A health insurance company is searching for a person to fill their position for a Telecommute Behavioral HealthCare Manager. Core Responsibilities of this position include: Referring cases to Peer Reviewers as appropriate.
A healthcare provider and insurer is in need of a Telecommute Risk Control Safety Health Consultant in Central Pennsylvania. Core Responsibilities of this position include: Conducting research for underwriters or clients.
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:
A healthcare company is searching for a person to fill their position for a Remote Senior RCM Claims Representative in Minneapolis. Core Responsibilities Include: Making appropriate referrals. Utilizing tools, including computer programs, when indicated.
A managed care services provider is searching for a person to fill their position for a Telecommute Quality Practice Advisor in Paducah. Candidates will be responsible for the following: Developing, enhancing and maintaining provider clinical relationship across product lines.
Must be able to: Enhance medical appropriateness and quality of care. Incorporate the use of motivational interviewing with patients. Identify and escalate quality of care issues. Applicants must meet the following qualifications: 2 week training period in the New Albany, Ohio office.
Current, unrestricted RN license in the state of Florida. 3 years of experience in a hospital, acute care or direct care setting. Ability to handle multiple tasks and function in a high volume environment. Intermediate / proficient level of experience with MS Office applications.
Candidates will be responsible for the following: Engaging Post-Acute Care patients in the program. Administering initial assessments. Reviewing utilization information concerning patient care. Qualifications Include: Registered Nurse with licensure in the state(s) of practice required.
Interpreting appropriateness of care. Conducting clinical assessment to develop goals. Monitoring and evaluating effectiveness of care. Qualifications Include: AS in nursing or equivalent experience. 3 years of acute care clinical experience.
A healthcare provider and insurer is searching for a person to fill their position for a Remote Clinical Prevention Nursing Specialist. Core Responsibilities of this position include: Preparing high quality professional written consultation and service documentation.