A provider of claims management software has a current position open for a Telecommute Utilization 1 Senior Nurse Reviewer in Sacramento. Individual must be able to fulfill the following responsibilities: Identify and develop targeted training necessary to address quality assurance (QA)
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.
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)
Qualifications Include: Valid Driver’s License and California Auto Insurance. California Registered Nurse license. 2+ years clinical nursing experience. Workers’s Compensation Case Management experience or fluent in Spanish. Ability to use Microsoft Word and Excel efficiently.
A staffing agency has an open position for a Telecommute Senior Clinical Data Manager in South San Francisco. Core Responsibilities of this position include: Serving as the data management subject matter expert on multidisciplinary clinical project teams Performing user acceptance testing on
A biopharmaceutical company has a current position open for a Telecommute Asset Project Manager Director. Core Responsibilities Include: Asset Program Development, Strategy, and Planning Project Planning Project Execution and Delivery Must meet the following requirements for
A staffing agency is in need of a Virtual Clinical Data Reviewer in Westlake Village,. Individual must be able to fulfill the following responsibilities: Assisting in reviewing and issuing queries to ensure high quality data Proactively working with CROs to organize on-going data review
A healthcare company is seeking a Remote Nurse Care Manager I or II. Must be able to: Ensure medically appropriate, high-quality, cost-effective care through assessing the medical necessity of inpatient admissions and extensions Partner with physician clinical reviewers and/or medical directors
Associate’s Degree or higher. 2+ year’s experience in either insurance or hospital UM or appeal experience. Strong acute Utilization Review experience. Experience with Milliman (MCG) or InterQual. RN licensure- Licensed to work California and Nevada payors.
A staffing agency is in need of a Telecommuting PMO Manager in Santa Clara. Individual must be able to fulfill the following responsibilities: Lead a team of project managers Perform resource management Coach, mentor and develop their team of project/program managers Required Skills: 1 day