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 in San Antonio https://www.virtualvocations.com/job/telecommute-complex-case-manager-in-san-antonio-418291.html A healthcare company is seeking a Telecommute Complex Case Manager in San Antonio. Individual must be able to fulfill the following responsibilities: Completing comprehensive assessments of members Developing and implementing a case management plan Conducting face-to-face or home visits as required Qualifications Include: 25- 40% local travel Graduate from an Accredited School of Nursing or relevant work experience Complex Case Management 1-3 years in case management, disease management, managed care or medical or behavioral health settings Active, unrestricted State Registered Nursing license in good standing Must have valid driver's license with good driving record 418291 Telecommuting Case Management Registered Nurse in Ann Arbor https://www.virtualvocations.com/job/telecommuting-case-management-registered-nurse-in-ann-arbor-418258.html A staffing company has an open position for a Telecommuting Case Management Registered Nurse in Ann Arbor. Candidates will be responsible for the following: Collaborating effectively with an interdisciplinary team to establish an individualized plan of care for members Administering all provider resources through the care continuum Developing interventions and processes to assist the Health Plan member in meeting short and long term plan of care goals Applicants must meet the following qualifications: Must be willing and able to travel throughout the assigned county Roughly 1-2 years’ prior experience working in a field Case Management role At least 2-3 years’ experience in an acute care hospital Valid, unrestricted state Registered Nurse (R.N.) license Knowledge of Federal and State assistance programs Computer savvy (MS Word & Excel) and typing skills are necessary 418258 Remote Medical Case Manager in the Los Angeles County Area https://www.virtualvocations.com/job/remote-medical-case-manager-in-the-los-angeles-county-area-413905.html A healthcare management company is seeking a Remote Medical Case Manager in the Los Angeles County Area. Must be able to: Research and recommend resources and creates flexible, cost-effective options for catastrophically or chronically ill or injured individuals Assess and coordinate medical care related to workers compensation injuries Develops case management plan through assessment, planning, implementation, and evaluation of patient' s progress Qualifications Include: Attends physician/ hospital appointments. Reliable transportation and local travel required Must be a Registered Nurse with current unrestricted CA RN license 3 to 5 years clinical nursing experience Strong technology, organizational and documentation skills are a must Must have excellent oral and written communication skills Must have superior computer skills and extensive documentation experience is required 413905 Telecommute Registered Nurse Workers Compensation Case Manager in Orange https://www.virtualvocations.com/job/telecommute-registered-nurse-workers-compensation-case-manager-in-orange-413836.html A managed care company has an open position for a Telecommute Registered Nurse Workers Compensation Case Manager in Orange. Core Responsibilities Include: Coordinating medical care telephonically for injured workers Developing a comprehensive case management plan to facilitate recovery and return to work Working with a caseload of workers compensation claimants within a defined jurisdiction Qualifications Include: Must work in the field Have an unencumbered current CA Registered Nurse Licensure CCM certification preferred or required to obtain in 2 years Excellent skills in Microsoft applications and Outlook 413836 Telecommuting Field Health Assessment Case Management Registered Nurse in Grand Rapids https://www.virtualvocations.com/job/telecommuting-field-health-assessment-case-management-registered-nurse-in-grand-rapids-414120.html A staffing company has a current position open for a Telecommuting Field Health Assessment Case Management Registered Nurse in Grand Rapids. Core Responsibilities of this position include: Collaborating effectively with an interdisciplinary team to establish an individualized plan of care for members Coordinating member visits with providers and specialists as needed Administering all provider resources through the care continuum Must meet the following requirements for consideration: Traveling to member homes & provider facilities Knowledge of Federal and State assistance programs Roughly 1-2 years' prior experience working in a field Case Management role At least 2-3 years' experience in an acute care hospital Computer savvy (MS Word & Excel) and typing skills are necessary Must be comfortable seeing members in their homes, hospice, long term care (LTC) and assisted living facilities 414120 Telecommuting Registered Nurse Clinical Care Advisor https://www.virtualvocations.com/job/telecommuting-registered-nurse-clinical-care-advisor-417972.html