Individual must be able to fulfill the following responsibilities: Utilize clinical nursing skills to support the coordination, documentation and communication of medical services. Work assignments are varied and frequently require interpretation and independent determination.
A healthcare provider has an open position for a Telecommute Utilization Review Nurse in Tallahassee. Individual must be able to fulfill the following responsibilities: Provide clinical information to patient Insurance Plans to receive authorization / certification.
A provider of financial and information management services needs applicants for an opening for a Telecommute Registered Nurse Auditor. Candidates will be responsible for the following: Reviewing the Client-Hospitals third-party audit policy and apply the policy while performing the work.
A medical review company is in need of a Remote Claims Quality Analyst Nurse. Must be able to: Review reports accompanying medical records. Work with a sense of urgency and meet deadlines. Ensure clarity of information and to ensure all questions posed have been addressed.
An information technology is filling a position for a Telecommute Nurse Reviewer in Grove City. Core Responsibilities Include: Reviewing and analyzing sampled Medicare claims. Applying the interpretation of ANSI Reason Codes. Providing electronic documentation of findings.
Graduate of an accredited school of nursing. Bachelors degree or equivalent experience. 3-5 years of management experience and exceptional leadership abilities required. Experience in the insurance, workers compensation, or related healthcare industries required.
Skills and Requirements Include: Moderate travel. Current, unencumbered license to practice as a Registered Nurse in state of residence. Five (5+) years’ home health or hospice experience. Knowledge of CMS billing compliance guidelines and CMS regulations.
Required MSN in Nursing Leadership and Management. Or, “BSN to DNP” with focus in Leadership and Management/Administration. Have a current and active unencumbered nursing license. 3-5+ years of work experience in Leadership, Administration and/or Management in Nursing.