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.
A staffing company is seeking a Remote Utilization Management Registered Nurse in Wilmington. Must be able to: Assure appropriate resource utilization. Review of appropriateness of health care services. Implement effective utilization management strategies.
A healthcare company is filling a position for a Telecommute Case Management Nurse Supervisor. Core Responsibilities Include: Providing service support, training and performance metrics/statistics, to the team. Managing and coordinating all department activities.
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.