A health insurance company needs applicants for an opening for a Telecommute Compliance and Auditing Nurse. Individual must be able to fulfill the following responsibilities: Review utilization management activities. Ensure adherence to policies, procedures, and regulations.
Bachelor's in Nursing or equivalent (RN / MSN / CRNA); current nursing license. 4 years in-depth knowledge of the critical care environment. Expertise in invasive hemodynamic monitoring. High comfort level with technology and nursing informatics concepts.
An insurance company is seeking a Telecommute Clinical Quality Registered Nurse in the Pittsburgh Area. Core Responsibilities Include: Preparing reports and records on work function activities and projects. Reviewing and analyzing reports, records, and medical documents/charts.
Applicants must meet the following qualifications: 5 years working with continuous quality improvement processes. 5 years interpreting regulations and assessing plan impact. 5 years in Leadership. Bachelor's Degree in Nursing or Public health-related field.
A healthcare technology solutions company has an open position for a Telecommute Nurse Auditor 2. Must be able to: Ensure accuracy of chart audits. Ensure audits are completed timely and accurately. Observe and report opportunities for new business. Position Requirements Include:
A staffing company is filling a position for a Telecommute Quality Nurse Analyst in Jennings. Candidates will be responsible for the following: Performing and maintaining accurate computer case records. Drawing on a wide range of clinical expertise to edit/provide credible case narratives.
A staffing agency is in need of a Remote Utilization Management Nurse Supervisor. Must be able to: Compile data for productivity reports on a weekly basis to support staffing decisions and quality metrics. Monitor daily UM reports and identify any potential issues. Conduct quality reviews.
A non profit health insurance company has an open position for a Telecommute Appeals Registered Nurse in Madison. Individual must be able to fulfill the following responsibilities: Answering questions regarding medical topics and CMS policy during hearings.
Must be a Registered Nurse or Licensed Clinical Social Worker. 5 years of progressive leadership responsibility. Successful management experience. Thorough and solid knowledge of health care. Experience with Accountable Care Organizations, Medicaid, Medicare and Commercial populations.