Some travel to job related meetings and activities is required. 6 months of clinical experience. Clinical RN with current, unrestricted license in PA. 1 year working in managed care or in the insurance industry. Knowledge base of clinical standards of care, preventive health standards.
A healthcare company needs applicants for an opening for a Telecommute Clinical Appeals RN. Core Responsibilities of this position include: Overseeing Clinical Appeals and Grievances. Performing Clinical Operations Analysis. Solving moderately complex problems. Skills and Requirements Include:
A staffing agency is in need of a Telecommute Utilization Review Nurse. Candidates will be responsible for the following: Initiating the continuum of care process for neonatal admissions. Interacting telephonically and in writing with hospital staff.
Work with employers on modifications to job duties based on medical limitations. Qualifications Include: Valid driver's license required. Minimum of two (2) years full-time equivalent of direct clinical care to consumers. Diploma, Associate or bachelors degree in nursing.
A healthcare solutions company needs applicants for an opening for a Telecommute Clinical Evidence Advisor. Core Responsibilities of this position include: Being responsible for client relationships including client outreach. Managing a portfolio of health system clients.
A company that provides home health benefits management services needs applicants for an opening for a Telecommute Nurse Coach II. Core Responsibilities Include: Reviewing utilization information concerning patient care. Matching those needs to available care options.
A healthcare company has a current position open for a Telecommute RN Transition Coordinator. Candidates will be responsible for the following: Leading care transition planning process. Participating in discharge planning for Members. Providing support to care coordinators.
A health insurance and wellness company has a current position open for a Telecommute Care Management Nurse 2. Individual must be able to fulfill the following responsibilities: Manage a member's health issues. Identify and resolve barriers that hinder effective care.
A healthcare company is filling a position for a Telecommute Care Manager Registered Nurse. Must be able to: Implement effective utilization management strategies. Implement all care management reviews. Utilize outcomes data to improve ongoing care management services.
A healthcare company is searching for a person to fill their position for a Telecommute Clinical Documentation Improvement Specialist in Atlanta. Core Responsibilities of this position include: Reviewing clinical documentation. Collaborating with Coding professionals.