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.
A staffing agency is searching for a person to fill their position for a Remote Local Care Coordinator Registered Nurse. Must be able to: Develop documentation for the Care Plans for any assigned patients. Provide on-site consultation to providers and patients.
An insurance company is searching for a person to fill their position for a Remote Workers Compensation Nurse Case Manager. Core Responsibilities of this position include: Managing and evaluating medical services and return to work options.
A for-profit health insurance and wellness company is filling a position for a Remote Telephonic Registered Nurse Case Manager. Core Responsibilities Include: Ensure member case management, reporting, and compliance as it relates to CMS standards.
A global healthcare company is searching for a person to fill their position for a Remote Medicare Nurse Case Manager in Phoenix. Candidates will be responsible for the following: Determining medical history and current status. Assessing the options for optimal outcomes.
An insurance company has an open position for a Telecommute Nurse Case Manager in Buffalo. Candidates will be responsible for the following: Coordinating with medical providers. Developing strategies to maximize medical outcomes in a cost effective manner.
A health insurance company is filling a position for a Remote Model of Care Nurse Case Manager I. Candidates will be responsible for the following: Monitoring and evaluating effectiveness of the care management plan. Performing care management within the scope of licensure for members.
A professional services firm has a current position open for a Telecommute Concurrent Review Nurse in Yonkers. Must be able to: Determine medical appropriateness of inpatient and outpatient services. Ensure proper utilization of health services.
A professional services firm is in need of a Telecommute Acute Concurrent Review Nurse in Austin. Individual must be able to fulfill the following responsibilities: Assess member’s needs. Identify solutions to problems and non-standard requests. Conducts UM review and discharge planning.