for field roles - Pet Insurance - ID and Fraud Protection - And more... Background Screening Employment is contingent upon successful completion of a background check performed in compliance with the Fair Credit Report Act. Reasonable Accommodations Reasonable accommodations are offered throughout the application process, interview stages, and during employment. Equal Opportunity Employer We are an equal-opportunity workplace that prohibits discrimination and harassment of any kind based on protected characteristics.

🏢 Summary: Home Health Registered Nurse role providing skilled nursing care to patients in their homes, managing cases from admission to discharge, and supporting recovery and chronic disease management. The position offers clinical autonomy, daily travel within the service area, and collaboration with physicians and an interdisciplinary team. Full-time schedule with comprehensive benefits and mileage or vehicle support. 🗂️ Requirements: Graduate of accredited Diploma, Associate, or Baccalaureate School of Nursing, Current State Registered Nurse (RN) license, Minimum 1 year experience as licensed RN in clinical care setting, Reliable transportation with valid driver's license and auto insurance, Willingness to travel daily within service area for home visits 📃 Skills: Nursing, OASIS, CarePlanning, ClinicalAssessment, CriticalThinking, Medicare, Medicaid, Documentation 🏢 Description: Optimal Care is where your dedication meets a rewarding career. Top Work Places for 12 consecutive years and Great Places to Work certified for 6 consecutive years, we believe that exceptional care starts with exceptional people. We are committed to supporting your professional growth, valuing your expertise, and creating an environment where you can do your best work every day. As a clinician-owned and operated organization, we empower our team members to provide personalized, compassionate care to patients and families every day. We are a leading provider of Physician Services, Home Health, and Hospice that encourages collaboration, innovation, and clinical excellence. From chronic disease management and rehabilitation to end-of-life care, our focus is on improving outcomes and enhancing quality of life. We live a simple Mission: Serve Together, Provide Value, and Deliver Exceptional Quality Care. About the Role Practice nursing with the autonomy, time, and patient connection that allows you to make a meaningful impact every day. As a Home Health Registered Nurse, you'll deliver comprehensive skilled nursing care to patients in their homes, supporting recovery, chronic disease management, and overall health goals while helping individuals remain safely in the comfort of their own environment. This role is ideal for an RN who values clinical independence, critical thinking, and building strong relationships with patients and families over time. You'll manage a caseload of patients from admission through discharge, providing skilled nursing care, conducting assessments, and developing individualized care plans tailored to each patient's needs. Working closely with physicians and an interdisciplinary care team, you'll coordinate services, make informed clinical decisions, and play a central role in shaping patient outcomes and supporting each person's journey toward greater health and independence. Location Office Location: Carmel, IN Main Service Area Options: Marion County Hamilton County Johnson County This role is a high travel position and requires daily travel within the service area to provide care to patients in their homes, assisted living facilities, or nursing homes. Hours Monday to Friday, 8 a.m. to 5 p.m., with weekend rotation Required Qualification Graduate of an accredited Diploma, Associate, or Baccalaureate School of Nursing Current State License as a Registered Nurse Minimum 1 year of experience as a licensed RN in a clinical care setting Reliable transportation, valid driver's license, and valid automobile insurance coverage Willingness to travel daily for home visits within service area Preferred Qualifications Bachelor of Science in Nursing (BSN) Experience in home health environment OASIS certification or willingness to obtain Essential Skills and Competencies Strong clinical assessment and critical thinking skills Proficiency in OASIS documentation and care planning Excellent time management and organizational abilities Effective communication and teaching skills Ability to work independently with minimal supervision Comfort working in diverse home and facility environments Strong clinical judgment and decision-making capabilities Understanding of Medicare, Medicaid, and third-party payor requirements Pay Range $80,000—$87,000 USD How We Care for You Minimum of 3 Weeks Paid Time Off (PTO) Medical, Dental, and Vision Insurance HSA and FSA options including Dependent Care Company paid Short Term Disability Company paid Life Insurance 401(k) with Employer Match Mileage Reimbursement Company Vehicle Program for field roles Pet Insurance ID and Fraud Protection And more... Background Screening Employment is contingent upon the successful completion of a background check. Screening is completed by a third-party administrator, the Michigan Long-Term Care Partnership, and is performed in compliance with the Fair Credit Report Act. Reasonable Accommodations We offer reasonable accommodations throughout the application process, interview stages, and during employment to ensure all team members can thrive. Equal Opportunity Employer We are proud to be an equal-opportunity workplace that prohibits discrimination and harassment of any kind based on race, color, religion, sex, national origin, age, disability, or any other protected characteristic.

