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…
Education: A PhD or equivalent doctoral degree from a professional nursing educational program or related medical science field.
Drive employee health components of safety programs. Provide nurse case management for ADA and FMLA compliance. Manage the Functional Capacity Exam program.
Notifies staff or therapy of any changes that need to be made to documentation or work- flow and follow-up to see that work is completed.
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.
However, the Tennessee nursing license will be a single state license for Tennessee Residents or non-compact state residents.
Paid company housing (pets are welcome to tag along) or a generous housing stipend. This is a 13-week contract position that requires at least one year of…
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…
A degree from an accredited school of nursing. Free Private Furnished Housing or Tax-Free Subsidy. Minimum 1-year acute care experience in a hospital setting.
Paid company housing (pets are welcome to tag along) or a generous housing stipend. This is a 13-week contract position that requires at least one year of Home…