A healthcare solutions company is in need of a Telecommute Registered Nurse Care Manager. Core Responsibilities Include: Coordinating the delivery of high quality, cost-effective care based on a customized model of care.
Auditing experience with Massachusetts policy. ICD 10 and CMS experience. Experience in physician coding and auditing. Extensive knowledge regarding compliance and regulatory requirements, chart auditing, CMS payment regulations, payer requirements training/education and ICD-10/CMS.
Must be a licensed health-care professional (i. e. , registered nurse); or equivalent work experience. Read, write and speak fluent English; fluent in host country language required. 2+ years of clinical monitoring experience required.
Position Requirements Include: Registered Nurse with current in state RN license. Certified Case Management. 2 years Case Management Experience with emphasis on transplants/clinical trials or complex pediatrics. Interqual (or Milliman) knowledge.
Bachelor's Degree, preferably in life science or nursing, Statistics or Computer Science or equivalent. Minimum 5 years relevant data management experience. Rave or Inform Experience and proven data management skills. Excellent verbal and communication skills.
Must be a licensed health care professional (i. e. registered nurse) or equivalent work experience required. Must read, write and speak fluent English and be fluent in host country language. Strong experience in clinical trial management as a CM. Experience in managing complex or global trials.