Position Requirements Include: Travel Occasionally, if required. Work Saturdays. Live within the Mountain Time zone or be a NewMexico, Colorado or Arizona resident. Have active RN license in NewMexico, or able to be licensed in NM, and ability to be licensed in multiple states.
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.
An insurance company is searching for a person to fill their position for a Remote Registered Nurse Utilization Management Nurse Consultant. Core Responsibilities Include: Communicating with providers and other parties. Gathering clinical information.
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.
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.