A recruiting firm is searching for a person to fill their position for a Remote Lead Utilization Management Registered Nurse in the Miami Area. Candidates will be responsible for the following: Reviewing health care services Assisting with program processes for transition Providing information

A healthcare company is filling a position for a Telecommute Clinical Operations Support Specialist in Orlando. Must be able to: Ensure knowledge transfer and best-practice sharing to sites Communicate processes, policies, and corporate vision effectively Provide consultative guidance and

A health insurance company is seeking a Remote Senior Transitions Care Management Support Professional in the Pasco County Area. Must be able to: Work with moderately complex to complex issues Provide non-clinical support to the assessment and evaluation of members' needs Skills and Requirements

A healthcare company is seeking a Remote Clinical Appeals Nurse in Orange Park. Core Responsibilities of this position include: Determining root cause of each denial and apply company-specific coding for trending and analysis Presenting a concise medical summary within each appeal Composing

A health insurance company is in need of a Telecommute Care Manager Registered Nurse in Miramar. Individual must be able to fulfill the following responsibilities: Identifying and resolving barriers that hinder effective care Employing a variety of strategies, approaches and techniques to manage

A healthcare company is filling a position for a Telecommute Bilingual Spanish Care Coach 1 in Fort Lauderdale. Core Responsibilities Include: Identifying and resolving barriers that hinder effective care Ensuring patient is progressing by continuously monitoring patient care Assessing and

A health management solutions company has a current position open for a Remote HEDIS Medical Record Review Nurse. Candidates will be responsible for the following: Entering record review results into NCQA certified software. Contacting provider offices to establish appointment time to complete

A health care organization has a current position open for a Telecommute Clinical Appeals Nurse in Orange Park. Candidates will be responsible for the following: Composing clinical appeal letters to send to payers interpreting medical payer policy requirements Identifying problem

A health and dental insurance provider has a current position open for a Telecommute Nursing Case Manager. Individual must be able to fulfill the following responsibilities: Review prior claims to address potential impact on current case management and eligibility Conduct an evaluation of

A behavioral health company is searching for a person to fill their position for a Telecommute Case Manager. Core Responsibilities Include: Providing leadership for the Case Management team Promoting quality service delivery Providing clinical supervision and administrative oversight Required