🏢 Summary: Home Health Registered Nurse role providing comprehensive skilled nursing care to patients in their homes, managing cases from admission to discharge while coordinating with physicians and interdisciplinary teams. The position offers clinical autonomy, daily travel within the service area, and focuses on recovery, chronic disease management, and patient independence. Full-time schedule with competitive pay and comprehensive benefits. 🗂️ Requirements: Graduate of accredited Diploma, Associate, or Baccalaureate School of Nursing, Current State Registered Nurse (RN) license, Minimum 1 year experience as licensed RN in clinical care setting, Reliable transportation with valid driver’s license and auto insurance, Willingness to travel daily for home visits within service area 📃 Skills: Nursing, OASIS, CarePlanning, ClinicalAssessment, CriticalThinking, Medicare, Medicaid, Documentation 🏢 Description: About the Role Practice nursing with the autonomy, time, and patient connection that allows you to make a meaningful impact every day. As a Home Health Registered Nurse, you'll deliver comprehensive skilled nursing care to patients in their homes, supporting recovery, chronic disease management, and overall health goals while helping individuals remain safely in the comfort of their own environment. This role is ideal for an RN who values clinical independence, critical thinking, and building strong relationships with patients and families over time. You'll manage a caseload of patients from admission through discharge, providing skilled nursing care, conducting assessments, and developing individualized care plans tailored to each patient's needs. Working closely with physicians and an interdisciplinary care team, you'll coordinate services, make informed clinical decisions, and play a central role in shaping patient outcomes and supporting each person's journey toward greater health and independence. Location Office Location: Carmel, IN Main Service Area Options: - Marion County - Hamilton County - Johnson County This role is a high travel position and requires daily travel within the service area to provide care to patients in their homes, assisted living facilities, or nursing homes. Hours Monday to Friday, 8 a.m. to 5 p.m., with weekend rotation Required Qualification - Graduate of an accredited Diploma, Associate, or Baccalaureate School of Nursing - Current State License as a Registered Nurse - Minimum 1 year of experience as a licensed RN in a clinical care setting - Reliable transportation, valid driver's license, and valid automobile insurance coverage - Willingness to travel daily for home visits within service area Preferred Qualifications - Bachelor of Science in Nursing (BSN) - Experience in home health environment - OASIS certification or willingness to obtain Essential Skills and Competencies - Strong clinical assessment and critical thinking skills - Proficiency in OASIS documentation and care planning - Excellent time management and organizational abilities - Effective communication and teaching skills - Ability to work independently with minimal supervision - Comfort working in diverse home and facility environments - Strong clinical judgment and decision-making capabilities - Understanding of Medicare, Medicaid, and third-party payor requirements Pay Range $80,000—$87,000 USD How We Care for You - Minimum of 3 Weeks Paid Time Off (PTO) - Medical, Dental, and Vision Insurance - HSA and FSA options including Dependent Care - Company paid Short Term Disability - Company paid Life Insurance - 401(k) with Employer Match - Mileage Reimbursement - Company Vehicle Program for field roles - Pet Insurance - ID and Fraud Protection - And more... Background Screening Employment is contingent upon the successful completion of a background check. Screening is completed by a third-party administrator and is performed in compliance with the Fair Credit Report Act. Reasonable Accommodations We offer reasonable accommodations throughout the application process, interview stages, and during employment to ensure all team members can thrive. Equal Opportunity Employer We are proud to be an equal-opportunity workplace that prohibits discrimination and harassment of any kind based on legally protected characteristics.

