Conducts patient reviews as specified in review plan using screening criteria; identifies and documents actual and potential delays in services or treatment and works with departments and other ...
Conducts patient reviews as specified in review plan using screening criteria; identifies and documents actual and potential delays in services or treatment and works with departments and other ...
Utilization Review Nurse
Oxford, NC · On-site
Conducts patient reviews as specified in review plan using screening criteria; identifies and documents actual and potential delays in services or treatment and works with departments and other ...
Utilization Review Nurse
Oxford, NC · On-site
Conducts patient reviews as specified in review plan using screening criteria; identifies and documents actual and potential delays in services or treatment and works with departments and other ...
Apply medical necessity criteria utilizing review criteria hierarchy for level of care and services regarding type, amount, and duration of service * Review and determine clinical appropriateness of ...
Apply medical necessity criteria utilizing review criteria hierarchy for level of care and services regarding type, amount, and duration of service * Review and determine clinical appropriateness of ...
Ability to explain arterial and venous pathophysiology, diagnostic criteria for stenosis and thrombosis, and vascular testing protocols while preparing vascular sonographers for RVT certification.
Ability to explain arterial and venous pathophysiology, diagnostic criteria for stenosis and thrombosis, and vascular testing protocols while preparing vascular sonographers for RVT certification.
Apply medical necessity criteria utilizing review criteria hierarchy for level of care and services regarding type, amount, and duration of service * Review and determine clinical appropriateness of ...
Apply medical necessity criteria utilizing review criteria hierarchy for level of care and services regarding type, amount, and duration of service * Review and determine clinical appropriateness of ...
Ability to explain arterial and venous pathophysiology, diagnostic criteria for stenosis and thrombosis, and vascular testing protocols while preparing vascular sonographers for RVT certification.
Ability to explain arterial and venous pathophysiology, diagnostic criteria for stenosis and thrombosis, and vascular testing protocols while preparing vascular sonographers for RVT certification.
Ability to explain arterial and venous pathophysiology, diagnostic criteria for stenosis and thrombosis, and vascular testing protocols while preparing vascular sonographers for RVT certification.
Ability to explain arterial and venous pathophysiology, diagnostic criteria for stenosis and thrombosis, and vascular testing protocols while preparing vascular sonographers for RVT certification.
Supply Management Specialist: Cary NC
Cary, NC · On-site
$28 - $30/hr
Achieving Excellence process and criteria. Defines, resolves, and provides permanent solutions to supplier performance issues with the assistance of other functional representatives such as quality ...
Quick apply
Supply Management Specialist: Cary NC
Cary, NC · On-site
$28 - $30/hr
Achieving Excellence process and criteria. Defines, resolves, and provides permanent solutions to supplier performance issues with the assistance of other functional representatives such as quality ...
Define detailed user stories, acceptance criteria, and workflows that enable seamless delivery by engineering teams API & Integration Understanding: Work closely with engineering teams to define and ...
Define detailed user stories, acceptance criteria, and workflows that enable seamless delivery by engineering teams API & Integration Understanding: Work closely with engineering teams to define and ...
Project Engineer - Construction
Morrisville, NC · On-site
$26 - $30/hr
If you meet our criteria and are looking for a challenging career, please apply. Our compensation package includes: Nycom is looking for a talented, entry-level Project Engineer interested in joining ...
Project Engineer - Construction
Morrisville, NC · On-site
$26 - $30/hr
If you meet our criteria and are looking for a challenging career, please apply. Our compensation package includes: Nycom is looking for a talented, entry-level Project Engineer interested in joining ...
Project Engineer - Construction
Morrisville, NC · On-site
$26 - $30/hr
If you meet our criteria and are looking for a challenging career, please apply. Our compensation package includes: Nycom is looking for a talented, entry-level Project Engineer interested in joining ...
Quick apply
Project Engineer - Construction
Morrisville, NC · On-site
$26 - $30/hr
If you meet our criteria and are looking for a challenging career, please apply. Our compensation package includes: Nycom is looking for a talented, entry-level Project Engineer interested in joining ...
Project Engineer - Construction
$26 - $30/hr
If you meet our criteria and are looking for a challenging career, please apply. Our compensation package includes: Nycom is looking for a talented, entry-level Project Engineer interested in joining ...
Project Engineer - Construction
$26 - $30/hr
If you meet our criteria and are looking for a challenging career, please apply. Our compensation package includes: Nycom is looking for a talented, entry-level Project Engineer interested in joining ...
Performance Tester / Engineer
Raleigh, NC · On-site
... criteria. • Performance Test Planning & Execution: o Develop comprehensive performance test plans including monitoring strategies. o Monitor application server metrics using APM tools like ...
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Performance Tester / Engineer
Raleigh, NC · On-site
... criteria. • Performance Test Planning & Execution: o Develop comprehensive performance test plans including monitoring strategies. o Monitor application server metrics using APM tools like ...
