A major healthcare company has an open position for a Telecommuting Utilization Management Registered Nurse. Must be able to: Perform utilization and concurrent review of inpatient and outpatient cases. Initiate a discharge planning and readmission prevention plan.
A healthcare company is filling a position for a Telecommute Preservice Review Licensed Practical Nurse. Core Responsibilities Include: Playing a key role in strategic reduction of missed shifts for private duty nursing cases. Tracking monthly reports.
High School Diploma/GED. 2 years of prior medical/healthcare experience from one or more of the following: nursing, hospital, clinic, healthcare insurance, ER, EMT, long-term care or telephonic healthcare consulting. 1 years of telephonic customer service experience.
A healthcare company is filling a position for a Telecommuting Utilization Management Registered Nurse. Candidates will be responsible for the following: Recommending services for plan members utilizing care alternatives available within the community and nationally.
A healthcare company is searching for a person to fill their position for a Telecommuting Call Center Registered Nurse in Kingston. Core Responsibilities Include: Coordinating care for members ranging from low acuity to catastrophic.
A healthcare and health insurance company has a current position open for a Telecommuting Utilization Management Licensed Practical Nurse. Core Responsibilities Include: Participate in fair hearings including preparation of justification and evaluation of service determination.
A staffing company needs applicants for an opening for a Virtual Appeals Clinical Review Nurse in Silver Spring. Core Responsibilities of this position include: Reviewing provider and member appeals of denials and flag key information prior to external review.
A healthcare company needs applicants for an opening for a Telecommute Bilingual English and Spanish Community Transitions Registered Nurse Case Manager in El Paso. Individual must be able to fulfill the following responsibilities:
Ability to travel 5% of the time. Registered Nurse license in the state of Florida and ability to obtain multiple state licenses without restrictions. Ability to read, write and speak proficiently in both English and Spanish. Clinical experience in adult acute care environment.
A major healthcare company is filling a position for a Telecommute Clinical Quality Registered Nurse in the Philadelphia Area. Core Responsibilities Include: Collaborating with appropriate department to document, investigate and resolve formal or informal member complaints and appeals.