🏢 Summary: Home Health Registered Nurse role providing comprehensive skilled nursing care to patients in their homes, managing cases from admission through discharge and coordinating with an interdisciplinary team. The position emphasizes clinical autonomy, patient relationship building, chronic disease management, and individualized care planning. This is a field-based role requiring daily travel within the service area. 🗂️ Requirements: Graduate of accredited Diploma, Associate, or Baccalaureate School of Nursing, Current State Registered Nurse (RN) license, Minimum 1 year experience as licensed RN in clinical care setting, Reliable transportation, Valid driver's license, Valid automobile insurance, Willingness to travel daily within service area 📃 Skills: OASIS, Medicare, Medicaid, Nursing, CarePlanning, ClinicalAssessment, Documentation 🏢 Description: Optimal Care is where your dedication meets a rewarding career. Top Work Places for 12 consecutive years, Great Places to Work certified for 6 consecutive years, and we believe that exceptional care starts with exceptional people. We're committed to supporting your professional growth, valuing your expertise, and creating an environment where you can do your best work every day. As a clinician-owned and operated organization, we empower our team members to provide personalized, compassionate care to patients and families every day. We are a leading provider of Physician Services, Home Health, and Hospice that encourages collaboration, innovation, and clinical excellence. From chronic disease management and rehabilitation to end-of-life care, our focus is on improving outcomes and enhancing quality of life. We live a simple Mission: Serve Together, Provide Value, and Deliver Exceptional Quality Care. About the Role Practice nursing with the autonomy, time, and patient connection that allows you to make a meaningful impact every day. As a Home Health Registered Nurse, you'll deliver comprehensive skilled nursing care to patients in their homes, supporting recovery, chronic disease management, and overall health goals while helping individuals remain safely in the comfort of their own environment. This role is ideal for an RN who values clinical independence, critical thinking, and building strong relationships with patients and families over time. You'll manage a caseload of patients from admission through discharge, providing skilled nursing care, conducting assessments, and developing individualized care plans tailored to each patient's needs. Working closely with physicians and an interdisciplinary care team, you'll coordinate services, make informed clinical decisions, and play a central role in shaping patient outcomes and supporting each person's journey toward greater health and independence. Location Office Location: Carmel, IN Main Service Area Options: Marion County Hamilton County Johnson County This role is a high travel position and requires daily travel within the service area to provide care to patients in their homes, assisted living facilities, or nursing homes. Hours Monday to Friday, 8 a.m. to 5 p.m., with weekend rotation Required Qualification Graduate of an accredited Diploma, Associate, or Baccalaureate School of Nursing Current State License as a Registered Nurse Minimum 1 year of experience as a licensed RN in a clinical care setting Reliable transportation, valid driver's license, and valid automobile insurance coverage Willingness to travel daily for home visits within service area Preferred Qualifications Bachelor of Science in Nursing (BSN) Experience in home health environment OASIS certification or willingness to obtain Essential Skills and Competencies Strong clinical assessment and critical thinking skills Proficiency in OASIS documentation and care planning Excellent time management and organizational abilities Effective communication and teaching skills Ability to work independently with minimal supervision Comfort working in diverse home and facility environments Strong clinical judgment and decision-making capabilities Understanding of Medicare, Medicaid, and third-party payor requirements Pay Range $80,000—$87,000 USD How We Care for You Minimum of 3 Weeks Paid Time Off (PTO) Medical, Dental, and Vision Insurance HSA and FSA options including Dependent Care Company paid Short Term Disability Company paid Life Insurance 401(k) with Employer Match Mileage Reimbursement Company Vehicle Program for field roles Pet Insurance ID and Fraud Protection And more... Background Screening Employment is contingent upon the successful completion of a background check. Screening is completed by a third-party administrator, the Michigan Long-Term Care Partnership, and is performed in compliance with the Fair Credit Report Act. Reasonable Accommodations We offer reasonable accommodations throughout the application process, interview stages, and during employment to ensure all team members can thrive. Equal Opportunity Employer We believe an exceptional place to work begins with diverse perspectives. We are proud to be an equal-opportunity workplace that prohibits discrimination and harassment of any kind based on race, color, religion, sex, national origin, age, disability, or any other protected characteristic.

