HN04 – Case/Care Management Nurse – Telephonic
HN04 – Case/Care Management Nurse – Telephonic-ManagementHEDIS Review Nurse ? RN Kelly Healthcare Resources is partnering with a leading employer in the Triangle area to find and hire qualified RNs with HEDIS review experience. This exciting assignment is a full-time contract opportunity of 8 weeks for qualified, experienced HEDIS nurses. Job Responsibilities: Selected, detail-oriented nurses will work independently to review and abstract pertinent medical record information in accordance with criteria. The abstracted data will be entered into a computer database. Job Requirements: Current NC RN Read more […]
HN02 – Case/Care Management Nurse – Field
HN02 – Case/Care Management Nurse – Field-ManagementSUMMARY Performs care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum and ensuring member access to services appropriate to their health needs. This level typically deals with the least complex cases and works under general guidance, having had limited or no previous managed care experience. MAJOR DUTIES AND RESPONSIBILITIES Conducts assessments to Read more […]
HN04 – Case/Care Management Nurse – Telephonic
HN04 – Case/Care Management Nurse – Telephonic-ManagementKelly Healthcare Resources Kelly Healthcare Resources (KHR) is a specialty service of Kelly Services, Inc., a leader in providing workforce solutions. Launched in 1999, KHR services all levels of healthcare specialists and professionals in the following disciplines: medical laboratory, medical device, pharmacy and pharmacology, dental, nursing, allied health, behavioral health, healthcare billing/coding, utilization, case management, occupational health, special education, and physical therapy. Visit www.kellyhealthcare.com . Current Needs: Read more […]
HN02 – Case/Care Management Nurse – Field
HN02 – Case/Care Management Nurse – Field-ManagementSUMMARY Responsible to collaborate with healthcare providers and members to promote quality member outcomes, to optimize member benefits, and to promote effective use of resources. MAJOR DUTIES AND RESPONSIBILITIES Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient admissions, outpatient services, focused surgical and diagnostic procedures, out of network services, and appropriateness of treatment setting by utilizing the applicable medical policy and industry standards, accurately Read more […]
HN04 – Case/Care Management Nurse – Telephonic
HN04 – Case/Care Management Nurse – Telephonic-ManagementKelly Healthcare is seeking LPN or RN Utilization Review Nurse for Workers Compensation i n the Tampa, Florida area. Our customer is a National leading Insurance Company. Staffing for over 60 years, Kelly Healthcare Resources® specializes in providing highly skilled healthcare professionals for the hundreds of positions our clients must fill at any given time. We are a part of Kelly Services®, a US-based Fortune 500 company and the world’s most recognized and trusted name in staffing. Our vast network of branch locations allows us to provide Read more […]