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.
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…
Experience in one or more of the following: home health care, rehab, SNF, utilization review, discharge planning or case management.
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.
CCM certification or other National Designation. No Recruiters or Phone Calls Please*. Active nursing license in good standing in NH.
Current hands on training in AHA or ARC Basic Life Support for health care providers is required. Identify primary, secondary, and tertiary prevention and…
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…
Demonstrated understanding of maternal and child health measures, special issues and health programs through coursework or job experience.
Periodic kneeling, bending and/or stooping to retrieve or place documents, files and/or boxes on and off lower shelves, drawers or ground level.
Associates in Nursing degree from an accredited nursing program. 2 years of experience in an acute care facility in a clinical specialty or Care Management,…
A minimum of an associate level degree in nursing or a bachelor’s degree in healthcare, business analytics, computer science, engineering, management…