2+ years of acute hospital clinical experience. 4+ years of utilization management experience. Current RN license in Arizona and any other compact states. Knowledge of current standard of medical practices and insurance benefits. Familiarity with Milliman and InterQual guidelines.
A healthcare company has an open position for a Remote Clinical Appeals Registered Nurse. Individual must be able to fulfill the following responsibilities: Review provider post-service appeals for Medicare and Retirement Gather clinical information including medical records and coverage
An insurance company is searching for a person to fill their position for a Remote Utilization Management Registered Nurse Consultant. Candidates will be responsible for the following: Utilizing clinical experience and skills in a collaborative process Supporting a clinical call center
A healthcare company is filling a position for a Telecommute Associate Utilization Management Nursing Director. Must be able to: Interpreting criteria, policies, and procedures to provide the best care or services for members Coordinating and communicating with teams and providers to facilitate
Position Requirements Include: Travel Occasionally, if required. Work Saturdays. Live within the Mountain Time zone or be a New Mexico, Colorado or Arizona resident. Have active RN license in New Mexico, or able to be licensed in NM, and ability to be licensed in multiple states.
A health benefits management services company is filling a position for a Remote Nurse Liaison Manager. Core Responsibilities of this position include: Assisting Product Portfolio Management team in defining operational process Assignbing tasks and responsibilities to appropriate team
A healthcare marketing company is seeking a Remote Clinical Contact Nurse Specialist in Salt Lake City. Must be able to: Call leads to convince them to take action and schedule and attend an appointment with one of our partner doctors Contact people who have requested information and typically
A healthcare company is filling a position for a Telecommute Clinical Operations Support Specialist in Orlando. Must be able to: Ensure knowledge transfer and best-practice sharing to sites Communicate processes, policies, and corporate vision effectively Provide consultative guidance and
A healthcare company is searching for a person to fill their position for a Telecommute Clinical Documentation Improvement Specialist in Atlanta. Core Responsibilities of this position include: Reviewing clinical documentation Collaborating with Coding professionals Educating patient care
A company that provides home health benefits management services is filling a position for a Telecommute Nurse Coach. Candidates will be responsible for the following: Engaging Post-Acute Care patients in the program Administering initial assessments Reviewing utilization information concerning