HireOps Staffing, LLC Jobs in United States

JOB PURPOSE: · This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory reports. This position will represent the ...

Job Summary · A dedicated Registered Nurse is needed for a remote contract position focused on reviewing medical claims within the insurance sector. · Validating treatment plans using accepted criteria · Strong communication skills to interact with providers and members · ...

This is a contract assignment that will start right away and end on April 30th 2024 · Review Nurse · SUMMARY DESCRIPTION: · The review nurse is responsible for medical record abstractions and overreads during the annual Healthcare Effectiveness Data and Information Set (HEDIS) su ...

This position is fully remote, however, you must reside in the State of Texas · The position is a contract for about 6 months. · RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the tre ...

:Remote after training. · Fully onsite to start/training for 8 weeks, workers are allowed to Work from Home, but it wouldn't be until after they complete all 8 weeks of initial training and would need to keep up with production and quality standards to keep qualified to Work from ...

Job Description: · This remote Registered Nurse-Case Manager position requires conducting medical management and health education programs for customers on government healthcare programs. · Gather, analyze, and provide data for regulatory reports. · Represent the company to membe ...

Remote position, however, candidates must reside in the State of TX or State of IL · This position is a contract for about 9 months. · Pay: $41/hour · RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appr ...

$40/hour - Contract for 6 months · Must reside in TX · Full time remote · Candidates must be based in TX. · RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the treatment plan. · pay ra ...

Fully Remote · JOB PURPOSE: · This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory reports. This position will ...

Fully Remote · JOB PURPOSE: · This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory reports. This position will ...

This is a contract assignment that will start right away and end on June 28th 2024 · Remote in TX · Must Live in TX · SUMMARY DESCRIPTION: · RN or LPN with clinical experience and will work under the supervision of the HEDIS Coordinator. They are a member of the medical record re ...

Utilization Review Nurse-Remote-Contract · Job Summary: · We are seeking a skilled Utilization Review Nurse to join our team on a contract basis. As a remote worker, you will be responsible for performing initial and concurrent review activities, discharge care coordination, and ...

#19353 · Contract role- 8/8/23-12/31/23, with possible extension · Payrate: $50-$65 Hourly · Location: Remote IL · Required License: RN, LCSW, LCPC · BASIC FUNCTION: · This position is responsible for discharge care coordination, episodic case management and pre-admission/post-di ...

Utilization Review Nurse · A remote position for a contract period of approximately 9 months requires candidates to reside in Texas or Illinois. · Perform accurate and timely medical review of claims suspended for medical necessity using medically accepted criteria. · Interpret c ...

Remote position, however, candidates must reside in the State of TX or State of IL.This position is a contract for about 9 months.Pay:$41 / hour The RN will work in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appr ...

Job Title · Registered Nurse-Care Coordinator · About this Job · This position is responsible for conducting medical management and health education programs for customers on government healthcare programs. · Gathering, analyzing, and providing data for regulatory reports. · The ...