A health management company is seeking a Telecommute Care Delivery Director. Core Responsibilities of this position include: Supervising case management departmental activities. Acting as a client facing clinical subject matter expert.
Manage network participation, care with specialty networks, care with providers and transfers to alternative levels of care. Examine clinical programs information to identify members for specific case management. Qualifications Include:
Identifying and escalating quality of care issues through established channels. Promoting lifestyle/behavior changes to achieve optimum level of health. Helping member actively participate with their provider in healthcare decision-making. Qualifications Include:
Making patient assessments and determining appropriate levels of care. Obtaining information from providers on outpatient requests for treatment. Determining if additional clinical treatment sessions are needed. Must meet the following requirements for consideration:
3 or more years in case, disease or utilization management; managed care; or medical/behavioral health settings. Active, unrestricted State Clinical Social Worker license in good standing. Proficient in MS/Word, Excel, PowerPoint.
A major healthcare company is filling a position for a Telecommuting Healthcare Advocate. Individual must be able to fulfill the following responsibilities: Accurately manage multiple technology systems simultaneously.
A major healthcare company has an open position for a Telecommuting Utilization Management Registered Nurse. Must be able to: Perform utilization and concurrent review of inpatient and outpatient cases. Initiate a discharge planning and readmission prevention plan.
Must possess a valid Drivers License. Bachelor's Degree or equivalent combination of education and work experience. 7+ years relevant experience. Experience in loss control required. Business, engineering, occupational health, safety or insurance or related field.
A healthcare company is filling a position for a Telecommute Preservice Review Licensed Practical Nurse. Core Responsibilities Include: Playing a key role in strategic reduction of missed shifts for private duty nursing cases. Tracking monthly reports.
A healthcare and health insurance company is seeking a Telecommute Senior Healthcare Investigator. Must be able to: Act as a subject matter with identifying, communicating and recovering losses as deemed appropriate. Respond to requests for information and subpoenas from governmental agencies.