A healthcare company is searching for a person to fill their position for a Telecommuting Call Center Registered Nurse in Kingston. Core Responsibilities Include: Coordinating care for members ranging from low acuity to catastrophic.
A healthcare and health insurance company has a current position open for a Telecommuting Utilization Management Licensed Practical Nurse. Core Responsibilities Include: Participate in fair hearings including preparation of justification and evaluation of service determination.
An insurance company has an open position for a Remote Registered Nurse Utilization Manager. Core Responsibilities Include: Engaging members to support the appropriate level of care. Working closely with providers to assure members are being provided the highest quality of care.
A healthcare company is filling a position for a Telecommuting Utilization Management Registered Nurse. Candidates will be responsible for the following: Recommending services for plan members utilizing care alternatives available within the community and nationally.
Ability to travel 5% of the time. Registered Nurse license in the state of Florida and ability to obtain multiple state licenses without restrictions. Ability to read, write and speak proficiently in both English and Spanish. Clinical experience in adult acute care environment.
Required Skills: Travel expected 5% of the time. Registered Nurse license in the state of Florida and ability to obtain multiple state licenses without restrictions. Case Management Experience. Clinical experience in adult acute care environment.
Required Skills: Travel expected 5% of the time. Bachelor’s degree in Business, Nursing, or a related field. Audit and/or process improvement experience. Expertise of regulations governing the health care industry (Medicare, Medicaid, NCQA) Excellent facilitation skills.
A healthcare company is seeking a Telecommute Appeals Nurse Consultant. Individual must be able to fulfill the following responsibilities: Reviewing and resolving clinical documentation, clinical complaints and appeals.
Identifying ways to leverage risk expertise & industry knowledge to provide a marketing advantage. Position Requirements Include: Degree and/or experience in a clinical nursing area. BS degree or equivalent. CPHRM designation desired. Quality Training a plus.
Bachelor's Degree, preferably in life science or nursing, Statistics or Computer Science or equivalent. Minimum 5 years relevant data management experience. Rave or Inform Experience. Proven data management skills. Excellent verbal and communication skills.