A provider of medical managed care services has a current position open for a Telecommute Medical Nurse Case Manager. Candidates will be responsible for the following: Helping coordinate the individual’s treatment program Ensuring quality, cost-effective care Set up medical assessments to

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 Follow the X-Code process and

A recruitment company is seeking a Remote Lead Utilization Management Registered Nurse in Miami. Core Responsibilities of this position include: Providing point of need support and coaching to UM professionals and other clinical team members Mentoring and training UM staff Researching and

A healthcare company is in need of a Remote HEDIS Medical Records Review Nurse. Individual must be able to fulfill the following responsibilities: Contact provider offices to establish appointment times Complete comprehensive and thorough medical record reviews Extract medical record data per

A health insurance company is seeking a Remote Front End Review RN. 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

A healthcare provider is filling a position for a Remote Medicaid Specialist. Individual must be able to fulfill the following responsibilities: Oversee the success of the pending Medicaid application process for a group of assigned skilled nursing facilities Educate Care Center staff regarding

An insurance company has a current position open for a Remote Business Standardization and Advancement Clinical Services Senior Vice President. Individual must be able to fulfill the following responsibilities: Contributing to the development of coordination of care initiatives Providing

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 Maintain a high

A healthcare company has an open position for a Telecommute Clinical Grievances Registered Nurse or Licensed Social Worker in Central Florida. Must be able to: Assess and interpret customer needs and requirements Identify solutions to non-standard requests and problems Solve moderately complex

A company that provides medically managed care services is filling a position for a Telecommute Medical Registered Nurse Case Manager in West Palm Beach. Individual must be able to fulfill the following responsibilities: Work with the physicians and therapists to set up medical assessments Help