A global healthcare company is searching for a person to fill their position for a Remote Medicare Nurse Case Manager in Phoenix. Candidates will be responsible for the following: Determining medical history and current status. Assessing the options for optimal outcomes.
A healthcare company is filling a position for a Telecommute Associate Utilization Management Nursing Director. Must be able to: Interpreting criteria, policies, and procedures to provide the best care or services for members.
A company that provides home health benefits management services needs applicants for an opening for a Telecommute Nurse Coach II. Core Responsibilities Include: Reviewing utilization information concerning patient care. Matching those needs to available care options.
An insurance company is searching for a person to fill their position for a Remote Registered Nurse Utilization Management Nurse Consultant. Core Responsibilities Include: Communicating with providers and other parties. Gathering clinical information.
A staffing agency is in need of a Telecommute Utilization Review Nurse. Candidates will be responsible for the following: Initiating the continuum of care process for neonatal admissions. Interacting telephonically and in writing with hospital staff.
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.
A healthcare company needs applicants for an opening for a Virtual NGS Clinical Review Nurse I. Candidates will be responsible for the following: Making clinical determinations for payment supporting claims submitted to Medicare.
A health membership company has a current position open for a Telecommute Nurse Practitioner in Los Angeles. Core Responsibilities of this position include: Triage and provide care. Provide medical and wellness education. Diagnose and treat patients via our online platform.
A health insurance company has a current position open for a Remote NGS Clinical Review Nurse I. Core Responsibilities Include: Ensuring services/items billed are reasonable and necessary. Reviewing documentation and making clinical determinations for payment. Qualifications Include:
A staffing company is searching for a person to fill their position for a Remote Utilization Management Registered Nurse in Tampa. Candidates will be responsible for the following: Participating in UM program CQI activities. Conducting Utilization reviews.