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 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.
A major healthcare company is seeking a Telecommute Call Center Nurse in the Sharonville Area. Must be able to: Manage utilization through education. Empower consumers with skills to enhance their interaction with their provider. Assess and triage immediate health concerns.
A healthcare organization is seeking a Telecommute Registered Nurse Maternity Complex Case Manager. Must be able to: Ensure targeted percentage of patient goal achievement are achieved. Maintain oversight performing ongoing assessment of members' health needs.
Must attend 2 week onsite training in New Albany, Ohio. Active, unrestricted Registered Nurse (RN) license. Minimum of 5 years clinical practice experience. 1-3 years case management experience. Knowledge of Microsoft Office. Other requirements as outlined in the job description.
An insurance company has an open position for a Telecommute Registered Nurse Case Manager in New Albany. Core Responsibilities of this position include: Assessing benefits and/or members needs. Ensuring appropriate administration of benefits. Identifying and escalating quality of care issues.
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.