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
...can learn and grow. With competitive compensation and an attractive benefits package, TAG is an exciting place to work. TAG Refrigeration is seeking Refrigeration Service Technicians for commercial service work in and around the New Braunfels, TX area Role...
...community where great people, comfort, and quality converge. The Buttery is many things: a great local eatery the village bakery & patisserie an exceptional specialty coffee shop all wrapped in a unique retail environment We are a communal gathering...
...Church with world-class, pastoral leadership formation and consulting services that strengthen their confidence and competence in ministry, enabling them to articulate a vision for their local church, to call forth the gifts of those they lead, and to create more vibrant...
...weekend hours are required to address utilization review cases.Roles and ResponsibilitiesPrepares... ...have a current, unrestricted Texas nursing license or Compact License. Please include... ...Telecommuting RequirementsThis is a remote position. Our whole company works remotely...
...Web Engineer Title of Role: Web Engineer Location: New York, remote Company Stage of Funding: Series C Software Development Office Type: Remote Salary: $170K$220K Company Description We're representing a dynamic software development company that...