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
Qualifications Include: Current, unrestricted license in the state of Washington as a registered nurse (RN) required. Case Manager certification desired. Minimum of one (1) year experience as a case manager in a health plan or Accountable Care Organization (ACO) or other comparable required.
Current, unrestricted RN license in the state of Washington. Reliable transportation to travel to member homes. 3+ years clinical experience in a hospital or similar. Ability to obtain CCM certification within 30 months of employment. Other requirements as outlined in the job description.
An insurance company is searching for a person to fill their position for a Remote Telephonic Utilization Management Registered Nurse. Individual must be able to fulfill the following responsibilities: Conducting admission review, post-discharge calls and discharge planning Identifying
A healthcare staffing firm has a current position open for a Telecommute Healthcare Case Manager. Candidates will be responsible for the following: Assessing the member’s current health status, resource utilization, past and present treatment plan and services Coordinating services between