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
...Proprietary Equity Trader Position NOW HIRING Proprietary Equity Traders Wanted T3 Trading Group, LLC is a registered SEC Broker-Dealer & Member of FINRA SIPC. T3's office headquarters is located at 88 Pine Street in the heart of New York City's famed financial...
...Freelance Graphic Designer Prowess Consulting is a Bellevue-based consulting firm that specializes in helping the largest enterprises in the technology industry define, manage, benchmark, and market their solutions and services. We take great pride in investing the...
...in patient care. We are on the Magnet journey, and we were just awarded a 5-star rating for quality, safe care from the Centers of Medicare and Medicaid Services (CMS). Under the direction of the Department Director, the day-to-day supervision of the Lead...
...All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.VETERANS PREFERENCE. Pursuant to Chapter 295, Florida Statutes,candidates eligible for Veterans Preference will receive preference in...
...Job Description Job Title: Paralegal Real Estate & Title Company Manager \n Reports To: Katz Teller Attorneys \n FLSA Status: Non-exempt \n Employment Status: Full Time \n \n Katz Teller, a prominent law firm in Cincinnati, has an outstanding opportunity...