Location: Fully remote (PA RN License or Compact including PA Required), Must Reside in PA, NJ, or DE Employment type: Contract to full-time hire Position Overview: We are seeking a skilled and detail-oriented Utilization Review RN with a valid PA license (or Compact)to join our team. This position is ideal for an RN with prior work in insurance utilization review. Key Responsibilities: Conduct clinical reviews to determine medical necessity and appropriateness of care Apply evidence-based criteria to assess patient treatment plans and services Collaborate with healthcare providers and insurance partners to ensure efficient, quality patient care Document review findings accurately and in a timely manner Maintain compliance with internal and external regulatory standards Required Qualifications: Active and unrestricted PA RN license (or Compact license including PA) 2-5+ years ofprior experience in insurance utilization review Strong clinical judgment and knowledge of hospital workflows Proficient in using clinical review tools and electronic health records Familiarity with InterQual or Milliman criteria. #J-18808-Ljbffr
DescriptionThe nature of the work is focused on the appearance of product, communications, or collateral materials.Plans and executes color designs. Collaborates with design, product marketing, development and material consultants to focus color solutions for market success....
...Job Description Job Description Openwork is currently engaged in a search to find a General Laborer in Kemah. Apply today if you meet the qualifications listed below. Responsibilities: Sanding down parts with an electric palm sander. Performing other general...
...Free food & snacks Health insurance Paid time off Wellness resources We are seeking a skilled and detail-oriented WordPress Developer to join our team. This role is responsible for designing, developing, and maintaining high-performing WordPress websites...
...opportunity for you! We are offering PAID on-the-job training to become a Certified Nursing Assistant (CNA) . This is a work-while-you-learn position where youll gain hands-on experience, earn a paycheck, and complete your CNA certification in less than 4 months ...
...Shift Type: Day Shift Assignment Type: Urgent Care Call Required: No Board Certification Required: Yes Job Duration: Locums About the Facility The facility is an urgent care clinic operating on an on-site basis to provide walk-in care for patients of...