An insurance company is in need of a Telecommuting Inpatient Case Management Medical Director. Candidates will be responsible for the following: Supporting staff to manage inpatient care utilization at a hospital, market, regional or national level.
A for-profit health insurance company has an open position for a Telecommute Medical Director. Core Responsibilities of this position include: Providing medical interpretation and decisions about the appropriateness of services provided.
Performing accurate and timely documentation of all review activities. Must meet the following requirements for consideration: Ability to train onsite in Orange Park, Florida the first week before transitioning to remote. RN or LPN/LVN with current state licensure. Associate’s Degree.
A healthcare corporation is searching for a person to fill their position for a Telecommute Clinical Appeals Nurse in Orange Park. Candidates will be responsible for the following: Composing clinical appeal letters to send to payers for denial reconsiderations.
An insurance company is searching for a person to fill their position for a Telecommuting LTSS Case Manager in Plantation. Must be able to: Be responsible for performing telephonic or face-to-face non-clinical assessments.
Experience with Microsoft Word, with the ability to navigate a Windows environment. 5 years of experience as an RN in a clinical setting. Current, unrestricted RN license in Florida. Experience in geriatric chronic disease management.
A healthcare company is in need of a Telecommute Care Manager. Must be able to: Provide patient and provider education. Utilize assessment skills and discretionary judgment to develop plan of care based upon assessment. Assess the member's current health status. Position Requirements Include:
Planning, coordinating and monitoring Case Management activities. Position Requirements Include: Available for occasional travel within the State of Florida. Current Florida RN license. 2+ years of recent (recent within the past 3-5 years) clinical experience.
An insurance company has a current position open for a Telecommuting Post Partum Onsite Case Manager in Miramar. Core Responsibilities of this position include: Identifying potentially unnecessary services and care delivery settings, and recommend alternatives.
Current Florida RN license. 2+ years’ experience in communicating and building relationships with members/providers/employers. Experience with influencing and motivating individuals to change health behaviors. Knowledge and/or experience with population health.