2+ years of acute hospital clinical experience. 4+ years of utilization management experience. Current RN license in NewYork and any other compact states. Knowledge of current standard of medical practices and insurance benefits. Familiarity with Milliman and InterQual guidelines.
A healthcare risk management service provider is seeking a Remote Telephonic Case Manager Registered Nurse. Core Responsibilities of this position include: Developing a comprehensive case management plan Coordinating medical care telephonically Working with Insurance carriers, Employers,
A healthcare company is filling a position for a Telecommute Clinical Services Assistant II in Latham. Core Responsibilities Include: Recording and managing member inquiries Reviewing work queues daily as needed Making survey calls to members and records responses Skills and Requirements
Required Skills: Registered Nurse with current, valid NewYork state licensure. Ability to effectively manage a minimum caseload of 35 files. Ability to demonstrate accuracy and thoroughness. Proficient computer skills, including Microsoft Office programs.
Master’s Degree in a Nurse Practitioner Program. Current license to practice as a Registered Professional Nurse and a Nurse Practitioner in NewYork State. National Board Certification in Acute Care, Adult, Family, and/or Geriatrics. DEA certificate or in the process of obtaining.
A healthcare company needs applicants for an opening for a Remote CNS Care Manager in Latham. Core Responsibilities Include: Providing telephonic assessments, referrals and counseling Providing appropriate referrals for treatment based in assessment of information gathered Giving referral