Registered Nurse with active license in the state of Tennessee. Must have or be able to be licensed in multiple states if required. Case Managers must obtain a CCM certification within 2 years of hire.
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.
Providing consultative support for physicians, nurses, etc. Reviewing, interpreting, and integrating data to guide best practices. Completing full and appropriate documentation. Qualifications for this position include: Ability to travel up to 25% of the time.
Educating and informing doctors, nurses, and appropriate staff personnel. Qualifications for this position include: Up to 25% Travel. Successful completion of in-house product training program. B. A. or B. S. degree required. 0-2 years in an outside sales position.