🏢 Summary: Home Health Registered Nurse role delivering skilled nursing care to patients in their homes, managing cases from admission to discharge, and coordinating with physicians and interdisciplinary teams. The position offers clinical autonomy, daily travel within the service area, and focuses on recovery, chronic disease management, and improving patient outcomes. Full-time weekday schedule with weekend rotation and comprehensive benefits. 🗂️ Requirements: Graduate of accredited Diploma, Associate, or Baccalaureate School of Nursing, Current State Registered Nurse (RN) license, Minimum 1 year experience as licensed RN in clinical care setting, Reliable transportation, Valid driver's license, Valid automobile insurance, Willingness to travel daily within service area 📃 Skills: Nursing, OASIS, CarePlanning, ClinicalAssessment, Medicare, Medicaid, Documentation 🏢 Description: Optimal Care is where your dedication meets a rewarding career. Top Work Places for 12 consecutive years and Great Places to Work certified for 6 consecutive years, we believe that exceptional care starts with exceptional people. We are committed to supporting professional growth, valuing expertise, and creating an environment where clinicians can do their best work every day. As a clinician-owned and operated organization, we empower team members to provide personalized, compassionate care to patients and families every day. We are a leading provider of Physician Services, Home Health, and Hospice, encouraging collaboration, innovation, and clinical excellence. From chronic disease management and rehabilitation to end-of-life care, our focus is on improving outcomes and enhancing quality of life. Mission: Serve Together, Provide Value, and Deliver Exceptional Quality Care. About the Role Practice nursing with the autonomy, time, and patient connection that allows you to make a meaningful impact every day. As a Home Health Registered Nurse, you will deliver comprehensive skilled nursing care to patients in their homes, supporting recovery, chronic disease management, and overall health goals while helping individuals remain safely in their own environment. You will manage a caseload of patients from admission through discharge, providing skilled nursing care, conducting assessments, and developing individualized care plans tailored to each patient’s needs. Working closely with physicians and an interdisciplinary care team, you will coordinate services, make informed clinical decisions, and play a central role in shaping patient outcomes and supporting each person’s journey toward greater health and independence. Location Office Location: Carmel, IN Main Service Area Options: - Marion County - Hamilton County - Johnson County This is a high travel position requiring daily travel within the service area to provide care to patients in their homes, assisted living facilities, or nursing homes. Hours Monday to Friday, 8 a.m. to 5 p.m., with weekend rotation. Required Qualification - Graduate of an accredited Diploma, Associate, or Baccalaureate School of Nursing - Current State License as a Registered Nurse - Minimum 1 year of experience as a licensed RN in a clinical care setting - Reliable transportation, valid driver's license, and valid automobile insurance coverage - Willingness to travel daily for home visits within service area Preferred Qualifications - Bachelor of Science in Nursing (BSN) - Experience in home health environment - OASIS certification or willingness to obtain Essential Skills and Competencies - Strong clinical assessment and critical thinking skills - Proficiency in OASIS documentation and care planning - Excellent time management and organizational abilities - Effective communication and teaching skills - Ability to work independently with minimal supervision - Comfort working in diverse home and facility environments - Strong clinical judgment and decision-making capabilities - Understanding of Medicare, Medicaid, and third-party payor requirements Pay Range $80,000—$87,000 USD How We Care for You - Minimum of 3 Weeks Paid Time Off (PTO) - Medical, Dental, and Vision Insurance - HSA and FSA options including Dependent Care - Company paid Short Term Disability - Company paid Life Insurance - 401(k) with Employer Match - Mileage Reimbursement - Company Vehicle Program for field roles - Pet Insurance - ID and Fraud Protection - And more... Background Screening Employment is contingent upon the successful completion of a background check. Screening is completed by a third-party administrator and is performed in compliance with the Fair Credit Report Act. Reasonable Accommodations Reasonable accommodations are offered throughout the application process, interview stages, and during employment to ensure all team members can thrive. Equal Opportunity Employer We are proud to be an equal-opportunity workplace that prohibits discrimination and harassment of any kind based on race, color, religion, sex, national origin, age, disability, or any other protected characteristic.

