A healthcare company is filling a position for a Telecommute Associate Utilization Management Nursing Director. Must be able to: Interpreting criteria, policies, and procedures to provide the best care or services for members Coordinating and communicating with teams and providers to facilitate
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 healthcare company has a current position open for a Telecommute Bilingual Telephonic Clinic Registered Nurse in San Antonio. Must be able to: Place needs of the patient first at all times Communicate with other Team Members and transfer calls accordingly Engage in real time clinical record
A healthcare company is in need of a Remote Obstetrics Case Management Associate. Core Responsibilities of this position include: Contributing to the case management process Assisting members with scheduling appointments and locating physicians Assisting in determining the physical and mental
Licensed Registered Nurse (RN) or Licensed Practical Nurse in the State of Texas with no disciplinary action. 3-5 years of varied clinical nursing experience. Prior utilization management experience. Prior clinical experience preferably in a skilled or rehabilitation clinical setting.
Highly qualified and certified to teach Secondary Science in Texas. Must hold or being willing to immediately obtain TxVSN Certification. Excellent communication skills, both oral and written. Ability to work some occasional evening hours, as needed to support some families.