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. Telecommute Complex Case Manager https://www.virtualvocations.com/job/telecommute-complex-case-manager-455219.html A healthcare company is searching for a person to fill their position for a Telecommute Complex Case Manager. Core Responsibilities Include: Maintaining oversight over a specified panel of members Performing ongoing assessment of members’ health management needs Identifying the right clinical interventions to address member needs Position Requirements Include: Proficiency in MS Excel and strong analytic skills High School Diploma/GED 7 years of any combination of clinical, case management and/or condition management experience RN license in PA, WV, and DE is required (must have one and ability to obtain others) 455219 Telecommute Utilization Review Registered Nurse https://www.virtualvocations.com/job/telecommute-utilization-review-registered-nurse-455215.html A healthcare company has an open position for a Telecommute Utilization Review Registered Nurse. Core Responsibilities Include: Ensuring the patient’s status is correct Performing continued stay medical necessity reviews Communicating patient status, concurrent denials and medical necessity concerns Qualifications Include: B.S. in Business Administration, Nursing or Healthcare or equivalent work experience Registered Nurse (RN) with multistate license Commercial payer and/or denials experience 455215 Virtual Medical Case Manager https://www.virtualvocations.com/job/virtual-medical-case-manager-455201.html An insurance company has an open position for a Virtual Medical Case Manager. Individual must be able to fulfill the following responsibilities: Provide telephonic case management on assigned workers’ compensation claims Provide coordination and evaluation of medical care to assigned caseload Assist with oversight of necessary cost effective quality medical treatment Position Requirements Include: Associate’s Degree Two years of relevant experience Current RN license in the state hired Worker’s Compensation insurance experience Professional certification in either CCM or CRRN and/or eligible to sit for the exam Proficient with desktop technology 455201 Remote Part C Monitoring Special Needs Plan Model of Care Compliance Specialist Registered Nurse https://www.virtualvocations.com/job/remote-part-c-monitoring-special-needs-plan-model-of-care-compliance-specialist-registered-nurse-455157.html A healthcare company has a current position open for a Remote Part C Monitoring Special Needs Plan Model of Care Compliance Specialist Registered Nurse. Individual must be able to fulfill the following responsibilities: Monitoring SNP-MOC, Interdisciplinary Care Teams and Integrated Care Plans Providing subject matter expertise in response to day-to-day business issues related to SNP-MOC Providing meaningful and appropriate reporting metrics to support the Compliance Monitoring Program Must meet the following requirements for consideration: RN required SNP MOC experience required Minimum of three to five years of related experience with Medicare Part C regulations and the Medicare Managed Care Manual Strong attention to detail and analytic skills Strong and confident oral and written communication skills 455157 Telecommuting Registered Nurse Utilization Management Consultant https://www.virtualvocations.com/job/telecommuting-registered-nurse-utilization-management-consultant-455155.html A healthcare company needs applicants for an opening for a Telecommuting Registered Nurse Utilization Management Consultant. Core Responsibilities of this position include: Assessing, planning, implementing, coordinating, monitoring and evaluating options to facilitate appropriate healthcare services Gathering clinical information and applies the appropriate clinical criteria/guideline, policy, procedure and clinical judgment Communicating with providers and other parties to facilitate care/treatment Qualifications Include: Two-week on-site training in New Albany, Ohio 3-5 years clinical experience Active, unrestricted Registered Nurse License Utilization Management experience Bachelor's degree or equivalent experience 1-3 years functional experience 455155 Telecommute Case Manager Registered Nurse https://www.virtualvocations.com/job/telecommute-case-manager-registered-nurse-455151.html A healthcare company is in need of a Telecommute Case Manager Registered Nurse. Core Responsibilities of this position include: Applying or interpreting of applicable criteria and clinical guidelines Using a holistic approach, consulting with clinical colleagues, supervisors, medical directors and/or other programs Identifying and escalating quality of care issues through established channels Applicants must meet the following qualifications: Requires two weeks of on-site training in the New Albany, Ohio office upon hire Active, unrestricted RN license required Minimum of 5 years clinical practice experience as an RN e.g., hospital setting, or alternative care setting Ability to actively reach out and engage patients required Requires ability to document electronically using keyboard and computer screens - free form text 455151 Remote Kidney Resource Services Telephonic RN Case Manager https://www.virtualvocations.com/job/remote-kidney-resource-services-telephonic-rn-case-manager-455102.html A health insurance company is filling a position for a Remote Kidney Resource Services Telephonic RN Case Manager. Individual must be able to fulfill the following responsibilities: Coordinate care for members and services as needed Identify gaps or barriers in treatment plans Make outbound calls to assess members' current health status Qualifications Include: Multiple state licensures (in addition to Compact License if applicable) or ability to obtain multiple state nursing licenses Some evening hours where you will be expected to work until approximately 8 pm Active, unrestricted RN license in your state of residence 2 years of RN experience in a hospital, acute care, or direct care setting, or experience as a Telephonic Case Manager 455102 Telecommute Nurseline Registered Nurse https://www.virtualvocations.com/job/telecommute-nurseline-registered-nurse-455095.html A Clinical Care Management business has a current position open for a Telecommute Nurseline Registered Nurse. Core Responsibilities of this position include: Directing members to the most appropriate level of care Providing a variety of nursing education over the phone Assisting members to better manage their health condition Must meet the following requirements for consideration: Current unrestricted registered nurse license in the state associate resides Ability to be licensed in other states such as California per client requirements 3 - 5+ years of clinical experience in Nursing Proficient computer skills utilizing and navigating multiple applications at one time including Citrix, Outlook, MS office 455095 Remote Case and Disease Management Registered Nurse Manager in Rancho Cordova https://www.virtualvocations.com/job/remote-case-and-disease-management-registered-nurse-manager-in-rancho-cordova-455018.html A staffing firm is filling a position for a Remote Case and Disease Management Registered Nurse Manager in Rancho Cordova. Core Responsibilities Include: Identifying training needs, developing and participating in staff training Identifying department goals and developing action plans Ensuring that case management services comply with standards Qualifications Include: Minimum of 5 years clinical experience Graduate of an approved program of Nursing Active, unrestricted RN license in state of California Experience in a managed care setting Three years supervisory/management experience in a health care environment Evidence of have attained certification in Case Management (CMC) (CCMC) or (CMAC) 455018 Telecommute Nurse Case Manager in Roanoke https://www.virtualvocations.com/job/telecommute-nurse-case-manager-in-roanoke-454960.html A staffing agency has an open position for a Telecommute Nurse Case Manager in Roanoke. Must be able to: Review medical charts and enter data into the computer system Ensure that plans of care are person centered Ensure that the services that the member receives are appropriate to meet their medical needs Qualifications Include: Complete face to face comprehensive assessment of patients RN License Able to use clinical knowledge when charting data 454960