To support a mission-driven health organization, the full-time Utilization Review Nurse - RN will conduct medical necessity reviews, escalate non-certifications for secondary clinical review, and analyze clinical records to ensure timely and compliant care determinations. Key responsibilities Conduct medical-necessity reviews to evaluate services against benefit language and medical policy Escalate non-certifications to the Medical Director, ensuring timely and defensible adverse determinations Analyze clinical documentation for completeness and manage a caseload based on urgency and member impact Required qualifications Current, unrestricted RN license in the United States or a U.S. territory Graduate of an accredited nursing program (ADN or diploma required; BSN preferred) 1-2+ years of recent clinical experience in acute care, med-surg, ICU/ED, or similar settings Utilization review or utilization management experience preferred Proficiency with Microsoft Word, Excel, and Outlook, along with knowledge of ICD-10, CPT, and HCPCS coding
...Video ProducerThe Video Producer documents the City of Frederick's story through various digital means, including video, photography and graphic design. Working with various City departments, the Video Producer captures imagery and develops content to meet clients' needs...
Agency: Veterans Health AdministrationDepartment: Department of Veterans AffairsSub agency: Brooklyn Veterans Health AdministrationSalary: Starting at $300,000 Per year (VM 15)Dates: Open 07/08/2026 to 09/28/2026Schedule: Full-timeWork type: PermanentRelocation: FalsePosition...
...Participates in interdisciplinary treatment planning, when necessary. # Participates in agency-wide training programs and in-services. # Assists with the adherence that the programming schedules are being conducted as required. # Provides quality and timely clinical...
Job Description Job Description As a billion-dollar organization, we're growing fast and innovating even faster. We're looking for passionate, forward-thinking individuals who want to make a real impact.
Dishwasher/StewardAs a Dishwasher/Steward, you will ensure the cleanliness and organization of all kitchenware, equipment, and work areas. Youll support the culinary team by maintaining sanitation standards and assisting with basic kitchen tasks as needed. This role...