Telecommute Job Postings : Freelance : Telecommuting : Employment : Telecommute - VirtualVocations.com https://www.virtualvocations.com/ VirtualVocations offers a unique service to those who are looking for high quality, credible, work from home positions. Remote Physician Clinical Reviewer in Seattle https://www.virtualvocations.com/job/remote-physician-clinical-reviewer-in-seattle-442353.html A healthcare company is searching for a person to fill their position for a Remote Physician Clinical Reviewer in Seattle. Core Responsibilities of this position include: Providing timely medical review of service requests Routinely interacting with physicians and leadership Collaborating with the utilization management team Must meet the following requirements for consideration: DO or MD - Physician, State Licensure and Board Current, unrestricted license to practice medicine in one or more states of the United States Board Certified by one of the following: ABPRM, ABMS, ABNM, ABCMC, ABA, ABOS, or ABIM/ABOIM Graduate degree from an accredited medical school A licensed Physician practicing as an Anesthesiologist or related Other requirements as outlined in the job description 442353 Telecommute Clinical Appeals Nurse in Orange Park https://www.virtualvocations.com/job/telecommute-clinical-appeals-nurse-in-orange-park-442303.html A healthcare corporation is searching for a person to fill their position for a Telecommute Clinical Appeals Nurse in Orange Park. Candidates will be responsible for the following: Composing clinical appeal letters to send to payers for denial reconsiderations Using Medical Necessity software, including but not limited to InterQual© Interpreting medical payer policy requirements Skills and Requirements Include: Professional presentation skills needed to represent facilities in legal issues State RN or LPN License required (Active/Inactive) At least one year case management experience required Relevant education may substitute experience requirement Proficiency in Microsoft Office applications 442303 Telecommute Care Coordinator Case Manager in Pocahontas https://www.virtualvocations.com/job/telecommute-care-coordinator-case-manager-in-pocahontas-442058.html A healthcare company has a current position open for a Telecommute Care Coordinator Case Manager in Pocahontas. Must be able to: Monitor the provision of services, including outcomes, assesses appropriate changes or additions to services Assist with developing a member's self-management skills, health education and coaching, based on their health condition Assist with social determinants of health, such as access to healthy food and exercise Skills and Requirements Include: Valid driver's license and reliable transportation GED or High School Diploma required Excellent written, communication and interpersonal skills Ability to document within care management system 442058 Telecommute Care Coordinator Case Manager in Arkadelphia https://www.virtualvocations.com/job/telecommute-care-coordinator-case-manager-in-arkadelphia-436829.html A healthcare company is seeking a Telecommute Care Coordinator Case Manager in Arkadelphia. Core Responsibilities of this position include: Reviewing discharge plan and follows up with the member within 7 days of discharge Engaging members in care coordination activities by using a person-centered approach Acting as the primary point of contact for members Required Skills: Valid driver's license and reliable transportation Minimum of 1 year experience working directly with individuals with developmental or intellectual disability Ability to document within care management system; knowledge of Microsoft Word and Excel GED or High School Diploma required 436829 Remote Care Coordinator Case Manager in Batesville https://www.virtualvocations.com/job/remote-care-coordinator-case-manager-in-batesville-436831.html A healthcare solutions company has a current position open for a Remote Care Coordinator Case Manager in Batesville. Core Responsibilities Include: Acting as the primary point of contact for members, their guardian, and member’s providers Engaging members in care coordination activities by using a person-centered approach Assisting with social determinants of health, such as access to healthy food and exercise Applicants must meet the following qualifications: Ability to meet with members face-to-face at a regular frequency GED or High School Diploma Minimum one (1) year working directly with individuals with developmental or intellectual disability and/or complex mental health conditions 436831 Telecommute Care Manager https://www.virtualvocations.com/job/telecommute-care-manager-441784.html A healthcare company is in need of a Telecommute Care Manager. Must be able to: Provide patient and provider education Utilize assessment skills and discretionary judgment to develop plan of care based upon assessment Assess the member's current health status Position Requirements Include: Experience with medical decision support tools and government sponsored managed care programs 2+ years of clinical nursing experience in an acute care setting and 1+ years of case management experience in a managed care setting Current state's RN license Knowledge of utilization management principles and healthcare managed care Graduate from an Accredited School of Nursing 441784 Telecommute Clinical Data Manager https://www.virtualvocations.com/job/telecommute-clinical-data-manager-441673.html A healthcare company is filling a position for a Telecommute Clinical Data Manager. Must be able to: Ensure that all project-related data management tasks are completed Identify and quantify resource requirements for ongoing and future projects Manage billable and non-billable time for the assigned group Qualifications for this position include: Ability to travel as necessary (approximately 10%) Bachelor's degree or RN or eight (8) years of relevant experience Six (6) years of progressively responsible Clinical or Data Management experience At least four years of Data Management experience 441673 Telecommute Behavioral Health Care Advocate https://www.virtualvocations.com/job/telecommute-behavioral-health-care-advocate-441625.html A healthcare company is searching for a person to fill their position for a Telecommute Behavioral Health Care Advocate. Candidates will be responsible for the following: Overseeing inpatient admission for psychiatric and chemical dependency patients Making patient assessments and determining appropriate levels of care Administering benefits, reviewing treatment plans, and coordinating transitions Required Skills: Master's degree in Psychology, Social Work, Counseling; or Licensed Ph.D.; or RN Current, unrestricted license to practice in the state of residence 2+ years of experience in behavioral health Proficiency with Microsoft Office Suite programs (Word, Outlook, Internet) 441625 Telecommute Behavioral Health Care Assess and Triage Advocate https://www.virtualvocations.com/job/telecommute-behavioral-health-care-assess-and-triage-advocate-441620.html A healthcare company has a current position open for a Telecommute Behavioral Health Care Assess and Triage Advocate. Must be able to: Oversee inpatient admission for psychiatric and chemical dependency patients Make patient assessments and determine appropriate levels of care Administer benefits and review treatment plans Must meet the following requirements for consideration: Master's degree, or Licensed Ph.D, or Registered Nurse Current, unrestricted license to practice in the state of California 2+ years of experience in behavioral health 1+ years of experience working within a Managed Care Organization (MCO) 441620 Telecommute Casual Community Options Specialist in Cuyahoga and Surrounding Counties https://www.virtualvocations.com/job/telecommute-casual-community-options-specialist-in-cuyahoga-and-surrounding-counties-416765.html A healthcare company is in need of a Telecommute Casual Community Options Specialist in Cuyahoga and Surrounding Counties. Must be able to: Provide information about services in the community Review case notes and log events and progress Applicants must meet the following qualifications: 12 months experience in home and community based services within the past 5 years Ability to effectively communicate and work with all age groups from a diverse consumer population Possess reliable transportation, a valid driver’s license, and car insurance as required by the State of Ohio 416765