Position is located in onsite facility (market specific) and/or remote. Current unrestricted Registered Nurse licensure. 5 years clinical experience with at least 3 years managed care experience. 3-4 years of experience in utilization management required with history of strong performance.
Reliable transportation and local travel required. Must be a Registered Nurse with current unrestricted CA RN license. 3 to 5 years clinical nursing experience. Strong technology, organizational and documentation skills are a must. Must have excellent oral and written communication skills.
A healthcare company is seeking a Telecommute Appeals Nurse Consultant. Individual must be able to fulfill the following responsibilities: Reviewing and resolving clinical documentation, clinical complaints and appeals.
An insurance company has an open position for a Remote Registered Nurse Utilization Manager. Core Responsibilities Include: Engaging members to support the appropriate level of care. Working closely with providers to assure members are being provided the highest quality of care.
Ability to travel 5% of the time. Registered Nurse license in the state of Florida and ability to obtain multiple state licenses without restrictions. Ability to read, write and speak proficiently in both English and Spanish. Clinical experience in adult acute care environment.
Required Skills: Travel expected 5% of the time. Registered Nurse license in the state of Florida and ability to obtain multiple state licenses without restrictions. Case Management Experience. Clinical experience in adult acute care environment.
A healthcare company has an open position for a Telecommuting Utilization Management Nurse Reviewer. Core Responsibilities Include: Performing assessment and utilization review for medical requests. Identifying, coordinating, and implementing high quality, cost-effective alternatives.
A health insurance company has a current position open for a Telecommute Oncology Concierge Registered Nurse in Louisville. Individual must be able to fulfill the following responsibilities: Promote communications within the provider care team to collaborate on a plan of care.
A healthcare services company has a current position open for a Telecommute Clinical Appeals Nurse in San Antonio. Core Responsibilities of this position include: Making appropriate and correct clinical decisions for appeals outcomes.
A healthcare company is filling a position for a Telecommuting Case Manager Registered Nurse in Cincinnati. Candidates will be responsible for the following: Conducting comprehensive assessments of referred members needs/eligibility.