A healthcare company is in need of a Telecommute Case Manager Registered Nurse in Toledo. Candidates will be responsible for the following: Identifying and escalating quality of care issues through established channels. Promoting lifestyle/behavior changes to achieve optimum level of health.
High School Diploma/GED. 2 years of prior medical/healthcare experience from one or more of the following: nursing, hospital, clinic, healthcare insurance, ER, EMT, long-term care or telephonic healthcare consulting. 1 years of telephonic customer service experience.
A staffing and recruiting firm is searching for a person to fill their position for a Telecommuting Hospital Billing Nurse Auditor in Boston. Core Responsibilities of this position include: Identifying any discrepancies between the submitted hospital bill and the medical records.
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.
Position is located in onsite facility (market specific) and/or remote. Current unrestricted Registered Nurse licensure. 5 years clinical experience with at least 3 years managed care experience. 3-4 years of experience in utilization management required with history of strong performance.
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.
A healthcare company is filling a position for a Telecommuting Case Manager Registered Nurse in Cincinnati. Candidates will be responsible for the following: Conducting comprehensive assessments of referred members needs/eligibility.
Valid drivers license and clean driving record required. Minimum five (5) years of pharmaceutical, biotech, medical selling experience or oncology medical experience (nurse/doctor) equivalent. Bachelor's Degree. Excellent negotiation skills.
Doctoral degree in nursing (or related field), from a regionally accredited institution. Minimum of 5 years nursing education experience including didactic and clinical, broad clinical nursing experience. At least 3 years' experience teaching in an online environment required.
Minimum of 5 years recent acute care experience with the last 2 years in a facility environment. Must possess a valid nursing license (Registered or Practical/Vocational) Minimum of 2 years UR/Case Management experience within the last 2 years.