2+ years of acute hospital clinical experience. 4+ years of utilization management experience. Current RN license in NewYork and any other compact states. Knowledge of current standard of medical practices and insurance benefits. Familiarity with Milliman and InterQual guidelines.
A health insurance and wellness company has a current position open for a Telecommute Care Management Nurse 2. Individual must be able to fulfill the following responsibilities: Manage a member's health issues. Identify and resolve barriers that hinder effective care.
Scheduling new patient appointments. Skills and Requirements Include: Must live locally to attend trainings and meetings. High School Diploma or equivalent. Ability to manage high call volume. Must have a designated home office space. Desire to exceed customer service expectations.
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.
MBA or other master’s in business/economics or equivalent experience. 5 years’ experience as a business analyst or market research manager i. Ability to analyze policies and identify opportunities. Strong communication skills. Other requirements as outlined in the job description.
A healthcare company is filling a position for a Telecommute Clinical Services Assistant II in Latham. Core Responsibilities Include: Recording and managing member inquiries. Reviewing work queues daily as needed. Making survey calls to members and records responses.
A staffing agency has a current position open for a Telecommute Clinical Development Associate Director in NewYork City. Core Responsibilities Include: Managing and overseeing site monitoring deliverables. Providing leadership and content expertise.
A recruiting company is seeking a Telecommuting Inpatient Coder in NewYork City. Must be able to: Ensure all CC and MCC are captured during coding process. Maintain a 95% accuracy rate while meeting the facility productivity standards.
A healthcare company has a current position open for a Telecommute Provider Quality Manager in Latham. Individual must be able to fulfill the following responsibilities: Implementing regionally based strategies. Collaborating with network providers and company stakeholders.
A staffing company is searching for a person to fill their position for a Telecommute Oncology Clinical Project Manager. Candidates will be responsible for the following: Being part of a pivotal part of the company's growth. Providing the chance to be a part of something ground breaking.