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 recruiting service is filling a position for a Telecommute Quality Management Nurse. Candidates will be responsible for the following: Develops Quality Management goals. Review claims to insurance carriers. Provide opportunities for resolution for high risk complaints.
Valid and unrestricted Wisconsin pharmacy license. Ability to obtain NPI and other required credentials. Graduated from a U. S. school of pharmacy after May 1996 with a PharmD. Have no restrictions on ability to participate in private, federal or state insurance programs.
A non profit health insurance company has an open position for a Telecommute Appeals Registered Nurse in Madison. Individual must be able to fulfill the following responsibilities: Answering questions regarding medical topics and CMS policy during hearings.
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.
An education company has an open position for a Telecommute Nursing Campus Manager. Candidates will be responsible for the following: Representing the company at regional trade shows and Nursing conferences. Booking/converting sales at event presentations or via phone enrollment.