🏢 Summary: Hospice After Hours Registered Nurse role providing overnight skilled nursing and emotional support to hospice patients and families in home and facility settings. The position follows a consistent 7-on/7-off night schedule with autonomous practice, urgent symptom management, and coordination with physicians and hospice teams. Includes full-time salary, mileage reimbursement, and comprehensive benefits. 🗂️ Requirements: Graduate of an accredited nursing program, Current State Registered Nurse license, Minimum 1 year clinical nursing experience, Reliable transportation, Valid driver's license, Valid automobile insurance, Ability to work evenings, Ability to work nights, Ability to work weekends, Ability to work holidays 📃 Skills: RN, BSN, Hospice, HomeHealth, Nursing, Documentation 🏢 Description: Optimal Care is where your dedication meets a rewarding career. As a clinician-owned and operated organization, we empower our team members to provide personalized, compassionate care to patients and families every day. We are a leading provider of Physician Services, Home Health, and Hospice that encourages collaboration, innovation, and clinical excellence. From chronic disease management and rehabilitation to end-of-life care, our focus is on improving outcomes and enhancing quality of life. We live a simple Mission: Serve Together, Provide Value, and Deliver Exceptional Quality Care. About the Role Provide compassionate, skilled hospice care while enjoying a truly predictable schedule that supports your life outside of work. As a Hospice After Hours Registered Nurse, you'll deliver skilled nursing care and emotional support to patients and families during the overnight hours, responding to urgent needs in the moments they need it most while helping ensure comfort, dignity, and peace at end of life. This role is ideal for an experienced RN who thrives in autonomous practice and is confident making critical clinical decisions in real time. You'll work a consistent 7-on / 7-off night rotation (5pm–8am), giving you half the year off while still earning a full-time salary. With no additional on-call requirements and all shifts beginning and ending from home, you'll have a highly structured schedule that allows you to fully disconnect during your time off and plan your life with confidence. During your working nights, you'll assess and manage urgent symptoms, provide skilled nursing interventions, and support families through crisis moments with clinical expertise and compassion. Working independently while coordinating closely with physicians and the hospice team, you'll ensure continuity of care throughout the night and serve as a steady, reassuring presence during some of life's most vulnerable hours. Location Office Location: Saginaw Main Service Area: Saginaw, Bay City, Shiawasee, Isabella, and Gratiot counties This role is a high travel position and requires daily travel within the service area to provide care to patients in their homes, assisted living facilities, or nursing homes. Hours Only 26 weeks per year, on call for 7 nights, then off for the next 7 nights Every other Monday to Sunday, 5 p.m. to 8 a.m. Training takes place Monday to Friday, 8 a.m. to 5 p.m., for the first 2-4 weeks Required Qualification - Graduate of an accredited Diploma, Associate or Baccalaureate School of Nursing - Current State License as a Registered Nurse - Minimum 1 year experience as a nurse in a clinical care setting - Reliable transportation, valid driver's license, and valid automobile insurance coverage - Ability to work evenings, nights, weekends, and holidays Preferred Qualifications - Bachelor of Science in Nursing (BSN) - Hospice or home health experience - Previous after-hours or on-call experience Essential Skills and Competencies - Demonstrates clinical nursing competencies in accordance with accepted standards of practice - Able to assess and respond appropriately to the physical, emotional, and psychosocial needs of patients, families, and caregivers in a variety of care settings, including homes and facilities - Exhibits strong interpersonal communication skills, emotional resilience, and the ability to support patients and families facing end-of-life issues - Capable of managing multiple priorities, documentation requirements, and time-sensitive responsibilities efficiently Pay Range $81,000—$84,000 USD How We Care for You - Minimum of 3 Weeks Paid Time Off (PTO) - Medical, Dental, and Vision Insurance - HSA and FSA options including Dependent Care - Company paid Short Term Disability - Company paid Life Insurance - 401(k) with Employer Match - Mileage Reimbursement - Company Vehicle Program for field roles - Pet Insurance - ID and Fraud Protection - And more... Background Screening Employment is contingent upon the successful completion of a background check. Screening is completed by a third-party administrator, the Michigan Long-Term Care Partnership, and is performed in compliance with the Fair Credit Report Act. Reasonable Accommodations We offer reasonable accommodations throughout the application process, interview stages, and during employment to ensure all team members can thrive. Please reach out to us if you would like to request a reasonable accommodation. Equal Opportunity Employer We believe an exceptional place to work begins with diverse perspectives. We are proud to be an equal-opportunity workplace that prohibits discrimination and harassment of any kind based on race, color, religion, sex, national origin, age, disability, or any other protected characteristic.

