To ensure appropriate resource utilization and minimize payment denials, the full-time remote Maryland Licensed Utilization Review Nurse will conduct initial, concurrent, and retrospective chart reviews while coordinating with healthcare teams and third-party payers. Key responsibilities: Review medical records using utilization review criteria to assess clinical and financial resource consumption Maintain communication with external reviewers and perform certification activities as required by payors Document actions taken to coordinate care, avoid denials, and assist in communicating with patients regarding discharge plans Required qualifications: ADN required; BSN preferred 3-5 years of Utilization Review experience, preferably in an acute hospital setting Current Maryland Registered Nurse License or eligibility to obtain
...About the Role We're hiring an experienced Prior Authorization Specialist to help build the future of authorization automation for home health and hospice. Prior authorization is one of the largest operational bottlenecks for agencies. Our platform automatically...
...Founded in 2024, DualEntry is one of the worlds fastest-growing AI startups. At DualEntry, the future of finance is being written... ...you to push for excellence and raise the bar. Location: Remote with overlap to our New York City HQ (EST) Where you'll create...
...Probation Officer The Auburn Municipal Court is looking for two Probation Officers to add to the team! Be a part of the rewarding Probation Services Division of Auburn Municipal Court. As a member of the Probation Services team, you will provide tools, resources, and...
...per hour Tip Eligible: Y POSITION SUMMARY Provide hair care services such as cut/design, color, and styling to guests.... ...nail care and recommend home care regimens. Promote and sell spa/salon services and retail products. Escort guests to and from...
Semrush Inc., a global SaaS leader in online visibility and content marketing, is seeking a Digital Strategy Consultant. In this role, you will partner with global clients to define and execute data-driven digital strategies across SEO, PPC, and content using Semrushs...