Telecommuting Nurse Jobs - VirtualVocations.com https://www.virtualvocations.com/ VirtualVocations offers a unique service to those who are looking for high quality, credible, work from home positions. Telecommute Graduate Nursing Leadership and Management Evaluator https://www.virtualvocations.com/job/telecommute-graduate-nursing-leadership-and-management-evaluator-461786.html A university is in need of a Telecommute Graduate Nursing Leadership and Management Evaluator. Core Responsibilities of this position include: Reviewing student assessment submissions in a fair and unbiased manner Determining if competency has been demonstrated in a specific course Acting independently in completing performance assessment evaluations Qualifications Include: MSN in Nursing Leadership and Management or “BSN to DNP” with focus in Leadership and Management/Administration Terminal degree required 3-5 years of work experience in Leadership, Administration and/or Management in Nursing A current and active unencumbered nursing license 461786 Telecommute Clinical DRG Auditor https://www.virtualvocations.com/job/telecommute-clinical-drg-auditor-461556.html A health care business services company needs applicants for an opening for a Telecommute Clinical DRG Auditor. Core Responsibilities of this position include: Reviewing medical information to ensure appropriate billing of data Following up on concerns raised by nurse and physician reviewers Offering quality improvement suggestions on project protocols and processes Required Skills: May be required to travel at least 10% of time based on business needs Current/Active RN license Associates degree in Nursing 3-5 years of general nursing experience 461556 Telecommute Utilization Review RN Case Manager in Dallas https://www.virtualvocations.com/job/telecommute-utilization-review-rn-case-manager-in-dallas-462260.html A healthcare provider is searching for a person to fill their position for a Telecommute Utilization Review RN Case Manager in Dallas. Individual must be able to fulfill the following responsibilities: Perform initial, concurrent, discharge and retrospective reviews on all patients Review current charts for appropriateness and correct admission status Facilitate peer to peer appeal for concurrent denials Qualifications for this position include: Bachelor’s Degree or Equivalent Experience 3+ years clinical nursing experience Registered Nurse (RN) Ability to analyze documentation of clinical care Excellent written and verbal communication skills; is a critical thinker and has excellent time management skills All other requirements necessary for this position 462260 Telecommute Clinical Coverage Review Medical Director https://www.virtualvocations.com/job/telecommute-clinical-coverage-review-medical-director-462515.html A healthcare company is searching for a person to fill their position for a Telecommute Clinical Coverage Review Medical Director. Core Responsibilities Include: Conducting coverage review based on individual member plans Daily clinical review and evaluation of all service requests Providing support for CCR nurses and non clinical staff Applicants must meet the following qualifications: Active, unrestricted physician license Current board certification in ABMS or AOA specialty 5+ years of post-residency clinical practice experience 5+ years experience in utilization and coverage review Substantial experience in using electronic clinical systems Solid PC skills (MS Word, Outlook, Excel, etc) 462515 Telecommute Addiction Psychiatry Medical Reviewer https://www.virtualvocations.com/job/telecommute-addiction-psychiatry-medical-reviewer-443601.html A medical peer review company has an open position for a Telecommute Addiction Psychiatry Medical Reviewer. Must be able to: Perform utilization reviews for various types of procedures and medications 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 Must be in Active Practice (treating patients for at least 8 hours per week) Must have a minimum of 5 years Active Practice experience post Medical School graduation Current active and unrestricted (without sanctions) Medical License Must type at least 30-40 words per minute – accurately Strong writing skills, computer literacy, including word processing, web applications and email 443601 Remote Utilization Management Nurse Consultant https://www.virtualvocations.com/job/remote-utilization-management-nurse-consultant-450963.html 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 Implement and support Health Strategies, tactics, policies and programs Implement and assess options to facilitate appropriate healthcare services Must meet the following requirements for consideration: 3+ years of clinical experience required RN licensure Associate's degree or equivalent experience 1+ Years Medical Management Hospital experience 1+ Years Nursing/Concurrent Review/discharge planning experience 450963 Virtual Utilization Management and Clinical Review Registered Nurse https://www.virtualvocations.com/job/virtual-utilization-management-and-clinical-review-registered-nurse-451768.html A medical billing company has an open position for a Virtual Utilization Management and Clinical Review Registered Nurse. Individual must be able to fulfill the following responsibilities: Work collaboratively with interdisciplinary and healthcare team members Facilitate patient care through effective utilization of healthcare resources Coordinate care and services through the acute care episode Position Requirements Include: Graduate of approved accredited nursing program Current license to practice as a Registered Professional Nurse Prior experience in position applying for Must be familiar with various technologies Must be comfortable with, but not limited to: Excel, web-browsers, and email Other requirements as outlined in the job description 451768 Telecommuting Credentialing Coordinator in Austin https://www.virtualvocations.com/job/telecommuting-credentialing-coordinator-in-austin-452376.html A telehealth company has an open position for a Telecommuting Credentialing Coordinator in Austin. Core Responsibilities of this position include: Managing licensing and credentialing requests Owning and maintaining credentialing and re-credentialing process Preparing and maintaining doctor and nurse practitioner credentialing files Must meet the following requirements for consideration: Associates degree 2-4 years credentialing experience Ability to seamlessly answer the phone while writing emails Ability to respond to all communications on the same day you receive them Orderly, thorough, and accurate when completing paperwork Other requirements as outlined in the job description 452376 Telecommuting Benefit and Issue Resolution Clinical Liaison in Tampa https://www.virtualvocations.com/job/telecommuting-benefit-and-issue-resolution-clinical-liaison-in-tampa-456293.html has an open position for a Telecommuting Benefit and Issue Resolution Clinical Liaison in Tampa. Candidates will be responsible for the following: Participating in special projects and performs Coordinating resolutions regarding quality of care and services issues with Quality Improvement Serving as a clinical resource to insure the safe and appropriate use of home care, home infusion therapy and home medical equipment Skills and Requirements Include: Clear and active Registered Nurse/LPN/LVN license in any state(s) or jurisdiction in the United States is required Bachelor's Degree required 5 to 7 years' experience required Computer skills 456293 Telecommute Lead RN Clinical Documentation Coding Auditor https://www.virtualvocations.com/job/telecommute-lead-rn-clinical-documentation-coding-auditor-457194.html A healthcare recruiting company has a current position open for a Telecommute Lead RN Clinical Documentation Coding Auditor. Must be able to: Be responsible for audit and appeals at a second level for payor DRG challenge Oversee clinical validity audits to reduce DRG challenges Audit physician documentation with education to improve quality outcomes and accurate reimbursement Qualifications for this position include: Registered Nurse (RN) or Medical Doctor (MD) plus CCS and CCDS CDIP with Bachelor's or Master’s degree accepted also Able to work remotely 457194