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 health insurance and wellness company has a current position open for a Telecommute Care Management Nurse 2. Individual must be able to fulfill the following responsibilities: Manage a member's health issues. Identify and resolve barriers that hinder effective care.
Skills and Requirements Include: Associate's Degree from a program of nursing or in Health Information Management. Current state RN license or Certified Coding Specialist, RHIT, RHIA, OR CCDS. 5 years of recent hospital experience/practice. Ability to work remotely.
Performing CRM education seminars on a regular basis. Providing CRM consultations. Applicants must meet the following qualifications: BS degree and/or experience in a clinical nursing area. CPHRM designation. Telework within Georgia required.
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:
Qualifications Include: Willingness to travel up to 50% Master’s degree or higher in nursing, counseling, psychology or social work. 5 to 7 years of experience in the behavioral healthcare space required. Case Management Certification (CCM) preferred but not required.
High school diploma / GED and 8 years of Oncology Nursing experience. Active as an OCN Oncology Clinical Nurse or ACON Advanced Oncology Clinical Nurse. Experience in business analysis and have a command of Oncology and Healthcare business trends. Strategic and forward thinking.
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.