A provider of claims management software has a current position open for a Telecommute Utilization 1 Senior Nurse Reviewer in Sacramento. Individual must be able to fulfill the following responsibilities: Identify and develop targeted training necessary to address quality assurance (QA) issues.
A company providing continuing education is in need of a Telecommute Nursing Education Content Quality Control Manager in Phoenix. Core Responsibilities Include: Interviewing, hiring, and managing content developers. Verifying the quality of product received from the content developers.
Experience with Quality Programs, Case Management and Utilization Management. Experience in QM, CM and UM program design, implementation. Experience in setting, communicating and implementing strategic direction. Bachelors degree. Registered Nurse with appropriate state license.
A healthcare solutions company is seeking a Telecommuting Nurse Bill Auditor. Core Responsibilities Include: Performing the breakdown of bills in preparation for audit if no breakdown provided. Auditing medical records and itemized bills to ensure billing accuracy.
Read and analyze medical information from charts, nursing notes and clinical criteria. Provide objective, first-level determinations. Applicants must meet the following qualifications: Must be certified/licensed with ABMS, AOA, or applicable (U. S. ) Medical Board in Addiction Psychiatry.
Enters clinical data into iExchange, web based application. Required Skills: A working knowledge of current standards in nursing practice, theory and the ability to read and interpret medical records. Proficiency in Microsoft Office applications and others as required.
An insurance, and medical services provider is seeking a Remote Utilization Management Nurse Consultant. Individual must be able to fulfill the following responsibilities: Coordinate all aspects of the utilization/benefit management program.
An E learning company is in need of a Telecommuting Nursing Faculty Professor in Dallas. Candidates will be responsible for the following: Working closely with editing and illustration teams to create exceptional content.
An E learning company needs applicants for an opening for a Virtual Nursing Faculty Professor in Stanford. Core Responsibilities of this position include: Validating accuracy and relevance of content generated with other team members.