Performing clinical and service measurement and improvement and quality of care investigations. Qualifications Include: Percent of Travel Required 0 - 10% 5 to 7 years clinical and/or managed care experience in the healthcare industry and quality management.
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:
Make patient assessments and determine appropriate levels of care. Administer benefits, review treatment plans, and coordinate transitions between various areas of care. Must meet the following requirements for consideration:
Must be able to: Review clinical assessments and determining appropriate levels of care. Determine if additional clinical services are needed. Coordinate benefits and transitions between various areas of care. Qualifications Include:
Performing concurrent reviews for inpatient and/or outpatient care. Qualifications for this position include: Minimum 2 years experience post degree in healthcare, behavioral health, psychiatric and/or substance abuse health care.
One of the most diversified healthcare companies needs applicants for an opening for a Telecommuting 3rd Shift Licensed Mental Health Care Advocate. Core Responsibilities of this position include: Obtaining information from providers on outpatient requests for treatment.
Graduate of an accredited school of nursing. Active unrestricted RN license in the State of Arizona. Clinical experience in medical/surgical or specialty care. Knowledge of managed care delivery systems. Knowledge of quality improvement.
A managed care company has a current position open for a Telecommute RN Transition Care Coach in the Spartanburg Area. Individual must be able to fulfill the following responsibilities: Coordinate care and reassess member's needs.
Providing site of service solutions to patients seeking care at non-preferred treatment sites. Providing member with resources to optimize their treatment outcomes. Supporting clinical services such as the appeals program. Skills and Requirements Include: Bachelors: Nursing (Required)
A staffing agency is seeking a Telecommute Senior Health Actuary. Core Responsibilities of this position include: Leading pricing, valuation, and model development for commercial health products. Providing strategic actuarial advice to senior leadership.