A health insurance company is in need of a Remote RN Telephonic Case Manager in South Florida. Candidates will be responsible for the following: Managing a member's physical, environmental and psycho-social health issues. Identifying and resolving barriers that hinder effective care.
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 recruiting firm is searching for a person to fill their position for a Remote Lead Utilization Management Registered Nurse in the Miami Area. Candidates will be responsible for the following: Reviewing health care services Assisting with program processes for transition Providing information
Registered Nurse (RN), licensed in the state of Florida. Six years of professional human services experience. Bilingual - English, Spanish - Must be able to speak, read and write in both languages. Intermediate to advanced computer skills with Microsoft Word, Excel and Outlook.
Qualifications for this position include: Monthly onsite visits at facilities and as business needs. 3-5 years of clinical acute care experience. Licensed Registered Nurse (RN) in the stat of Florida with no disciplinary action. Comprehensive knowledge of Microsoft Office applications.
A health management solutions company has a current position open for a Remote HEDIS Medical Record Review Nurse. Candidates will be responsible for the following: Entering record review results into NCQA certified software. Contacting provider offices to establish appointment time to complete
A health and dental insurance provider has a current position open for a Telecommute Nursing Case Manager. Individual must be able to fulfill the following responsibilities: Review prior claims to address potential impact on current case management and eligibility Conduct an evaluation of
A healthcare company has a current position open for a Remote Revenue Integrity Analyst Registered Nurse in the Tampa. Candidates will be responsible for the following: Performing charge audits reviews by verifying billing data Identifying charging, coding, or clinical documentation