A healthcare company has an open position for a Telecommute Clinical Appeals Registered Nurse. Must be able to: Review and interpret Plan language appropriately. Utilize clinical guidelines and criteria appropriately. Adhere to all confidentiality regulations and agreements.
A health insurance company is filling a position for a Remote Utilization Management Nurse 2. Must be able to: Interpret criteria, policies, and procedures. Make decisions regarding own work methods. Facilitate optimal care and treatment. Qualifications Include:
A healthcare company is seeking a Telecommuting Senior Case Manager Registered Nurse. Core Responsibilities of this position include: Managing network participation, care with specialty networks, care with DME providers and transfers. Recommending services for Plan members.
A healthcare corporation is searching for a person to fill their position for a Telecommute Clinical Appeals Nurse in Orange Park. Candidates will be responsible for the following: Composing clinical appeal letters to send to payers for denial reconsiderations.
A health insurance company is seeking a Telecommute Telephonic Nurse 2 Care Manager. Individual must be able to fulfill the following responsibilities: Ensure patient is progressing towards desired outcomes. Identify and resolve barriers that hinder effective care. Create member care plans.
Current accreditation by the American Academy of Professional Coders (AAPC) or American Medical Record Association (AHIMA) Ability to maintain a 95% coding accuracy rate. Effective oral and written communication skills are required to work with medical, nursing, and other allied health staff.
A university is seeking a Telecommute Research Navigator Nurse in Baltimore. Core Responsibilities Include: Executing project management processes and methodologies to ensure consultations are efficient. Assembling project plans, team and work assignments, directing and monitoring work efforts.
A health information management company needs applicants for an opening for a Telecommute CDQI Nurse Specialist in Alpharetta. Core Responsibilities Include: Performing timely, accurate and complete documentation reviews.
Associate or Bachelor's degree from AHIMA certified HIM or Nursing Program. Completion of certificate program with CCS, CPC or CCSP can substitute above education. Must be able to communicate effectively in the English language.
A healthcare company has an open position for a Telecommute Utilized Management Preservice Nurse . Core Responsibilities Include: Engaging members to develop lifelong wellbeing and health. Collaborating with other health care givers in reviewing actual and proposed medical care and services.