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
...Lead, this individual will ensure that all components are produced/coated efficiently and are consistent with company established goals... ...safe work environment Ensure proper cleaning by removing waster powder and maintenance of equipment Train new associates powder...
...freezers, hot/chilled water pumps. Involvement in Sites predictive maintenance program so previous experience is highly desirable. Tasks... ...-mechanical temperature controls. Performs necessary plumbing procedures to ensure operation of systems and equipment Performs...
...econometrics, and available to join the internship in late June 2025. Successful interns are... ...organise weekly social activities during the summer for our interns and well also provide... ...recruitment process, please contact us.Legal Eligibility Applicants must be legally eligible...
...Since 1976, Furniture Mart USA has been more than just a furniture retailer, it's a place where people come to build careers, not just... ...Full-Time (40 hrs/wk): Monday-Friday; 7:00AM-3:30PM Repair wood, leather, and upholstery, as well as mechanism replacements...
...responsible for hunting new logos, expanding market share, and maximizing revenue growth in the Nordic region therefore fluency in Swedish or Norwegian is essential. This role requires a self-starter with strong sales acumen, capable of positioning Darktrace solutions to...