Master's degree in healthcare administration, nursing or business. Knowledge of Health plan URAC & NCQA accreditation requirements. 10 years of proven success in developing and leading strategy, high level tactical planning, and establishing and leading teams.
A healthcare company has a current position open for a Remote Oncology Certified NursePractitioner. Candidates will be responsible for the following: Identifying potential new standards in care that may be then added to the evidenced based library.
A healthcare company is seeking a Telecommute Nursing Coach. Core Responsibilities of this position include: Reviewing utilization information concerning patient care. Documenting all interactions, guidance and interventions in applications.
Individual must be able to fulfill the following responsibilities: Oversee the success of the pending Medicaid application process for a group of assigned skilled nursing facilities. Educate Care Center staff regarding the pending Medicaid application process.
Identifying and reviewing primary and secondary diagnosis and complications. Identifying and reviewing for Present on Admission documentation. Skills and Requirements Include: RN. 3-5 years nursing/clinical experience preferred. Knowledge of MS-DRGs and the payment methodology preferred.
A telepsychiatry company needs applicants for an opening for a Telecommute Psychiatric Mental Health NursePractitioner. Candidates will be responsible for the following: Providing services to individuals who otherwise may not have access to care. Completing any other assigned tasks.
Must be a Registered Nurse or DPT with home health and/or hospice experience. At least one year of coding experience. Active certification in ICD-10 coding (BCHH-C or HCS-D) OASIS and POC review experience. Ability to quickly learn and efficiently navigate electronic medical records.
A recruitment company is seeking a Remote Lead Utilization Management Registered Nurse in Miami. Core Responsibilities of this position include: Providing point of need support and coaching to UM professionals and other clinical team members. Mentoring and training UM staff.