Define detailed user stories, acceptance criteria, and workflows that enable seamless delivery by engineering teams API & Integration Understanding: Work closely with engineering teams to define and ...
Define detailed user stories, acceptance criteria, and workflows that enable seamless delivery by engineering teams API & Integration Understanding: Work closely with engineering teams to define and ...
User Stories & Acceptance Criteria: Define detailed user stories, acceptance criteria, and workflows that enable seamless delivery by engineering teams * API & Integration Understanding: Work closely ...
User Stories & Acceptance Criteria: Define detailed user stories, acceptance criteria, and workflows that enable seamless delivery by engineering teams * API & Integration Understanding: Work closely ...
Spanish Teacher
Raleigh, NC · On-site
Spanish Teacher * Meet criteria for or hold a valid TN License * Endorsement codes: 009, 409 and 495 * Able to follow the class schedule and implement grade level lesson plans * Previous teaching ...
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Spanish Teacher
Raleigh, NC · On-site
Spanish Teacher * Meet criteria for or hold a valid TN License * Endorsement codes: 009, 409 and 495 * Able to follow the class schedule and implement grade level lesson plans * Previous teaching ...
Product Analyst
Durham, NC · Hybrid
Help manage story readiness, acceptance criteria, sprint-level scope decisions, and delivery follow-through on behalf of the Product Manager. * Support user acceptance testing by defining test ...
Product Analyst
Durham, NC · Hybrid
Help manage story readiness, acceptance criteria, sprint-level scope decisions, and delivery follow-through on behalf of the Product Manager. * Support user acceptance testing by defining test ...
Data Product Analyst
$40.86 - $48/hr
Partner with the Product Owner to define, document, and refine user stories, acceptance criteria, and technical requirements for development. * Actively participate in backlog grooming and ...
Data Product Analyst
$40.86 - $48/hr
Partner with the Product Owner to define, document, and refine user stories, acceptance criteria, and technical requirements for development. * Actively participate in backlog grooming and ...
Business Analyst II
$40 - $45/hr
Partner with the Product Owner to define, document, and refine user stories, acceptance criteria, and technical requirements for development. * Actively participate in backlog grooming and ...
Quick apply
Business Analyst II
$40 - $45/hr
Partner with the Product Owner to define, document, and refine user stories, acceptance criteria, and technical requirements for development. * Actively participate in backlog grooming and ...
Delivery Driver
$14.50 - $18/hr
Jet's Pizza is looking for Crew/Cooks that meet the following criteria: 1.) Likes to have fun working with a team 2.) Honest and Works with Integrity 3.) Responsible and Accountable 4.) Serves team ...
Delivery Driver
$14.50 - $18/hr
Jet's Pizza is looking for Crew/Cooks that meet the following criteria: 1.) Likes to have fun working with a team 2.) Honest and Works with Integrity 3.) Responsible and Accountable 4.) Serves team ...
Criterion information
What is the difference between Criterion vs Data Analyst?
| Aspect | Criterion | Data Analyst |
|---|---|---|
| Required Credentials | Typically requires a degree in computer science, statistics, or related fields; certifications like CAP or Microsoft Certified Data Analyst are common. | Usually holds a bachelor's degree in data science, statistics, or related areas; certifications like Microsoft Data Analyst Associate are often preferred. |
| Work Environment | Works primarily in data processing, analysis, and reporting within various industries, often using specialized software. | Works in similar environments, focusing on interpreting data, creating reports, and supporting decision-making processes. |
| Employer & Industry Usage | Used across industries such as finance, healthcare, and marketing; employed by companies seeking data-driven insights. | Commonly employed in similar industries, often as part of business intelligence or analytics teams. |
While both Criterion and Data Analyst roles involve data handling and analysis, Criterion often emphasizes specific certifications and software expertise, whereas Data Analysts focus on interpreting data to inform business decisions. Both roles are integral to data-driven organizations and share similar work environments.
Job description
Position Summary:
Conducts patient reviews as specified in review plan using screening criteria; identifies and documents actual and potential delays in services or treatment and works with departments and other providers to resolve problems; communicates to attending physician need for documentation for admission or continuation of hospitalization; refers cases that do not meet criteria to Director when needed. Screens all cases against high risk screens for discharge planning; conduct concurrent and retrospective reviews.
Qualifications:
North Carolina License as a Registered Nurse. Three years clinical nursing experience. One year utilization and review experience. Experience with MCG authorization criteria preferred. Knowledge of current nursing principles, techniques, procedures; knowledge of current utilization management criteria and standards. Excellent communication skills. Ability to work with physicians and hospital staff. Maintains professional knowledge and skills related to areas of responsibility. Self direction with the ability to work with minimal supervision and manage multiple tasks. Demonstrates understanding of variations in care of the following age groups - newborn, infant, child, adolescent, adult and geriatric.