A nonprofit organization that provides sexual healthcare has an open position for a Remote HealthCare Operations Senior Specialist. Must be able to: Analyze operational data to discern trends and identify areas of opportunity. Draft statistical, narrative, and/or other reports as directed.
Focus on initial inpatient admission for psychiatric and chemical dependency patients. Make patient assessments and determining appropriate levels of care. Manage inpatient mental health cases throughout the entire treatment plan. Applicants must meet the following qualifications:
Reviewing utilization information concerning patient care. Documenting all interactions, guidance and interventions in applications. Contacting referral sources to advise them of referral status. Required Skills: Registered Nurse with licensure in the state(s) of practice.
Providing services to individuals who otherwise may not have access to care. Completing any other assigned tasks. Position Requirements Include: Board Certified Psychiatric Mental Health Nurse Practitioner. Any required technology. Any applicable experience.
A healthcare technology solutions company is searching for a person to fill their position for a Telecommute Healthcare Technology Project Manager. Must be able to: Provide Project Planning Sites/Site with High Complexity. Provide Scope and Change Management. Provide Schedule Management.
A healthcare company is seeking a Telecommute Commercial Group Benefit Design Senior Product Director. Core Responsibilities Include: Owning an end to end process. Developing strategy, plans, and organizational priorities. Resolving technical, operational and organizational problems.
An insurance company has a current position open for a Remote Healthcare Economics Business Analyst Consultant. Must be able to: Analyze reporting tools utilized by the internal customer groups. Lead projects to completion. Interpret and analyze claims and membership data.
Identifying potential new standards in care that may be then added to the evidenced based library. Requesting Peer to Peer when appropriate based on a review of the case. Reviewing of customized treatment plans and clinical trials. Must meet the following requirements for consideration:
Interpret criteria, policies, and procedures to provide the best and most appropriate treatment, care or services for members. Skills and Requirements Include: Active RN license without restrictions. Previous experience in utilization management.
Reviewing, interpreting and recommending Plan of Care corrections as needed. Applicants must meet the following qualifications: Must be a Registered Nurse or DPT with home health and/or hospice experience. At least one year of coding experience.