An insurance company is seeking a Telecommute Senior Care Management Consultant Registered Nurse in the Charleston Area. Must be able to: Serve as a subject matter expert for all Care Management related products. Educate and assist others on competitive advantage of products.
Qualifications Include: Attend and participate required meetings, including staff meetings, internal Rounds, and other in-services. Bachelor's degree in nursing, social work or RN certification. Experience in Acute or Managed Care. Experience with Medicaid or Medicare populations.
5+ years of experience working with Hospital leadership and pharmacy programs. Experience in Healthcare, Pharmacy, Nursing. Experience in a sales or corporate management experience. All other requirements necessary for this position.
A for-profit health insurance and wellness company is filling a position for a Remote Telephonic Registered Nurse Case Manager. Core Responsibilities Include: Ensure member case management, reporting, and compliance as it relates to CMS standards.
A health management company is in need of a Remote HEDIS Nurse in St Louis. Individual must be able to fulfill the following responsibilities: Contact provider offices to establish appointment time to complete medical record reviews. Complete comprehensive and thorough medical record review.
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.
A healthcare company is seeking a Telecommute NICU Utilization Review Registered Nurse in Austin. Individual must be able to fulfill the following responsibilities: Maintaining productivity and meets all UR performance standards. Performing concurrent payor reviews for medical appropriateness.
A university is seeking a Telecommute BSN Nursing Faculty Member. Candidates will be responsible for the following: Teaching nursing courses in the BSN Completion (RN-BSN) programs. Interacting with students using the Black Board platform.
Applicants must meet the following qualifications: Must be willing to train onsite in Northridge, M-F 830am-530pm. LVN License and Registered Nurse License. 1-2 years of inpatient case management experience. Knowledgeable in MS Office programs (i. e. , Word, Excel, Outlook, Access and Powerpoint)
A healthcare company has an open position for a Remote Clinical Appeals Registered Nurse. Individual must be able to fulfill the following responsibilities: Review provider post-service appeals for Medicare and Retirement.