Overseeing initial inpatient admission for psychiatric and chemical dependency patients. Making patient assessments and determine appropriate levels of care. Obtaining information from providers on outpatient requests for treatment. Qualifications for this position include:
Clinical licenses must be active and unrestricted. 5 years of experience in a related mental health environment. 1+ year experience in a Managed Care environment (MCO) Proficient level of experience with MS Word and Excel, with the ability to type and navigate a Windows environment.
A major healthcare company needs applicants for an opening for a Telecommuting Provider Relations Advocate in Phoenix. Core Responsibilities of this position include: Assisting in end-to-end provider claims and help enhance call quality.
Research, identify, and implement new approaches and methods to improve the quality and cost of care. Applicants must meet the following qualifications: Bachelor's degree (preferably in Economics, Business, Statistical, Mathematical, Health or related field) 5+ years data analytics.
A major healthcare company is filling a position for a Telecommuting Healthcare Advocate. Individual must be able to fulfill the following responsibilities: Accurately manage multiple technology systems simultaneously.
A major healthcare company has an open position for a Telecommuting Utilization Management Registered Nurse. Must be able to: Perform utilization and concurrent review of inpatient and outpatient cases. Initiate a discharge planning and readmission prevention plan.
A healthcare company is filling a position for a Telecommute Preservice Review Licensed Practical Nurse. Core Responsibilities Include: Playing a key role in strategic reduction of missed shifts for private duty nursing cases. Tracking monthly reports.
A healthcare and health insurance company is seeking a Telecommute Senior Healthcare Investigator. Must be able to: Act as a subject matter with identifying, communicating and recovering losses as deemed appropriate. Respond to requests for information and subpoenas from governmental agencies.
2+ years of experience with network data management in a managed care environment. 2+ years of experience in provider data analysis. 2+ years experience with claims processing or resolution and medical coding. 1+ years of experience working with reporting tools and generating effective reports.
A healthcare company is searching for a person to fill their position for a Telecommute Concept Research Quality Lead. Candidates will be responsible for the following: Evaluating and monitoring all analyst documentation. Ensuring top opportunities are accurately being tracked on a daily basis.