A healthcare company has an open position for a Telecommute Utilization Review Registered Nurse. Core Responsibilities Include: Ensuring the patient’s status is correct. Performing continued stay medical necessity reviews.
A healthcare company is filling a position for a Virtual Registered Nurse in Nashville. Must be able to: Document caller information and outcomes in a relational database system. Complete clinical tasks such as health incident triage. Ensure recent patient treatment is progressing well.
A healthcare company has an open position for a Telecommute Clinical Appeals Nurse in Nashville. Core Responsibilities Include: Presenting a concise medical summary within each appeal based on support from the medical record. Composing clinical appeal letters to send to payers.
Licenses must be Independent, unrestricted and in the state of Tennessee. Minimum 2 years of Case Management experience. Minimum 2 years of Leadership experience. Other requirements as outlined in the job description.
A healthcare company is searching for a person to fill their position for a Virtual Prebill Denials Registered Nurse in Nashville. Candidates will be responsible for the following: Working post-discharge pre-bill accounts. Evaluating clinical documentation on multiple patient accounts.
Associate or Bachelor’s Degree in Health Information, Nursing, or other related field, or formal coding classes completed. Three to five years’ experience performing medical record coding in acute care setting required. Required: AHIMA or AAPC approved credential.
AS/BS in nursing; 5 years of managed care experience; 2 years of clinical experience; experience making professional presentations to small and large audiences; or any combination of education and experience. Current, unrestricted clinical license in one of the central states.