A healthcare company is seeking a Telecommuting Senior Case Manager Registered Nurse. Core Responsibilities of this position include: Managing network participation, care with specialty networks, care with DME providers and transfers Recommending services for Plan members Identifying
A staffing agency is searching for a person to fill their position for a Telecommute Clinical Coordinator in San Rafael. Candidates will be responsible for the following: Contacting patient by phone and/or text to assist with all aspects of adherence to chronic therapy Informing affiliates of
Associate’s Degree or higher. 2+ year’s experience in either insurance or hospital UM or appeal experience. Strong acute Utilization Review experience required. Experience with Milliman (MCG) or InterQual. RN licensure- Licensed to work California and Nevada payors.
Position Requirements Include: Certified by the Board of Nursing and has an active California license to practice. Minimum of 5 years primary care and comfortable with differential diagnosis. A caring and compassionate person who loves helping others.
A healthcare company is searching for a person to fill their position for a Telecommuting Pain Management Care Manager in San Diego. Core Responsibilities of this position include: Completing relevant screening and assessment tools to determine member readiness Managing case load, including risk
A software company is seeking a Telecommute Utilization 3 Nurse Reviewer. Core Responsibilities Include: Facilitating communication of quality determinations verbally and/or in writing with required parties Using evidence-based, nationally recognized treatment protocols and accesses physician