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.
A healthcare company is filling a position for a Telecommute Associate Utilization Management Nursing Director. Must be able to: Interpreting criteria, policies, and procedures to provide the best care or services for members.
Core Responsibilities of this position include: Provide support for CCR nurses. Conduct daily clinical review and evaluation of all service requests. Conduct coverage review. Required Skills: 5 years of clinical practice experience after completing residency training.