A health insurance company needs applicants for an opening for a Telecommute Compliance and Auditing Nurse. Individual must be able to fulfill the following responsibilities: Review utilization management activities. Ensure adherence to policies, procedures, and regulations.
Position Requirements Include: Travel Occasionally, if required. Work Saturdays. Live within the Mountain Time zone or be a New Mexico, Colorado or Arizona resident. Have active RN license in New Mexico, or able to be licensed in NM, and ability to be licensed in multiple states.
A kidney care company has an open position for a Remote Telephonic Registered Nurse Case Manager in Denver. Core Responsibilities Include: Coordinating and facilitating quality, cost-effective care. Minimizing fragmentation of the healthcare delivery system.
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 healthcare technology solutions company has an open position for a Telecommute Nurse Auditor 2. Must be able to: Ensure accuracy of chart audits. Ensure audits are completed timely and accurately. Observe and report opportunities for new business. Position Requirements Include:
3+ years experience in a leadership/management role. Knowledge of related regulations including NCQA, HIPAA, CMS. Bachelors degree or above in a related field such as Nursing, Health Care Management, or Teaching. Proficiency in Excel, Word and Adobe Acrobat.