Registered Nurse – Utilization Review (Remote)This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient, and Observation (OBS).Minimum of 3 years acute medical Care Management/Utilization Review experience in a hospital setting (experience in health plans or medical groups is not applicable).InterQual experience is mandatory; candidates without this will not be considered.Proficient in Epic, with recent use within the last 6–12 months.Experience working with HMOs, IPAs, and similar managed care organizations.Strong knowledge of Medicare regulations and associated utilization management processes, including:Condition Code 44 (CC44)Advance Beneficiary Notices (ABNs)Hospital-Issued Notices of Noncoverage (HINNs)Medicare Coverage Status Notices (MCSNs)
...Byte&Kite is a digital marketing agency helping clients across a range of industries grow through effective digital marketing. As a Marketing... ...~ Proactive, dependable and comfortable working as part of a remote team NICE TO HAVE Internship or academic experience...
...and motivated individuals to join our remote team in an entry-level Sales Relations Associate... ...to build a professional career while working in a structured, fully remote... ...oriented with a proactive approach No prior experience required (training provided) What We...
...depending on the position and eligibility.Job Description:Job Description MSA Security, An Allied Universal Company, is hiring a CCTV Room Operator. The CCTV Room Operator is responsible for continually viewing live surveillance footage areas within the client site on...
DescriptionKforce has a client that is seeking a Scrum Master in Fitchburg, WI.Summary:We are seeking a highly capable, technical project management professional/Scrum Master to lead and support complex, client-facing initiatives. This individual will have a strong focus...
...reputation for excellence. Minimum Qualifications: High school diploma or equivalent. Previous experience in food service or hospitality, preferably in banquet or event settings. Ability to stand and walk for extended periods and carry trays or equipment weighing...