An insurance company is searching for a person to fill their position for a Remote Utilization Management Registered Nurse Consultant. Candidates will be responsible for the following: Utilizing clinical experience and skills in a collaborative process.
A health management company is in need of a Remote HEDIS Nurse in St Louis. Individual must be able to fulfill the following responsibilities: Contact provider offices to establish appointment time to complete medical record reviews. Complete comprehensive and thorough medical record review.
3+ years of experience in acute healthcare setting. 3+ years of experience with HEDIS Medical Record Review. Unrestricted Missouri/Illinois licensure as a Registered Nurse or LPN. Knowledge of CPT codes, ICD-9 Diagnosis codes and HEDIS Technical Specification Requirements.