Clinical Support RN – Referrals & Results (Remote – California or New York)

Clinical Support RN – Referrals & Results (Remote – California or New York) Job Type: Part-Time (10–20 hours/week, flexible hours) Location: Fully Remote (Candidates must be based in California or New York) Hourly Rate: $24–$32/hour, depending on experience Job Description: We are looking for a proactive and experienced Registered Nurse to join our virtual healthcare team in a clinical support role focused on referrals, diagnostic results, and post-visit follow-up. In this role, you’ll help ensure that patients receive appropriate follow-up after their Rocket Doctor visits by managing referrals, reviewing lab and diagnostic results, supporting prior authorizations, and carrying out defined clinical tasks under physician guidance or approved protocols. This is a part-time, remote position ideal for an RN who is comfortable working independently, managing multiple clinical workstreams, and operating in a fast-paced virtual care environment. The role requires strong communication, excellent attention to detail, and the ability to reliably manage time-sensitive follow-up tasks. Responsibilities: - Monitor clinical inboxes, emails, and faxes for lab results, diagnostic findings, referrals, and patient communications - Review lab and diagnostic results and identify abnormal, urgent, or critical findings - Escalate urgent or critical results to the appropriate physician according to established protocols - Track abnormal results and follow-up tasks until they have been appropriately addressed - Carry out defined physician-directed clinical tasks under approved protocols or standing orders and within scope of practice - Communicate physician-approved follow-up instructions to patients - Perform post-visit clinical follow-up, including symptom checks, repeat testing coordination, medication-related follow-up, and other assigned clinical tasks - Manage and process incoming referrals from physicians and PAs - Triage and prioritize referrals based on urgency, completeness, and medical necessity - Research and identify appropriate specialists or clinics based on clinical need, location, insurance eligibility, and availability - Prepare and submit prior authorizations and insurance-related paperwork - Support patients with referral scheduling and locating facilities or specialists that accept their insurance - Track referrals through completion and help ensure relevant consultation notes and recommendations are returned to the clinical team - Maintain internal referral tracking systems, databases, and specialist directories - Accurately document all actions, communications, and follow-up plans in the EMR - Respond to patient inquiries related to referrals, lab results, and follow-up care - Support chronic care management and other longitudinal care programs as needed - Reliably monitor and respond to Slack, email, and assigned work queues during scheduled working hours - Ensure all practices are HIPAA-compliant and protect patient confidentiality - Participate in virtual team and medical meetings Required Qualifications: - Active Registered Nurse (RN) license in the state where services are provided - 2+ years of experience in a clinical nursing, ambulatory care, primary care, care coordination, referral management, or similar role - HIPAA certification - Strong understanding of medical terminology, medical specialties, lab result interpretation, and medication management - Experience reviewing and triaging clinical results - Experience with referrals, prior authorizations, insurance workflows, or care coordination - Experience with EMRs and familiarity with laboratory or clinical portals such as Quest/Quanum - Ability to carry out physician-directed tasks with professionalism, accuracy, and appropriate clinical judgment - Proficient with Gmail, Excel or Google Sheets, Zoom or Google Meet, Slack, Adobe PDF, and web-based healthcare portals - Comfortable working independently in a remote environment - Reliable home internet and a private workspace suitable for handling protected health information - Ability to troubleshoot basic technology issues independently - Exceptional attention to detail, organization, time management, and documentation skills - Strong written and verbal communication skills with patients, providers, and team members - Ability to adapt to changing workflows and follow standardized processes - Must be fluent in English; a second language such as Spanish would be an asset Preferred Qualifications: - Previous experience in telehealth, virtual care, primary care, or ambulatory care - Experience with chronic care management or other longitudinal care programs - Experience carrying out clinical tasks under physician protocols or standing orders - Experience with referral coordination and closed-loop referral workflows - Experience with medication prior authorizations - Experience working with Medicare, Medicaid, and commercial insurance plans Originally posted on Himalayas