Medical Review Nurse RN-Remote
Experience Details: Combined experience in utilization management, case management, home health and clinical. Experience with Diamond, Jiva or InterQual.
- Job Location:
- United States
- Company:
- Florida Blue
- Date Posted:
Experience Details: Combined experience in utilization management, case management, home health and clinical. Experience with Diamond, Jiva or InterQual.
Experience in one or more of the following: home health care, rehab, SNF, utilization review, discharge planning or case management.
Verifies issues or risks associated with blinded or randomized information related to IP. Bachelor’s degree or RN in a related field or equivalent combination…
You'll create robust methods to detect missing or poor data. Bachelors Degree in a computer science or a quant degree. Bonus points for any experience in Spark.
2 or more years of direct HR experience in areas like compliance and employee relations. Experience in a fast-paced environment in a technology or healthcare…
Virtual and/or in-person Team & Company Events. Certain positions within the Customer Success, Partnerships, Sales, and Solutions Engineering function may be…
Periodic kneeling, bending and/or stooping to retrieve or place documents, files and/or boxes on and off lower shelves, drawers or ground level.
Periodic kneeling, bending and/or stooping to retrieve or place documents, files and/or boxes on and off lower shelves, drawers or ground level.
Demonstrated understanding of maternal and child health measures, special issues and health programs through coursework or job experience.
Bachelors degree or higher preferred; BSN preferred. Prismax, Prismaflex, and/or Phoenix experience preferred. Conduct on-site customer training.
A minimum of an associate level degree in nursing or a bachelor’s degree in healthcare, business analytics, computer science, engineering, management…
Occasionally reach overhead and/or ascend and descend 2-step ladder or stool in the performance of job duties, including but not limited to accessing or…