Do you want to work for a company that Forbes’ named one of the best employers of 2022? Do you want to fast-track your career by working for one of LinkedIn’s top companies in the US? If so, keep reading!
Title of Job: Remote Delegation Oversight Nurse Location: Remote, anywhere in the US The CSI Companies is hiring a
Remote Delegation Oversight Nurse for our Fortune 100 healthcare client.
Job Summary The Delegation Oversight Specialist will collaborate closely with the Manager of Delegation Oversight to manage and support regulatory audits and delegation oversight activities for Clinical Services. This role ensures compliance with clinical services delegation and regulatory requirements, while acting as a liaison between Health Plan delegated entities, Utilization Management, Case Management, and other cross-functional teams within the organization. The Specialist will use a deep understanding of regulatory standards to represent Clinical Services in audits and interactions with delegated entities. Additionally, the role requires strict adherence to HIPAA standards in handling protected health information (PHI).
- Pay: $30-35 an hour based on experience(overtime will be paid at 1.5 times the normal hourly pay rate).
- Hours: Full Time –This position is full-time (40 hours/week) Monday – Friday, 8am-5pm PST
Why this Opportunity?
- Top ranked company in Fortune’s 2022 “World’s Most Admired Companies” for over a decade consecutively.
- This healthcare client is ranked number one in key attributes of reputation:
- Innovation
- People management
- Social responsibility
- Quality of Management
- Financial soundness
- Long-term investment value
- Quality of products
- Services and global competitiveness.
Consultant: Starting off as contract to hire. There is always potential for long term / conversion for the right employee upon business needs. Almost all the positions within this client start off as a contractor due to being a Fortune 100 company.
Effective Date / Tentative Start Date: Interviewing Immediately
Job Duties:
- In collaboration with the Manager of Delegation Oversight, manages delegation oversight and regulatory audits.
- Leverages knowledge of clinical services regulatory and delegation requirements to represent Clinical Services appropriately while managing delegation oversight audits
- Serves as a liaison between Health Plan delegated entities and Clinical Services Operational teams (Utilization Management and Case Management)
- Serves as a liaison between Delegation Oversight and cross-functional areas/departments across the organization
- Uses, protects, and discloses patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
Requirements
- Graduation from an accredited Licensed Vocational/Practical Nurse program
- Current LVN/LPN license in State of Residence
- 2+ years of care management, utilization review (prior authorization) or discharge planning experience
- Associates Degree
- Ability to pass a background check and drug test
Highly Preferred
- Experience in an HMO or experience in a Managed Care setting
- A base knowledge of requirements for Medicare, Medi-Cal and Commercial lines of business Large corporation experience
WHO SHOULD APPLY? If you have experience working in a large corporation, high volume pharmacy technician environment, we would love for you to apply!
Apply to become part of the team that is not only changing people’s lives for the better but changing the health care system for the next generations to come.
About Us The CSI Companies is a recruiting firm established in 1994 that has been awarded “Best of Staffing” for 8 years in a row. We provide outstanding services to the world’s leaders in the healthcare field as well as other organizations. For consideration, please submit your resume with all of your relevant experience included on it for immediate consideration. Only those candidates identified for an interview will be contacted.
Benefits Offered:
- Weekly pay
- Medical, dental, and vision coverage
- Voluntary Life and AD&D coverage
- Paid Training
- Opportunity for advancement upon performance and availability
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This is a remote, work from home position. You may be located anywhere within the US.
