Interpreting criteria, policies, and procedures to provide the best care or services for members. Coordinating and communicating with teams and providers to facilitate optimal care and treatment. Identifying and resolving complex technical and operational problems within department(s)
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.
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.
Travel 25 % of the Time. Undergraduate/ Graduate Degree. Awareness of Trauma Informed Care Philosophy. 5+ years of direct people management or team lead experience. Experience in developing, managing and enhancing relationships. Proficiency in MS Office.
A behavioral health hospitalist is in need of a Remote Psychiatrist. Must be able to: Provide services remotely. Complete any other assigned tasks. Position Requirements Include: Nevada MD License. Inpatient experience within the last 2 years. BC PSYCHIATRIST. Nevada DEA.
3+ years of experience providing coding services for a broad range of hospital and acute care facilities. Ability to achieve an acceptable accuracy rate on the coding test. Ability to work effectively with common office software and coding software and abstracting systems.