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
Eatons division is currently seeking a HR Training Manager. This role is based at our Jonesville, SC facility. Relocation assistance will be provided. The expected annual salary range for this role is $97000 - $143000 a year. Please note the salary information...
Title:STO Analyst (Special Technical Operations)Belong. Connect. Grow. with KBR!KBRs National Security Solutions team provides high-end engineering and advanced technology solutions to our customers in the intelligence and national security communities. In this position...
USD 428 Equal Opportunity Employer Position Purpose: Under the direct supervision of a certified staff member, to assist certified professional staff with students in the classroom to meet instructional goals and objectives. Essential Job Functions: Assists...
...logistics company is seeking a Transportation Support Coordinator to work from home. This role involves assisting drivers and dispatchers to... .... It's perfect for individuals aiming to transition into dispatching, with a weekly pay range of $865 to $1,195.#J-18808-Ljbffr
...MINIMUM QUALIFICATIONS REQUIRED: HelperHigh School Diploma or GED Certificate0 - 6 months experience in Electrical Field.Enrollment in the Apprenticeship Program is required in accordance with standardsValid Driver's License required (subject to motor vehicle record...