Supporting members with medication reviews and connections to services. Applicants must meet the following qualifications: Ability to travel throughout Monroe County/Rochester and surrounding boroughs. Current, unrestricted RN license for the state of New York. 4+ years clinical experience.
Providing individuals with information about choices of services and supports in the community. Maintaining confidentially as related to patient information. Following the acceptable use policy while using any information systems. Skills and Requirements Include:
Providing case management services to injured employees on behalf of carriers. Facilitating communication with third party payers, providers, injured employees and employers to reduce disability costs. Skills and Requirements Include:
Monitoring the provision of services as outlined in the Individual Care Plan (ICP) and achievement of desired outcomes. Acting as the primary point of contact for members. Applicants must meet the following qualifications: Travel throughout the region for home visits and to work with providers.
A provider of dialysis services has a current position open for a Telecommute Legal Risk Coordinator. Must be able to: Triage incoming calls from our teammates in the Field. Handle lower level risk issues such as grievances and behavioral management.
A healthcare company is searching for a person to fill their position for a Telecommute Long Term Services and Support Service Coordinator and Clinician in Roanoke. Core Responsibilities of this position include: Assisting the responsible RN with telephonic or face-to-face assessments.
An education service needs applicants for an opening for a Telecommuting Nursing Instructor NCLEX. Individual must be able to fulfill the following responsibilities: Maintain high energy level and ability to engage students to ensure an excellent student experience.
Individual must be able to fulfill the following responsibilities: Answering a diverse and high volume of health insurance related customer calls or correspondence on a daily basis. Maintaining complete and accurate records per department policy.
Work independently to manage a caseload of individuals covering several counties. Must meet the following requirements for consideration: Possible field travel to client sites. Active license as RN, LSW, or LISW. 12 months experience in home and community based services within the past 5 years.
Reviewing requests for prior authorization of medical services. Reviewing provider requests to ensure medical necessity for services requiring preauthorization. Utilizing nationally recognized criteria to determine medical necessity of services requested.