🏢 Summary: Hospice After Hours Registered Nurse role providing overnight hospice care, urgent symptom management, and emotional support for patients and families across a multi-county service area. The position offers a consistent 7-on/7-off night schedule, autonomous clinical practice, and home-based shift transitions. Includes full-time salary, benefits, and mileage support for high-travel patient care. 🗂️ Requirements: Registered Nurse state license, Accredited nursing diploma, associate, or bachelor's degree, Minimum 1 year clinical nursing experience, Reliable transportation, Valid driver's license, Valid automobile insurance, Ability to work evenings, nights, weekends, and holidays, Ability to travel daily within service area 📃 Skills: Nursing, Hospice, HomeHealth, Documentation, Assessment, CarePlanning, BSN 🏢 Description: Optimal Care is where your dedication meets a rewarding career. As a clinician-owned and operated organization, we empower our team members to provide personalized, compassionate care to patients and families every day. We are a leading provider of Physician Services, Home Health, and Hospice that encourages collaboration, innovation, and clinical excellence. From chronic disease management and rehabilitation to end-of-life care, our focus is on improving outcomes and enhancing quality of life. We live a simple Mission: Serve Together, Provide Value, and Deliver Exceptional Quality Care. About the Role Provide compassionate, skilled hospice care while enjoying a truly predictable schedule that supports your life outside of work. As a Hospice After Hours Registered Nurse, you'll deliver skilled nursing care and emotional support to patients and families during the overnight hours, responding to urgent needs in the moments they need it most while helping ensure comfort, dignity, and peace at end of life. This role is ideal for an experienced RN who thrives in autonomous practice and is confident making critical clinical decisions in real time. You'll work a consistent 7-on / 7-off night rotation (5pm–8am), giving you half the year off while still earning a full-time salary. With no additional on-call requirements and all shifts beginning and ending from home, you'll have a highly structured schedule that allows you to fully disconnect during your time off and plan your life with confidence. During your working nights, you'll assess and manage urgent symptoms, provide skilled nursing interventions, and support families through crisis moments with clinical expertise and compassion. Working independently while coordinating closely with physicians and the hospice team, you'll ensure continuity of care throughout the night and serve as a steady, reassuring presence during some of life's most vulnerable hours. Location Office Location: Saginaw Main Service Area: Saginaw, Bay City, Shiawasee, Isabella, and Gratiot counties This role is a high travel position and requires daily travel within the service area to provide care to patients in their homes, assisted living facilities, or nursing homes. Hours Only 26 weeks per year, on call for 7 nights, then off for the next 7 nights Every other Monday to Sunday, 5 p.m. to 8 a.m. Training takes place Monday to Friday, 8 a.m. to 5 p.m., for the first 2-4 weeks Required Qualification - Graduate of an accredited Diploma, Associate or Baccalaureate School of Nursing - Current State License as a Registered Nurse - Minimum 1 year experience as a nurse in a clinical care setting - Reliable transportation, valid driver's license, and valid automobile insurance coverage - Ability to work evenings, nights, weekends, and holidays Preferred Qualifications - Bachelor of Science in Nursing (BSN) - Hospice or home health experience - Previous after-hours or on-call experience Essential Skills and Competencies - Demonstrates clinical nursing competencies in accordance with accepted standards of practice - Able to assess and respond appropriately to the physical, emotional, and psychosocial needs of patients, families, and caregivers in a variety of care settings, including homes and facilities - Exhibits strong interpersonal communication skills, emotional resilience, and the ability to support patients and families facing end-of-life issues - Capable of managing multiple priorities, documentation requirements, and time-sensitive responsibilities efficiently Pay Range $81,000—$84,000 USD How We Care for You - Minimum of 3 Weeks Paid Time Off (PTO) - Medical, Dental, and Vision Insurance - HSA and FSA options including Dependent Care - Company paid Short Term Disability - Company paid Life Insurance - 401(k) with Employer Match - Mileage Reimbursement - Company Vehicle Program for field roles - Pet Insurance - ID and Fraud Protection - And more... Background Screening Employment is contingent upon the successful completion of a background check. Screening is completed by a third-party administrator, the Michigan Long-Term Care Partnership, and is performed in compliance with the Fair Credit Report Act. Reasonable Accommodations We offer reasonable accommodations throughout the application process, interview stages, and during employment to ensure all team members can thrive. Please reach out to us if you would like to request a reasonable accommodation. Equal Opportunity Employer We believe an exceptional place to work begins with diverse perspectives. We are proud to be an equal-opportunity workplace that prohibits discrimination and harassment of any kind based on race, color, religion, sex, national origin, age, disability, or any other protected characteristic.

