Electronic Medical Record β’ Practice Management Software β’ Local Public Health β’ Behavioral Health β’ Vital Records Software
1001 - 5000
6 days ago
πΊπΈ United States β Remote
β° Full Time
π‘ Mid-level
π Senior
π©βπ©βπ§βπ¦ Human Resources (HR)
Electronic Medical Record β’ Practice Management Software β’ Local Public Health β’ Behavioral Health β’ Vital Records Software
1001 - 5000
β’ Responsible for utilization review work for emergency admissions and continued stay reviews. β’ Review electronic medical records of emergency department admissions and screen for medical necessity, using InterQual or MCG criteria. β’ Participate in telephonic discussions with emergency department physicians relative to documentation and admission status. β’ Enter clinical review information into system for transmission to insurance companies for authorization.
β’ Current RN licensure β’ At least 3 years clinical experience in acute care setting in emergency room, critical care and/or medical/surgical nursing β’ At least 2 years utilization management experience in acute admission and concurrent reviews β’ Intermediate level experience with InterQual and/or MCG criteria within the last two years β’ Proficiency in medical record review in an electronic medical record (EMR) β’ Experience in MS Office and basic Excel β’ Ability to thrive in a fast-paced, dynamic environment and adapt to frequent changing business needs β’ Passing score(s) on job-related pre-employment assessment(s) β’ At least 5 years clinical experience in acute care setting in emergency room, critical care and/or medical/surgical nursing (preferred) β’ At least 3 years utilization management experience within the hospital setting (preferred) β’ Bachelors of Science in Nursing (preferred) β’ Proficient in InterQual/MCG criteria (preferred) β’ Case Management Certification (CCM, ACM, CMCN, or CMGT-BC) (preferred)
Apply NowOctober 16
0 - 1
Manage HR functions at Groundswell Fund, focusing on employee experience and relations.
πΊπΈ United States β Remote
π΅ $99k - $107.8k / year
β° Full Time
π‘ Mid-level
π Senior
π©βπ©βπ§βπ¦ Human Resources (HR)
October 14
201 - 500
Coordinate Human Resources activities for Sourcewell, enhancing community success.
πΊπΈ United States β Remote
π΅ $27 - $35 / year
β° Full Time
π‘ Mid-level
π Senior
π©βπ©βπ§βπ¦ Human Resources (HR)
October 13
10,000+
Lead organizational effectiveness initiatives at Southern New Hampshire University.
πΊπΈ United States β Remote
π΅ $133.8k - $214.2k / year
β° Full Time
π’ Junior
π‘ Mid-level
π©βπ©βπ§βπ¦ Human Resources (HR)
October 13
HR Solutions Associate at Manay CPA, a full-service accounting firm.
πΊπΈ United States β Remote
β° Full Time
π’ Junior
π‘ Mid-level
π©βπ©βπ§βπ¦ Human Resources (HR)
October 11
51 - 200
HR Generalist at healthcare organization Umpqua Health supports HR functions across the board.
πΊπΈ United States β Remote
π΅ $60k - $70k / year
β° Full Time
π‘ Mid-level
π Senior
π©βπ©βπ§βπ¦ Human Resources (HR)