Manage a member's health issues. Identify and resolve barriers that hinder effective care. Ensure patient is progressing towards desired outcomes. Required Skills: Associate and/or Bachelor's degree in Nursing. 3-5 years of clinical acute care experience.
A health insurance company needs applicants for an opening for a Telecommute Compliance and Auditing Nurse. Individual must be able to fulfill the following responsibilities: Review utilization management activities. Ensure adherence to policies, procedures, and regulations.
Minimum of a Bachelor's degree. Must possess an active, unrestricted Certified Diabetes Educator (CDE) certification. 5+ years of experience of direct adult diabetes care (not including training) A strong commitment to participant privacy. Must reside in the state of Kentucky.
Minimum Education: Bachelor's degree. 5+ years of experience of direct adult diabetes care. Must possess an active, unrestricted Certified Diabetes Educator (CDE) certification. A strong commitment to participant privacy. Other requirements as outlined in the job description.
The ability the translate face-to-face interactions to the digital world. A strong commitment to participant privacy. Minimum Education: Bachelor's degree. 5+ years of experience of direct adult diabetes care. Must possess an active, unrestricted Certified Diabetes Educator (CDE) certification.
Applicants must meet the following qualifications: High School Diploma. 2-3 years of technical experience. Knowledge of Microsoft Word, Excel and Outlook. Administration support experience in a healthcare industry. Familiarity with care and well-being resources.
A provider of online behavioral health services has an open position for a Telecommute Licensed Substance Abuse Clinician. Core Responsibilities Include: Completing and maintaining accurate records. Providing a full-range of supportive SUD services.
A health insurance company is seeking a Remote Senior Pharmacy Claims Professional in Louisville. Must be able to: Make direct phone calls to pharmacies in network to perform financial recoveries. Provide support on a claim level for the pharmacies with outstanding balances.
A healthcare technology company has a current position open for a Telecommute HEDIS Manager. Core Responsibilities of this position include: Ensuring assigned Measure outcomes meets quality expectations. Acting as the Subject Matter Expert (SME) in development of the content.
A health and dental insurance provider needs applicants for an opening for a Telecommute Behavioral Health Network Manager. Candidates will be responsible for the following: Performing provider orientation. Supporting high value behavioral health initiative activities.