To support a centralized Utilization Management department, the full-time Utilization Review Nurse will conduct timely utilization review activities, ensuring appropriate patient status determinations and compliance with regulatory requirements while working remotely. Key responsibilities: Conduct medical necessity reviews and patient status determinations using approved clinical criteria and organizational policies Manage payer authorization processes to promote timely approvals and reduce financial risk Collaborate with interdisciplinary teams to support appropriate patient progression and discharge planning Required qualifications: Registered Nurse license is required Bachelor's degree is required 2+ years of Acute Hospital Care experience is required Experience with Interqual and MCG is preferred Previous Utilization Management, Appeals, or Denials Management experience is preferred
...Security Officer The Security Officer inspects, monitors, controls, and patrols work sites, an assigned facility, and/or people, and... ...safety inspections. The position relies on guidelines and some experience and judgment to complete job and works under general...
Job Description Transmission Line Lead Progression to Senior Management \n $150,000-$200,000 + Bonus + Progression to Leadership + Flexible/Remote Working + High-Impact Projects \n Remote / Hybrid (Commutable from: Houston, Austin, Dallas, Chicago, Denver)\...
...Make work people notice. A leading brand design agency in New York is looking for a Designer to create bold branding that gets brands chosen. Youll learn from some of the best in the business and see your ideas come to life on shelf and screen. What youll do...
...Position Summary The Welding Engineer is responsible for developing and improving manufacturing weld processes and tooling for existing products, supporting new product launches, and overseeing welding personnel training and development. The role leads continuous...
...imaging centers as well as covering local hospitals. The breast imaging practice includes tomosynthesis, breast ultrasound, and breast MRI. Procedures include tomosynthesis, stereotactic, and ultrasound breast biopsy and needle localization. The main breast imaging center...