Responsibilities include validating compliance with Medicare, commercial payer, and organizational ... Bachelors Science Nursing or higher Required Experience: 2 years previous nursing experience ...
Responsibilities include validating compliance with Medicare, commercial payer, and organizational ... Bachelors Science Nursing or higher Required Experience: 2 years previous nursing experience ...
Responsibilities include validating compliance with Medicare, commercial payer, and organizational ... Bachelors Science Nursing or higher Required Experience: 2 years previous nursing experience ...
Responsibilities include validating compliance with Medicare, commercial payer, and organizational ... Bachelors Science Nursing or higher Required Experience: 2 years previous nursing experience ...
Responsibilities include validating compliance with Medicare, commercial payer, and organizational ... Bachelors Science Nursing or higher Required Experience: 2 years previous nursing experience ...
Responsibilities include validating compliance with Medicare, commercial payer, and organizational ... Bachelors Science Nursing or higher Required Experience: 2 years previous nursing experience ...
... highest quality of laboratory results within established timeframes. We are looking for Medical ... Demonstrates computer system proficiency including ordering, resulting, and inquiry functions.
... highest quality of laboratory results within established timeframes. We are looking for Medical ... Demonstrates computer system proficiency including ordering, resulting, and inquiry functions.
Experience on Medicaid or major healthcare payer projects . * Program or Project Management ... Education * Bachelor's degree in Computer Science, Information Systems, or a related field - OR ...
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Experience on Medicaid or major healthcare payer projects . * Program or Project Management ... Education * Bachelor's degree in Computer Science, Information Systems, or a related field - OR ...
Technical Product Manager
Huntsville, AL · On-site +1
$164K - $190K/yr
Proven experience shipping software to paying customers -- you know the difference between ... Bachelor\'s degree in a technical or quantitative field (computer science, software or systems ...
Technical Product Manager
Huntsville, AL · On-site +1
$164K - $190K/yr
Proven experience shipping software to paying customers -- you know the difference between ... Bachelor\'s degree in a technical or quantitative field (computer science, software or systems ...
... highest quality of laboratory results within established timeframes. We are looking for Medical ... Demonstrates computer system proficiency including ordering, resulting, and inquiry functions.
... highest quality of laboratory results within established timeframes. We are looking for Medical ... Demonstrates computer system proficiency including ordering, resulting, and inquiry functions.
... highest quality of laboratory results within established timeframes. We are looking for Medical ... Demonstrates computer system proficiency including ordering, resulting, and inquiry functions.
... highest quality of laboratory results within established timeframes. We are looking for Medical ... Demonstrates computer system proficiency including ordering, resulting, and inquiry functions.
Evaluate test data for alignment with expected operational benchmarks, paying close attention to ... Bachelor's degree in Aerospace Engineering, Computer Science, or a related field. Master's degree ...
Evaluate test data for alignment with expected operational benchmarks, paying close attention to ... Bachelor's degree in Aerospace Engineering, Computer Science, or a related field. Master's degree ...
Associate Network Engineer
Birmingham, AL · On-site
... Computer Science, Information Technology, Network Engineering, Network Administration ... and paying close attention to detail. • Demonstrated initiative and commitment to continuous ...
Associate Network Engineer
Birmingham, AL · On-site
... Computer Science, Information Technology, Network Engineering, Network Administration ... and paying close attention to detail. • Demonstrated initiative and commitment to continuous ...
Are you ready to put your passion for science to work in a role that directly impacts patient lives ... Demonstrates computer system proficiency including ordering, resulting, and inquiry functions.
Are you ready to put your passion for science to work in a role that directly impacts patient lives ... Demonstrates computer system proficiency including ordering, resulting, and inquiry functions.
... highest quality of laboratory results within established timeframes. We are looking for Medical ... Demonstrates computer system proficiency including ordering, resulting, and inquiry functions.
... highest quality of laboratory results within established timeframes. We are looking for Medical ... Demonstrates computer system proficiency including ordering, resulting, and inquiry functions.
... highest quality of laboratory results within established timeframes. We are looking for Medical ... Demonstrates computer system proficiency including ordering, resulting, and inquiry functions.
