A healthcare company has a current position open for a Telecommute Pre Service Review Nurse. Core Responsibilities Include: Performing medical necessity review for services that require prior authorization. Discussing cases with treating physicians and other healthcare professionals.
A healthcare company is filling a position for a Telecommute Senior Registered Nurse Case Manager . Must be able to: Recommend services for members utilizing care alternatives available within the community and nationally.
An insurance company is searching for a person to fill their position for a Remote Telephonic Utilization Management Registered Nurse. Individual must be able to fulfill the following responsibilities: Conducting admission review, post-discharge calls and discharge planning.
Associate or Bachelor’s Degree in Health Information, Nursing, or other related field, or formal coding classes completed. Three to five years’ experience performing medical record coding in acute care setting required. Required: AHIMA or AAPC approved credential.