A healthcare company is in need of a Telecommuting Registered Nurse Clinical Care Advisor. Core Responsibilities Include: Leveraging clinical expertise and critical thinking skills to help millions achieve optimal health Performing telephonic clinical triage assessments and utilization management services Providing health education Qualifications for this position include: Able to work a variety of shifts: Morning / Mid / Evening and Include Weekends Unrestricted current RN license with the ability to become licensed in additional States as required 3+ years experience in the following areas: Emergency Nursing, Pediatrics, Home Health Care, ICU, Med/Surg. and/ or related fields dealing with patients of all ages is required 417972 Remote Prior Authorization Health Plan Registered Nurse in the Greater Atlanta Metro Area https://www.virtualvocations.com/job/remote-prior-authorization-health-plan-registered-nurse-in-the-greater-atlanta-metro-area-413632.html A healthcare consulting and recruitment firm is filling a position for a Remote Prior Authorization Health Plan Registered Nurse in the Greater Atlanta Metro Area. Candidates will be responsible for the following: Evaluating the pre-service authorization request Promoting the quality cost-effectiveness of medical care Forwarding requests to the appropriate physician or medical director with recommendations for other determinations Qualifications for this position include: Candidates must be licensed RN in Georgia, and live in the greater Atlanta metro area Must have strong skills in medical assessment / medical record review; knowledge of coding a plus Roughly 2-4 years acute care clinical nursing experience is required Computer skills to include Microsoft Word, Excel, database use, and basic data entry Around 1-2 years of recent experience in Prior Authorization or Pre-Certifications at a health plan or other managed care organization (HMO/TPA/IPA/etc) Knowledge of guidelines for Medicaid/Medicare and related state programs is required 413632 Telecommuting Clinical Home Health Supervisor https://www.virtualvocations.com/job/telecommuting-clinical-home-health-supervisor-414163.html A healthcare company has a current position open for a Telecommuting Clinical Home Health Supervisor. Core Responsibilities Include: Focusing on policy and strategy implementation for short-term results Ensuring process compliance with case handling, appropriate discharge planning, and/or case management from the acute care setting and post-acute setting Providing primary input to hiring, firing, promotion, performance and rewards decisions for direct reports Qualifications for this position include: Position is located in onsite facility (market specific) and/or remote Current unrestricted Registered Nurse licensure 5 years clinical experience with at least 3 years managed care experience 3-4 years of experience in utilization management required with history of strong performance Ability to sit at a desk 50% of the time and utilize the computer, telephone, and other office equipment Demonstrate in-depth knowledge and understanding of business unit(s) and the organization 414163 Remote Registered Nurse Utilization Manager https://www.virtualvocations.com/job/remote-registered-nurse-utilization-manager-417630.html An insurance company has an open position for a Remote Registered Nurse Utilization Manager. Core Responsibilities Include: Engaging members to support the appropriate level of care Working closely with providers to assure members are being provided the highest quality of care Reviewing proposed medical care cases for medical necessity against established CMS Coverage Guidelines Qualifications for this position include: Travel: Yes, 10 % of the Time BSN or Bachelor's degree in a related field Active RN license in the state in which the nurse practices Minimum of 2 years prior clinical experience in an acute and/or post -acute setting Proficient with computer skills particularly Excel, Word and PowerPoint Possess ability to communicate well both telephonic and face to face 417630 Telecommute Clinical Quality Registered Nurse in the Philadelphia Area https://www.virtualvocations.com/job/telecommute-clinical-quality-registered-nurse-in-the-philadelphia-area-417611.html A major healthcare company is filling a position for a Telecommute Clinical Quality Registered Nurse in the Philadelphia Area. Core Responsibilities Include: Collaborating with appropriate department to document, investigate and resolve formal or informal member complaints and appeals Reviewing and analyzing reports, records, and medical documents/charts Coordinating quality management and HEDIS related programs and activities as required Qualifications Include: Travel Yes, 25 % of the Time Clinical RN with current, unrestricted license in PA 5 years clinical experience 1 year of experience working with Grievance and Appeals 1 year working in Quality Management in managed care or in the insurance industry Experience with Medicaid and/or Medicare 417611