A healthcare company needs applicants for an opening for a Telecommute Bilingual English and Spanish Community Transitions Registered Nurse Case Manager in El Paso. Individual must be able to fulfill the following responsibilities:
A major healthcare company is filling a position for a Telecommute Clinical Quality Registered Nurse in the Philadelphia Area. Core Responsibilities Include: Collaborating with appropriate department to document, investigate and resolve formal or informal member complaints and appeals.
An insurance company has a current position open for a Telecommute Quality Review Audit Specialist Registered Nurse in Nashville. Core Responsibilities Include: Performing staff quality audits to ensure execution in quality and clinical outcomes.
A major healthcare company has a current position open for a Telecommuting Community Transitions Registered Nurse Program Case Manager in Syracuse. Candidates will be responsible for the following: Encouraging members to make healthy lifestyle changes.
Current unrestricted Registered Nurse or Licensed Practical Nurse licensure. Minimum 5 years clinical experience with at least 3 years managed care experience. 3-4 years of experience in utilization management required with a history of strong performance.
A staffing company is filling a position for a Telecommute Appeals and Clinical Review Nurse. Candidates will be responsible for the following: Supporting health plan operations to ensure delivery of medically necessary, quality healthcare services.
A staffing company needs applicants for an opening for a Virtual Appeals and Clinical Review Registered Nurse. Core Responsibilities of this position include: Reviewing provider and member appeals of denials and flag key information prior to external review.
A leading healthcare company has a current position open for a Telecommute Telephonic Registered Nurse in the West Valley City Area. Individual must be able to fulfill the following responsibilities: Helping members telephonically with hospital discharge concerns.
A healthcare organization has a current position open for a Telecommute Inpatient Nurse Case Manager in the Glendale area. Individual must be able to fulfill the following responsibilities: Planning, implementing, and evaluating health care services. Handling complex, high acuity cases.
A healthcare company is in need of a Virtual Prior Authorization Nurse. Core Responsibilities Include: Utilizing effective communication, courtesy and professionalism in all interactions. Working with providers and participants to identify contracted providers for provision of services.