Jobs in the United States

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MC
ROI Medical Records Specialist
MRO Corporation
Langhorne, PA
- $16 to $22 USD / hour
Added just now
Deployment Engineer - Federal Customer
VA
(On-site 5 days per week, Chantilly, VA
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Samsung Home Theater Specialist
Best Buy
Sterling, VA
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D
Eligibility Assistant - Front Desk
DFR
Petersburg, IN
- $14 USD / hour
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Retail Sales Associate
Best Buy
Portage, MI
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DC
Trailer Mechanic
Depot Connect International
Billings, MT
- $21 to $38 USD / hour
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D
Eligibility Specialist - Case Worker
DFR
East Chicago, IN
- $18 USD / hour
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VH
Certified Hospice Aide (CNA)
Vitality Hospice
Langhorne, PA
- $18 to $23 USD / hour
Active CNA certification required
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International Customer Service Representative
Reliable Safety and Flow Corporation
Liberty, SC
Added just now
A
Manager, Aviation Events
AOPA
Frederick, MD
- $72,000 to $80,000 USD / year
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Billing Specialist
Guardian Pharmacy Services Management, LLC
Memphis, TN
Work Ethic/Integrity – must possess intrinsic drive to excel coupled with values in line with company philosophy
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VL
Part-Time Lead Service Valet - Personal Truck Required
Valet Living LLC
Cleveland, OH
- $22 USD / hour
- Part-time
Schedule: Evening shifts, typically Sunday through Thursday, with some flexibility
Added just now
Hospital Service Technician
Agiliti Health, Inc.
United States
Added just now
Field Service Technician II
Agiliti Health, Inc.
United States
Must hold a current, valid, and unrestricted driver’s license · Must have a safe driving record based on Agiliti policies
Added just now
Service Technician
NOV
Odessa, TX
Must have reliable transportation
Added just now
PF
Front Desk Associate
Planet Fitness
Simsbury, CT
- $16.94 USD / hour
Added just now
Biomedical Technician
Agiliti Health, Inc.
United States
Must hold a current, valid, and unrestricted driver’s license · Must have a safe driving record based on Agiliti policies
Added 1 min ago
Environmental Management and Environmental Health & Safety, Applied Sciences and Professional Studies - Adjunct Faculty
Stateside
Remote, United States
Be Visible: Maintain an active classroom presence at least 5 days per week, introducing yourself with a welcome announcement and driving discussions · Legal Status: Applicants must have and be able to maintain their own legal status in the country in which they apply to teach
Added 1 min ago
KEYHOLDER
Goodwill Industries of Arkansas
Siloam Springs, AR
Must have a valid driver’s license and be insurable by the company’s insurance carrier · Must have knowledge of fashionable women’s, children’s and men’s clothing as well as furniture and household items
Added 1 min ago
Sales Director, CTV ( Ad-Tech Experience Required)
Pixalate, Inc.
New York, NY
Added 1 min ago
D
Creative Director
Doctronic
Los Angeles, CA · San Francisco, CA · New York, NY
- $225,000 to $300,000 USD / year
Added 1 min ago
Parent Shift Team Member
Chick-fil-A
Missouri City, TX
Added 1 min ago
Kindergarten Teacher
Crossroads Charter Academy
Big Rapids, MI
Must have Teacher Certification and Endorsement
Added 1 min ago
Associate General Counsel, Commercial
Motive
Remote, United States
Added 1 min ago
Construction Project Manager
Fortify Companies
Cincinnati, OH

Unity Health

Case Manager RN, FT

Newport, AR, United States

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Job details

Posting language: English

Original job description

Education: Graduate of an accredited school of professional nursing with a current RN licensure in the State of Arkansas.
Training and Experience: Minimum three years of acute care nursing experience preferred. Experience in Case Management, Utilization Review, Emergency Department nursing, Care Coordination, or Discharge Planning preferred. Experience with InterQual Criteria or Milliman Criteria, Medicare regulations, CMS Conditions of Participation, and third-party payer requirements preferred.
Job Knowledge: Must demonstrate strong clinical assessment skills. Knowledge of medical necessity criteria. Understanding of CMS regulations and payer requirement. Expertise in discharge planning and care transitions. Effective communication and conflict resolution skills. Ability to prioritize in a fast-paced environment. Knowledge of denial prevention and appeals processes. Ability to work collaboratively with physicians and interdisciplinary teams.
Safety Sensitive: YES In the interest of protecting the health and safety of all patients, associates, and guests, Unity Health has classified some positions as “safety sensitive.” A “safety sensitive” position is any job position in which impaired performance could result in harm to the health and/or safety of self or others. Any associate that is actively engaged in the use of medical marijuana, even if in possession of a valid medical marijuana card, will be excluded from employment in a “safety sensitive” position.

DESCRIPTION:

The Case Management & Utilization Review RN serves as a clinical leader responsible for coordinating patient care across the continuum, ensuring appropriate utilization of healthcare resources, facilitating timely transitions of care, optimizing reimbursement, reducing avoidable days and readmissions, and supporting high-quality patient outcomes.These roles integrate Emergency Department Case Management, Inpatient Case Management, Utilization Review, UR Analyst, Discharge Planning, Readmission Prevention, Denial Prevention, and Care Coordination. Job roles and definitions will be assigned by the Director. These positions collaborate extensively with physicians, nursing staff, patients, families, payers, post-acute providers, and community resources to ensure patients receive the right care, at the right time, in the right setting.

PHYSICAL REQUIREMENTS:

Job responsibilities include rounding with physicians on nursing units, interacting with patients/families and clinical associates, carry medical records up to 30 pounds, knowledge and use of Meditech, internet applications, Interqual review criteria, and appropriate documentation in the medical record. Interpretation of environmental input requires visual and auditory skills. A significant amount of writing and computer entry is required. The position does have some exposure to malodorous, infectious body fluids from patients and some minimal exposure to noxious smells from cleansing agents. Exposure to infectious wastes and body fluids may mandate the wearing of gloves, masks, gowns, and goggles as necessary.

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More about this job

Skills

Acute care
Case management
CMS
Conflict resolution
Unity
Patient care
MEDITECH
Documentation

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Work requirements

Jobs in the United States