A healthcare company is seeking a Remote Utilization Management Nurse Consultant. Core Responsibilities of this position include: Coordinating, documenting, and communicating all aspects of the utilization/benefit management program.
Supporting Competency-based model by creating educational materials for nurses in transition. Developing educational content for Performance Support Tools. Reviewing and revising preliminary draft PST/PowerPoint templates. Qualifications for this position include:
Clinical software system reviews. Qualifications for this position include: At least 8 years of home health or hospice experience. Knowledge of CMS Home Health and Hospice regulation. Graduate of an approved educational program for nursing and active RN license.
Qualifications for this position include: Organize, plan and execute on-site (or phone) reviews of customers / prospects. Degree and/or experience in a clinical nursing area. BS degree or equivalent. CPHRM designation desired.
Valid driver's license and clean driving record. Excellent negotiation skills. Bachelor's degree. Minimum of 5 years' of pharmaceutical, biotech, medical selling experience, or oncology medical experience (nurse/doctor) equivalent. Excellent written and oral communication skills.
Bachelor’s degree. Minimum of 5 years’ of pharmaceutical, biotech, medical selling experience, or oncology medical experience (nurse/doctor) equivalent. Valid driver’s license and clean driving record.
Must meet the following requirements for consideration: Experience working Aged Accounts. LTC/Nursing Home Billing experience. Point Click Care EMR experience. Excellent written/verbal communication. Need to have experience in either LTC or Nursing Home Follow Up.