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
Must be board-certified in good standing. Active Utah license. Willing and eligible to apply for licensure in all 50 states. Ability to be credentialed with Medicaid or other payers. Comfort prescribing both birth control and Truvada for PrEP. Skilled at using online tools and technology.
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