Case Management Nurse
Part-time
USA
The job listing has expired. Unfortunately, the hiring company is no longer accepting new applications.
To see similar active jobs please follow this link: Remote Healthcare jobs
To see similar active jobs please follow this link: Remote Healthcare jobs
On March 1, 2017 McKesson Corporation (NYSE MCK) and Change
Healthcare Holdings, Inc., formed a new healthcare information technology
company, setting an incredibly exciting course for the future. The entity
combined substantially all of Change Healthcare’s business and the majority of
McKesson Technology Solutions (MTS) into the new company.
- Please note if you apply to this job you are completing
Corporation. If you are contacted by a Change Healthcare recruiter, please feel
free to ask questions related to this new organization.
CULTIVATING A CAREER WITHIN CHANGE HEALTHCARE
Our culture is guided by our core values which are woven
into the fabric of every aspect of our company; pursue purpose, champion
innovation, earn trust, be agile, and include all.
Join our team today where we are creating a better
coordinated, increasingly collaborative, and more efficient healthcare system!
Position DescriptionThis is a remote, work from home position. This is a part time position. 4 week days 5-9pm and 4 hours on Saturday (anytime between 11:00am-9:00pm). Must be flexible for occasional day hours during initial training. Open to doing this on lunch breaks if you have a current full time position. Provides Nursing support for health service providers in areas including but not necessarily limited to: Authorization/Utilization Review; Case Mgt; Quality Improvement processes. Responsibilities may include: accountability for processing referral/authorization requests, reviewing medical documentation, determining medical necessity and/or benefit determination, considering alternatives, level of care and applying established protocols, criteria and contract guidelines; coordination of the team approach to management of patient care in an in-patient and/or outpatient basis; analyze, investigate and resolve individual care quality, coordination of care, service and access issues.
Minimum Requirements
3 years of relevant work experience, in a managed healthcare or healthcare setting preferred
Additional Knowledge & Skills
Very good understanding of health-service related processes relevant to assigned role and responsibilities. Is capable of training others and answering questions from co-workers when necessary. Strong analytical, interpersonal skills, and computer literacy. Good knowledge of healthcare, government and insurance industry trends.
Education
LVN/LPN Required; RN Preferred
Physical Requirements
General Office Demands
Benefits & Company Statement
Change Healthcare is one of the largest, independent healthcare technology companies in the United States. We are a key catalyst of a value-based healthcare system – working alongside our customers and partners to accelerate the journey towards improved lives and healthier communities.
We provide software and analytics, network solutions and technology-enabled services that help our customers obtain actionable insights, exchange mission-critical information, control costs, optimize revenue opportunities, increase cash flow and effectively navigate the shift to value-based healthcare. Our solutions enable improved efficiencies and insights for all major stakeholders across the healthcare system, including commercial and governmental payers, employers, hospitals, physicians and other providers, laboratories and consumers.
Change Healthcare is an equal opportunity and affirmative action employer – minorities/females/veterans/persons with disabilities.
Qualified applicants will not be disqualified from consideration for employment based upon criminal history.
Agency Statement
No agencies please.
Case Management Nurse
The job listing has expired. Unfortunately, the hiring company is no longer accepting new applications.
To see similar active jobs please follow this link: Remote Healthcare jobs
To see similar active jobs please follow this link: Remote Healthcare jobs
On March 1, 2017 McKesson Corporation (NYSE MCK) and Change
Healthcare Holdings, Inc., formed a new healthcare information technology
company, setting an incredibly exciting course for the future. The entity
combined substantially all of Change Healthcare’s business and the majority of
McKesson Technology Solutions (MTS) into the new company.
- Please note if you apply to this job you are completing
Corporation. If you are contacted by a Change Healthcare recruiter, please feel
free to ask questions related to this new organization.
CULTIVATING A CAREER WITHIN CHANGE HEALTHCARE
Our culture is guided by our core values which are woven
into the fabric of every aspect of our company; pursue purpose, champion
innovation, earn trust, be agile, and include all.
Join our team today where we are creating a better
coordinated, increasingly collaborative, and more efficient healthcare system!
Position DescriptionThis is a remote, work from home position. This is a part time position. 4 week days 5-9pm and 4 hours on Saturday (anytime between 11:00am-9:00pm). Must be flexible for occasional day hours during initial training. Open to doing this on lunch breaks if you have a current full time position. Provides Nursing support for health service providers in areas including but not necessarily limited to: Authorization/Utilization Review; Case Mgt; Quality Improvement processes. Responsibilities may include: accountability for processing referral/authorization requests, reviewing medical documentation, determining medical necessity and/or benefit determination, considering alternatives, level of care and applying established protocols, criteria and contract guidelines; coordination of the team approach to management of patient care in an in-patient and/or outpatient basis; analyze, investigate and resolve individual care quality, coordination of care, service and access issues.
Minimum Requirements
3 years of relevant work experience, in a managed healthcare or healthcare setting preferred
Additional Knowledge & Skills
Very good understanding of health-service related processes relevant to assigned role and responsibilities. Is capable of training others and answering questions from co-workers when necessary. Strong analytical, interpersonal skills, and computer literacy. Good knowledge of healthcare, government and insurance industry trends.
Education
LVN/LPN Required; RN Preferred
Physical Requirements
General Office Demands
Benefits & Company Statement
Change Healthcare is one of the largest, independent healthcare technology companies in the United States. We are a key catalyst of a value-based healthcare system – working alongside our customers and partners to accelerate the journey towards improved lives and healthier communities.
We provide software and analytics, network solutions and technology-enabled services that help our customers obtain actionable insights, exchange mission-critical information, control costs, optimize revenue opportunities, increase cash flow and effectively navigate the shift to value-based healthcare. Our solutions enable improved efficiencies and insights for all major stakeholders across the healthcare system, including commercial and governmental payers, employers, hospitals, physicians and other providers, laboratories and consumers.
Change Healthcare is an equal opportunity and affirmative action employer – minorities/females/veterans/persons with disabilities.
Qualified applicants will not be disqualified from consideration for employment based upon criminal history.
Agency Statement
No agencies please.