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
...School Bus AideThe Bus Aide will help students board the bus, depart from the bus, and arrive safely at their destination. Maintaining a safe environment for students and ensuring the Driver can focus on driving responsibilities are the most important tasks of the Bus...
Our Company Embrace Hospice Overview Office Location: 5835 Callaghan Rd #600, San Antonio, TX 78228 Coverage area: San Antonio, Infrequently to Cover New Braunfels & Kerrville Schedule: M-F 8-5 Are you a CNA looking for a new opportunity? Embrace...
Certified Nursing Assistants (CNAs), Nurse Aides (NAs) & Caregivers Wanted - $21-$25/hrLocation: Oahu, HawaiiSchedule: Full-Time or Part-Time | Flexible Hours | Weekly PayJoin a Team That Makes a Difference Every DayAlways Best Care is hiring compassionate...
...Director Of Marketing The Director of Marketing is a dynamic and strategic leader responsible for building and driving Del Mar Vacations... ...includes designing, executing, and continuously optimizing inbound and outbound marketing strategies that create awareness and interest...
...supports the Production Engineering and General Administration functions by providing technical interpretation and translation between Japanese and English. The role facilitates communication across internal departments, customers, and suppliers; assists with documentation...