🏢 Summary: Full-time Hospice After Hours Registered Nurse role providing overnight skilled nursing care and urgent symptom management for patients in home and facility settings on a 7-on/7-off rotation. The position offers a predictable schedule with autonomous practice, focusing on end-of-life care, crisis response, and coordination with the hospice team. This is a high-travel field role serving multiple counties with shifts running 5 p.m. to 8 a.m. 🗂️ Requirements: Graduate of accredited Diploma, Associate, or Baccalaureate School of Nursing, Current State Registered Nurse (RN) license, Minimum 1 year clinical nursing experience, Ability to work evenings, nights, weekends, and holidays, Reliable transportation, Valid driver's license, Valid automobile insurance coverage 📃 Skills: Nursing, Hospice, HomeHealth, SymptomManagement, ClinicalAssessment, PatientCare, CareCoordination, Documentation 🏢 Description: Optimal Care is where your dedication meets a rewarding career. Top Work Places for 12 consecutive years and Great Places to Work certified for 6 consecutive years, we believe that exceptional care starts with exceptional people. We are committed to supporting your professional growth, valuing your expertise, and creating an environment where you can do your best work every day. As a clinician-owned and operated organization, we empower team members to provide personalized, compassionate care to patients and families every day. We are a leading provider of Physician Services, Home Health, and Hospice that encourages collaboration, innovation, and clinical excellence. From chronic disease management and rehabilitation to end-of-life care, our focus is on improving outcomes and enhancing quality of life. Our mission: Serve Together, Provide Value, and Deliver Exceptional Quality Care. About the Role Provide compassionate, skilled hospice care while enjoying a predictable schedule that supports your life outside of work. As a Hospice After Hours Registered Nurse, you will deliver skilled nursing care and emotional support to patients and families during overnight hours, responding to urgent needs while ensuring comfort, dignity, and peace at end of life. This role is ideal for an experienced RN who thrives in autonomous practice and is confident making critical clinical decisions in real time. You will work a consistent 7-on / 7-off night rotation (5 p.m.–8 a.m.), giving you half the year off while earning a full-time salary. There are no additional on-call requirements, and all shifts begin and end from home. During working nights, you will assess and manage urgent symptoms, provide skilled nursing interventions, and support families through crisis moments. Working independently while coordinating with physicians and the hospice team, you will ensure continuity of care and serve as a reassuring presence during vulnerable hours. Location Office Location: Saginaw Main Service Area: Saginaw, Bay City, Shiawasee, Isabella, and Gratiot counties This is a high travel position requiring daily travel within the service area to provide care in patient homes, assisted living facilities, or nursing homes. Hours Only 26 weeks per year, on call for 7 nights, then off for the next 7 nights Every other Monday to Sunday, 5 p.m. to 8 a.m. Training takes place Monday to Friday, 8 a.m. to 5 p.m., for the first 2–4 weeks Required Qualification Graduate of an accredited Diploma, Associate or Baccalaureate School of Nursing Current State License as a Registered Nurse Minimum 1 year experience as a nurse in a clinical care setting Reliable transportation, valid driver's license, and valid automobile insurance coverage Ability to work evenings, nights, weekends, and holidays Preferred Qualifications Bachelor of Science in Nursing (BSN) Hospice or home health experience Previous after-hours or on-call experience Essential Skills and Competencies Demonstrates clinical nursing competencies in accordance with accepted standards of practice Able to assess and respond appropriately to physical, emotional, and psychosocial needs of patients, families, and caregivers in homes and facilities Strong interpersonal communication skills and emotional resilience Capable of managing multiple priorities, documentation requirements, and time-sensitive responsibilities efficiently Pay Range $81,000—$84,000 USD How We Care for You Minimum of 3 Weeks Paid Time Off (PTO) Medical, Dental, and Vision Insurance HSA and FSA options including Dependent Care Company paid Short Term Disability Company paid Life Insurance 401(k) with Employer Match Mileage Reimbursement Company Vehicle Program for field roles Pet Insurance ID and Fraud Protection And more... Background Screening Employment is contingent upon successful completion of a background check performed in compliance with the Fair Credit Report Act. Reasonable Accommodations Reasonable accommodations are offered throughout the application process, interview stages, and during employment. Equal Opportunity Employer The organization is an equal-opportunity workplace that prohibits discrimination and harassment based on protected characteristics.

