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.
A healthcare company is filling a position for a Telecommute Care Manager Registered Nurse. Must be able to: Implement effective utilization management strategies. Implement all care management reviews. Utilize outcomes data to improve ongoing care management services.
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.
Applicants must meet the following qualifications: 5 years working with continuous quality improvement processes. 5 years interpreting regulations and assessing plan impact. 5 years in Leadership. Bachelor's Degree in Nursing or Public health-related field.
A healthcare company needs applicants for an opening for a Telecommute Virginia Licensed Behavioral Care Manager. Must be able to: Provide telephone triage, crisis intervention and emergency authorizations as assigned.
High school diploma / GED and 8 years of Oncology Nursing experience. Active as an OCN Oncology Clinical Nurse or ACON Advanced Oncology Clinical Nurse. Experience in business analysis and have a command of Oncology and Healthcare business trends. Strategic and forward thinking.
CRA with a nursing background coming from a Medical company. Nursing background with either recent clinical monitoring or clinical safety experience. Prior involvement in a clinical data position or clinical data interpretation.
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.