A healthcare company is seeking a Remote Utilization Management Nurse Consultant. Core Responsibilities of this position include: Coordinating, documenting, and communicating all aspects of the utilization/benefit management program.
A healthcare business needs applicants for an opening for a Telecommute Utilization Management Registered Nurse in the Atlanta Area. Core Responsibilities of this position include: Working post discharge, prebill accounts efficiently and effectively.
A healthcare company needs applicants for an opening for a Telecommute UAS Field assessment Registered Nurse in Manhattan. Candidates will be responsible for the following: Performing the NYS UAS Assessment in the member’s home.
Bachelor's Degree in healthcare related field required. Three (3) years experience in healthcare field. Current Florida State Registered Nurse license. Data collection and analysis experience. Cardiovasular certification/cardiovascular extraction.
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.
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 healthcare cost containment solutions company has an open position for a Telecommute Nurse Reviewer. Individual must be able to fulfill the following responsibilities: Perform clinical and medical reviews, data collection and database entry.
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 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 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.