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Bilingual RN Care Manager
Work from Home · Virtualvocations · Yonkers, NYA company is looking for a Bilingual RN Care Manager (Remote Flexible - Spanish Speaking) Key Responsibilities: Support a caseload of individuals with complex medical needs Educate individuals on health/wellness goals and health conditions...TopUSAJobs.com ·18 hours ago on TopUSAJobsTools -
Clinical Documentation Improvement RN
Work from Home · Virtualvocations · Lake Worth, FLA company is looking for an RN Clinical Documentation Improvement, Level II Reviewer. Key Responsibilities: Review electronic medical records for principle diagnosis and all CC's and MCC's for documentation opportunities Collaborate with p...TopUSAJobs.com ·4 days ago on TopUSAJobsTools -
RN Team Lead Healthcare Account
Work from Home · Virtualvocations · Sugar Land, TXA company is looking for an RN Team Lead for a Healthcare Account in Pasig. Key Responsibilities: Lead a team of Customer Service Professionals Monitor and manage workflow to ensure timely delivery of SLA's Develop processes to improve t...TopUSAJobs.com ·1 week ago on TopUSAJobsTools -
Registered Nurse II - TX GA FL
Work from Home · Virtualvocations · Newark, DEA company is looking for a Registered Nurse II for a remote position. Key Responsibilities: Conduct telephonic, video, or asynchronous messaging visits with patients and maintain accurate medical records Provide high-level oversight of pat...TopUSAJobs.com ·2 weeks ago on TopUSAJobsTools -
Supervisor Utilization Management RN
Work from Home · Virtualvocations · Syracuse, NYA company is looking for a Supervisor, Utilization Management Key Responsibilities: Supervising Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team Monitoring and tracking UM resources for adherence to ...TopUSAJobs.com ·2 weeks ago on TopUSAJobsTools -
Utilization Management RN Oklahoma
Work from Home · Virtualvocations · Coral Gables, FLA company is looking for a RN, Utilization Management Nurse (Physical Health) in Remote Oklahoma. Key Responsibilities: Coordinate and communicate with Internal Medical Directors, Providers, Enrollees, or other parties to facilitate optimal ...TopUSAJobs.com ·2 weeks ago on TopUSAJobsTools -
Medical Review Supervisor - Registered Nurse
Work from Home · Virtualvocations · Columbus, GAA company is looking for a Medical Review Supervisor. Key Responsibilities: Oversight and assistance to ensure sound clinical judgment is applied to claim payment decisions Establishing goals, objectives, and plans for the team Developin...TopUSAJobs.com ·3 weeks ago on TopUSAJobsTools -
Supervisor QI Compliance RN
Work from Home · Virtualvocations · Lawrenceville, GAA company is looking for a Supervisor, Quality Interventions/QI Compliance- RN Required (Remote). Key Responsibilities: Supervise staff in implementing quality improvement strategies and compliance activities Define and document QI Interve...TopUSAJobs.com ·3 weeks ago on TopUSAJobsTools -
Manager Case Management - RN
Work from Home · Virtualvocations · Yonkers, NYA company is looking for a Manager, Case Management. Key Responsibilities: Provide strategic leadership and mentorship to the Case Management Team Develop and maintain Case Management policies, procedures, and compliance standards Overse...TopUSAJobs.com ·3 weeks ago on TopUSAJobsTools -
Medical Review Supervisor - Registered Nurse
Work from Home · Virtualvocations · Sarasota, FLA company is looking for a Medical Review Supervisor. Key Responsibilities: Oversight and assistance to ensure sound clinical judgment is applied to claim payment decisions Establishing goals, objectives, and plans for the team Developin...TopUSAJobs.com ·3 weeks ago on TopUSAJobsTools