🏢 Summary: Full-time Hospice After Hours Registered Nurse role providing overnight skilled nursing care and urgent symptom management to hospice patients in their homes and facilities, working a 7-on/7-off night rotation. The position offers autonomous practice, high travel within the service area, and collaboration with physicians and the hospice team to ensure continuity of end-of-life care. Includes structured schedule, full-time salary for 26 working weeks per year, and comprehensive benefits. 🗂️ Requirements: Graduate of accredited Diploma, Associate, or Baccalaureate School of Nursing, Current State Registered Nurse (RN) license, Minimum 1 year clinical nursing experience, Ability to work evenings, nights, weekends, and holidays, Reliable transportation, Valid driver's license, Valid automobile insurance coverage 📃 Skills: Nursing, Hospice, HomeHealth, ClinicalAssessment, SymptomManagement, PatientCare, CareCoordination, Documentation 🏢 Description: Optimal Care is where your dedication meets a rewarding career. Top Work Places for 12 consecutive years, Great Places to Work certified for 6 consecutive years, and we believe that exceptional care starts with exceptional people. We're committed to supporting your professional growth, valuing your expertise, and creating an environment where you can do your best work every day. As a clinician-owned and operated organization, we empower our team members to provide personalized, compassionate care to patients and families every day. We are a leading provider of Physician Services, Home Health, and Hospice that encourages collaboration, innovation, and clinical excellence. From chronic disease management and rehabilitation to end-of-life care, our focus is on improving outcomes and enhancing quality of life. We live a simple Mission: Serve Together, Provide Value, and Deliver Exceptional Quality Care. About the Role Provide compassionate, skilled hospice care while enjoying a truly predictable schedule that supports your life outside of work. As a Hospice After Hours Registered Nurse, you'll deliver skilled nursing care and emotional support to patients and families during the overnight hours, responding to urgent needs in the moments they need it most while helping ensure comfort, dignity, and peace at end of life. This role is ideal for an experienced RN who thrives in autonomous practice and is confident making critical clinical decisions in real time. You'll work a consistent 7-on / 7-off night rotation (5pm–8am), giving you half the year off while still earning a full-time salary. With no additional on-call requirements and all shifts beginning and ending from home, you'll have a highly structured schedule that allows you to fully disconnect during your time off and plan your life with confidence. During your working nights, you'll assess and manage urgent symptoms, provide skilled nursing interventions, and support families through crisis moments with clinical expertise and compassion. Working independently while coordinating closely with physicians and the hospice team, you'll ensure continuity of care throughout the night and serve as a steady, reassuring presence during some of life's most vulnerable hours. Location Office Location: Saginaw Main Service Area: Saginaw, Bay City, Shiawasee, Isabella, and Gratiot counties This role is a high travel position and requires daily travel within the service area to provide care to patients in their homes, assisted living facilities, or nursing homes. Hours Only 26 weeks per year, on call for 7 nights, then off for the next 7 nights Every other Monday to Sunday, 5 p.m. to 8 a.m. Training takes place Monday to Friday, 8 a.m. to 5 p.m., for the first 2-4 weeks Required Qualification Graduate of an accredited Diploma, Associate or Baccalaureate School of Nursing Current State License as a Registered Nurse Minimum 1 year experience as a nurse in a clinical care setting Reliable transportation, valid driver's license, and valid automobile insurance coverage Ability to work evenings, nights, weekends, and holidays Preferred Qualifications Bachelor of Science in Nursing (BSN) Hospice or home health experience Previous after-hours or on-call experience Essential Skills and Competencies Demonstrates clinical nursing competencies in accordance with accepted standards of practice Able to assess and respond appropriately to the physical, emotional, and psychosocial needs of patients, families, and caregivers in a variety of care settings, including homes and facilities Exhibits strong interpersonal communication skills, emotional resilience, and the ability to support patients and families facing end-of-life issues Capable of managing multiple priorities, documentation requirements, and time-sensitive responsibilities efficiently Pay Range $81,000—$84,000 USD How We Care for You Minimum of 3 Weeks Paid Time Off (PTO) Medical, Dental, and Vision Insurance HSA and FSA options including Dependent Care Company paid Short Term Disability Company paid Life Insurance 401(k) with Employer Match Mileage Reimbursement Company Vehicle Program for field roles Pet Insurance ID and Fraud Protection And more... Background Screening Employment is contingent upon the successful completion of a background check. Screening is completed by a third-party administrator, the Michigan Long-Term Care Partnership, and is performed in compliance with the Fair Credit Report Act. Reasonable Accommodations We offer reasonable accommodations throughout the application process, interview stages, and during employment to ensure all team members can thrive. Please reach out to us if you would like to request a reasonable accommodation. Equal Opportunity Employer We believe an exceptional place to work begins with diverse perspectives. We are proud to be an equal-opportunity workplace that prohibits discrimination and harassment of any kind based on race, color, religion, sex, national origin, age, disability, or any other protected characteristic.