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 IntePros
...Access Control/CCTV Install/Service TechnicianEncompass (IT) Security Services is a full services technology service provider located in Bowie, MD. Our services range from enterprise planning and implementation to Cyber Security. Our clients include federal, state and...
Job Opening: AP History Teacher (High School)Location: Chaoyang District, Beijing, China Immediate start required Job Requirements 1.NativeEnglish speakers. 2.Bachelors degree or above, with solid academic background. 3.Minimum 2year relevant teaching...
...Job Title: Stainless Steel Welder Reports To: Stainless Steel Lead Person Approved Date:9/2009 The wage range for this position... .... Summary: Welds stainless steel tanks and assemblies with MiG welding equipment as specified by layout, welding diagram, or...
We anticipate the application window for this opening will close on - 3 Oct 2026Careers that change lives start here. Medtronic is a global leader in healthcare technology with a Mission to alleviate pain, restore health, and extend life. Our 95,000 employees work across...
Love strength training and fitness? You don't need personal training, group fitness certifications, or paid experience at a gym! We'll provide comprehensive paid training and give you a raise once you've completed the program.BenefitsLocally owned and operatedPaid...