... highest quality of laboratory results within established timeframes. We are looking for Medical ... Demonstrates computer system proficiency including ordering, resulting, and inquiry functions.
... highest quality of laboratory results within established timeframes. We are looking for Medical ... Demonstrates computer system proficiency including ordering, resulting, and inquiry functions.
... highest quality of laboratory results within established timeframes. We are looking for Medical ... Demonstrates computer system proficiency including ordering, resulting, and inquiry functions.
Bachelors or Masters Degree in Electrical Engineering, Computer Science, Computer Engineering, or ... Do you love the challenge of crafting the highest performance & lowest power silicon possible? If ...
Bachelors or Masters Degree in Electrical Engineering, Computer Science, Computer Engineering, or ... Do you love the challenge of crafting the highest performance & lowest power silicon possible? If ...
Position Summary Are you ready to put your passion for science to work in a role that directly ... Demonstrates computer system proficiency including ordering, resulting, and inquiry functions.
Position Summary Are you ready to put your passion for science to work in a role that directly ... Demonstrates computer system proficiency including ordering, resulting, and inquiry functions.
Position Summary Are you ready to put your passion for science to work in a role that directly ... Demonstrates computer system proficiency including ordering, resulting, and inquiry functions.
Position Summary Are you ready to put your passion for science to work in a role that directly ... Demonstrates computer system proficiency including ordering, resulting, and inquiry functions.
Our facility maintains ISO 45001 certification, demonstrating our commitment to meeting the highest ... Bachelor of Science degree in a field related to engineering, computer science, or data science
Our facility maintains ISO 45001 certification, demonstrating our commitment to meeting the highest ... Bachelor of Science degree in a field related to engineering, computer science, or data science
Our facility maintains ISO 45001 certification, demonstrating our commitment to meeting the highest ... Bachelor of Science degree in a field related to engineering, computer science, or data science
Our facility maintains ISO 45001 certification, demonstrating our commitment to meeting the highest ... Bachelor of Science degree in a field related to engineering, computer science, or data science
You have Bachelors or Masters Degree in Electrical Engineering or Computer Science or Computer ... Do you love the challenge of crafting the highest performance & lowest power silicon possible? If ...
You have Bachelors or Masters Degree in Electrical Engineering or Computer Science or Computer ... Do you love the challenge of crafting the highest performance & lowest power silicon possible? If ...
Highest Paying Computer Science information
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RN Utilization Review-Case Management-FT-1st shift
Huntsville, AL • On-site
Full-time
This job post has expired today. Applications are no longer accepted.
Huntsville Hospital Health System rating
6.1
Based on 207 frontline employees who took The Breakroom Quiz
729th of 887 rated healthcare providers
Job description
The Surgical Utilization Review Registered Nurse (UR RN) is responsible for conducting concurrent medical necessity reviews to ensure appropriate level-of-care determinations, regulatory compliance, and reimbursement integrity. This position serves as a liaison between physicians, advanced practice providers, nursing, case management, revenue cycle, and payer organizations to facilitate accurate patient status assignment, timely authorization management, and denial prevention.
The primary focus of this role is surgical utilization review, including pre-operative, post-operative, and procedural patient populations. Responsibilities include validating compliance with Medicare, commercial payer, and organizational requirements, including Inpatient Only (IPO) procedures, Two-Midnight Rule criteria, observation services, and medical necessity requirements.
This role requires strong collaboration with surgeons, physician assistants, nurse practitioners, hospitalists', and clinical staff to obtain clarifying documentation, facilitate timely order placement, and support appropriate status determinations. The Surgical UR RN is expected to serve as a resource for utilization management best practices and support broader utilization review functions as operational needs dictate.
Qualifications
Required Education: Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) or Licensed Registered Nurse
Preferred Education: Bachelors Science Nursing or higher
Required Experience: 2 years previous nursing experience
Preferred Experience: Utilization Review or Case Management experience
Required License/Registration/Certification: Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) or Licensed Registered Nurse
Preferred License/Registration/Certification: ACM or CCM Certification
Computer Skills Required: Data entry skills; Demonstrable skills with Google Docs, Google Sheets, Microsoft Suite and email applications.
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