A health insurance company has a current position open for a Remote Utilization Management Nurse Consultant in the Sunrise Area. Must be able to: Identify members for referral opportunities. Consult and lend expertise to other internal and external constituents.
An insurance company has an open position for a Telecommute Registered Nurse Case Manager in New Albany. Core Responsibilities of this position include: Assessing benefits and/or members needs. Ensuring appropriate administration of benefits. Identifying and escalating quality of care issues.
Bachelor’s degree in registered nursing or equivalent experience. Active RN license unrestricted in West Virginia. 1+ Years’ Experience with Health and Wellness Initiatives. Proficiency with MS Office applications. Data analysis background and report interpretation capabilities.
Attend and actively participate in contracted health plan meetings. Current RN License, BSN preferred. 8+ years of clinical practice in a hospital, clinic, home care, or nursing home setting. 4-5 years of increasing supervisory or management experience in a health care setting.
A hospital and healthcare system company needs applicants for an opening for a Remote Denial Resource Center Clinical Appeals Registered Nurse in Dallas. Individual must be able to fulfill the following responsibilities: Managing denials from all payors.
A staffing and recruiting firm is seeking a Remote Registered Nurse Case Manager in the Tampa Area. Individual must be able to fulfill the following responsibilities: Conduct Utilization review. Perform telephonic program goals and objectives in health care cost containment.
Working consistently with all medical issues for geriatric nursing home population. Partnering with Physicians to login through video conference to work with the PAs. Position Requirements Include: Ability to attend occasional onsite training sessions. New York State PA license.
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.
An insurance company is searching for a person to fill their position for a Remote Workers Compensation Nurse Case Manager. Core Responsibilities of this position include: Managing and evaluating medical services and return to work options.
A major healthcare company is seeking a Telecommute Call Center Nurse in the Sharonville Area. Must be able to: Manage utilization through education. Empower consumers with skills to enhance their interaction with their provider. Assess and triage immediate health concerns.