Licenses must be Independent, unrestricted and in the state of Tennessee. Minimum 2 years of Case Management experience. Minimum 2 years of Leadership experience. Other requirements as outlined in the job description.
A healthcare company is searching for a person to fill their position for a Virtual Prebill Denials Registered Nurse in Nashville. Candidates will be responsible for the following: Working post-discharge pre-bill accounts. Evaluating clinical documentation on multiple patient accounts.
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.
An insurance company needs applicants for an opening for a Remote Medical Nurse Case Manager. Core Responsibilities Include: Providing telephonic case management on assigned workers' compensation claims. Assisting with oversight of necessary cost effective quality medical treatment.
A healthcare company has an open position for a Telecommute Clinical Appeals Nurse in Nashville. Core Responsibilities Include: Presenting a concise medical summary within each appeal based on support from the medical record. Composing clinical appeal letters to send to payers.
A healthcare company is in need of a Virtual Nurse Medical Management in the Central Region. Candidates will be responsible for the following: Conducting pre-certification, continued stay review, care coordination and discharge planning.
AS/BS in nursing; 5 years of managed care experience; 2 years of clinical experience; experience making professional presentations to small and large audiences; or any combination of education and experience. Current, unrestricted clinical license in one of the central states.
Occasional travel throughout the region. Must be a licensed social worker, registered nurse, or have a Master's Degree in Human Services or related field. 2 years of relevant healthcare case management (preferably long-term care) experience. 3 years of supervisory experience.
Valid Driver's License. 5 years of healthcare experience with 3 years clinical experience required. Registered Nurse with active license in the state of Tennessee. Holds a license in the state of their residence if the state is participating in the Nurse Licensure Compact Law.