An insurance service company has an open position for a Telecommute Nurse Case Manager. Must be able to: Assess, plan, implement, coordinate, monitor and evaluate medical services and Return-To-Work options.
A staffing agency has an open position for a Telecommute Nurse Case Manager in Roanoke. Must be able to: Review medical charts and enter data into the computer system. Ensure that plans of care are person centered.
A health insurance company needs applicants for an opening for a Telecommute Nurse Disease Manager I. Individual must be able to fulfill the following responsibilities: Conduct behavioral or clinical assessments. Identify and/or coordinate specific health coaching plan needs.
A non-profit healthcare system is in need of a Remote Call Center Licensed Practical Nurse in the New Orleans Area. Candidates will be responsible for the following: Overseeing the disease registry database. Conducting pre-visit chart review of patients. Coordinating care across the continuum.
A health insurance company needs applicants for an opening for a Virtual Medicare Nurse Consultant. Must be able to: Deliver high quality work product that reflects compliance with statutory requirements. Establish medical reserve recommendations. Proactively manage MSA requests/reviews.
Position Requirements Include: Proven ability to analyze clinical fact patterns, compare and contrast decisions, and utilize results. Licensed Registered Nurse or Registered Nurse. 4 years' experience with Medicare Part C. 2-4 years of prior leadership/coaching and training experience.
Licensed Social Worker or Registered Nurse with two (2) years of relevant experience. Licenses must be Independent, unrestricted and in the state of Tennessee. Minimum 2 years of Case Management experience. Minimum 2 years of Leadership experience.
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.
An insurance company is in need of a Remote Disease Management Nurse I. Candidates will be responsible for the following: Interfacing with provider and other health professionals to coordinate health coaching plan. Conducting behavioral or clinical assessments.
Chair periodic market oversight meetings with the outward facing Market Medical Directors, network contractors, nurse management and other internal lay managers. Qualifications Include: MD or DO degree. Active, unrestricted Medical license. Board Certified in an ABMS or AOBMS specialty.