A healthcare company has an open position for a Telecommute Utilization Review Registered Nurse. Core Responsibilities Include: Ensuring the patient’s status is correct Performing continued stay medical necessity reviews Communicating patient status, concurrent denials and medical
An insurance company has an open position for a Virtual Medical Case Manager. Individual must be able to fulfill the following responsibilities: Provide telephonic case management on assigned workers’ compensation claims Provide coordination and evaluation of medical care to assigned
A healthcare company is in need of a Telecommute Case Manager Registered Nurse. Core Responsibilities of this position include: Applying or interpreting of applicable criteria and clinical guidelines Using a holistic approach, consulting with clinical colleagues, supervisors, medical directors
A healthcare company has an open position for a Telecommute Clinical Appeals Nurse in Nashville. Core Responsibilities Include: Presenting a concise medical summary within each appeal based on support from the medical record Composing clinical appeal letters to send to payers Updating the
A healthcare company is searching for a person to fill their position for a Virtual Prebill Denials Registered Nurse in Nashville. Candidates will be responsible for the following: Working post-discharge pre-bill accounts Evaluating clinical documentation on multiple patient accounts Performing
A healthcare services company is seeking a Telecommute Compliance Nurse in Nashville. Must be able to: Present a concise medical summary within each appeal based on support from the medical record Contact appropriate parties (internal and/or external) for additional information to properly
A healthcare company is in need of a Virtual Nurse Medical Management in the Central Region. Candidates will be responsible for the following: Conducting pre-certification, continued stay review, care coordination and discharge planning Ensuring member access to medically necessary quality
Valid Driver's License. 5 years of healthcare experience with 3 years clinical experience required. Registered Nurse with active license in the state of Tennessee. Holds a license in the state of their residence if the state is participating in the Nurse Licensure Compact Law.