A staffing agency is seeking a Telecommute Registered Nurse Case Manager. Core Responsibilities Include: Verifying eligibility for LTC services. Completing a member assessments according to policy. Developing and implementing member centered care plans. Position Requirements Include:
A staffing agency is in need of a Remote Utilization Management Nurse Supervisor. Must be able to: Compile data for productivity reports on a weekly basis to support staffing decisions and quality metrics. Monitor daily UM reports and identify any potential issues. Conduct quality reviews.
A staffing agency is searching for a person to fill their position for a Telecommute Nurse Abstractor in Richmond. Must be able to: Perform research on internal claims systems. Perform data analysis and research within the data systems. Qualifications for this position include:
A staffing agency is searching for a person to fill their position for a Remote Local Care Coordinator Registered Nurse. Must be able to: Develop documentation for the Care Plans for any assigned patients. Provide on-site consultation to providers and patients.
A recruiting firm is searching for a person to fill their position for a Remote Lead Utilization Management Registered Nurse in the Miami Area. Candidates will be responsible for the following: Reviewing health care services. Assisting with program processes for transition.
A staffing agency needs applicants for an opening for a Remote HEDIS Review Special Projects Nurse in Cleveland. Individual must be able to fulfill the following responsibilities: Reviewing medical records for HEDIS/utilization review. Meeting productivity standards/metrics.
Qualifications Include: RN or BSN. Current unrestricted MA license required. Experience with managed care. Experience within a health insurance company. At least 2-5 years experience in a clinical or community based nursing setting. All other requirements necessary for this position.