A professional services firm is in need of a Telecommute Acute Concurrent Review Nurse in Austin. Individual must be able to fulfill the following responsibilities: Assess member’s needs. Identify solutions to problems and non-standard requests. Conducts UM review and discharge planning.
A healthcare company has a current position open for a Telecommute Clinical Appeals Nurse in Houston. Candidates will be responsible for the following: Determining root cause of each denial and apply company-specific coding for trending and analysis.
A healthcare company is filling a position for a Telecommute Associate Utilization Management Nursing Director. Must be able to: Interpreting criteria, policies, and procedures to provide the best care or services for members.
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.
A healthcare company has a current position open for a Telecommute Bilingual Telephonic Clinic Registered Nurse in San Antonio. Must be able to: Place needs of the patient first at all times. Communicate with other Team Members and transfer calls accordingly.
Valid driver's license and driving record that meets company standards Apply for this job online Email this job to a friend Share on your newsfeed Application FAQs. Four-year college degree. 3 years of medical sales experience. Registered Nurse and/or home healthcare experience is a plus.
Required Nursing license, Coding certificate, or other licensed clinical professional. Familiar with federal and state regulations and payment integrity industry standards. Familiar with principals of clinical audit, utilization review and payment integrity programs.
Educate and inform doctors, nurses, and appropriate staff personnel. Promote and sells company's instrument products. Applicants must meet the following qualifications: Up to 20% overnight travel annually. 5 years in an outside sales position. Must be able to drive an automobile.
Experience in care coordination and care management. Ability to quickly adapt to new processes, software changes and priorities. Medical Assistant Certification/Licensed Nursing Assistance considered with experience. 1-2 years of clinical experience. Excellent problem solving skills.