Tampa, FL · Remote
$36 - $40/hr
Company Description HandsOn Global Management ("HGM") is a hybrid family office / PE fund / technology incubator focused on building innovative companies and driving synergies within our portfolio.
Quick apply
Tampa, FL · Remote
$36 - $40/hr
Company Description HandsOn Global Management ("HGM") is a hybrid family office / PE fund / technology incubator focused on building innovative companies and driving synergies within our portfolio.
Tampa, FL · Remote
$36 - $40/hr
Company Description HandsOn Global Management ("HGM") is a hybrid family office / PE fund / technology incubator focused on building innovative companies and driving synergies within our portfolio.
Quick apply
Tampa, FL · Remote
$36 - $40/hr
Company Description HandsOn Global Management ("HGM") is a hybrid family office / PE fund / technology incubator focused on building innovative companies and driving synergies within our portfolio.
Tampa, FL · Remote
$80K/yr
Company Description HandsOn Global Management ("HGM") is a hybrid family office / PE fund / technology incubator focused on building innovative companies and driving synergies within our portfolio.
Quick apply
Tampa, FL · Remote
$80K/yr
Company Description HandsOn Global Management ("HGM") is a hybrid family office / PE fund / technology incubator focused on building innovative companies and driving synergies within our portfolio.
Tampa, FL · Remote
$80K/yr
Company Description HandsOn Global Management ("HGM") is a hybrid family office / PE fund / technology incubator focused on building innovative companies and driving synergies within our portfolio.
Quick apply
Tampa, FL · Remote
$80K/yr
Company Description HandsOn Global Management ("HGM") is a hybrid family office / PE fund / technology incubator focused on building innovative companies and driving synergies within our portfolio.
Gilbert, AZ · On-site
$60 - $80/hr
* Job Category Payroll * Employee Type Salary Contact information * Phone 480-935-4300 The Payroll Manager works under the direction of the Payroll and HRIS Director to provide accurate and timely bi ...
Gilbert, AZ · On-site
$60 - $80/hr
* Job Category Payroll * Employee Type Salary Contact information * Phone 480-935-4300 The Payroll Manager works under the direction of the Payroll and HRIS Director to provide accurate and timely bi ...
As a Restaurant General Manager, you are key to our business. You are responsible in managing your team along with operational and financial objectives. You will achieve sales goals, develop your ...
As a Restaurant General Manager, you are key to our business. You are responsible in managing your team along with operational and financial objectives. You will achieve sales goals, develop your ...
Gilbert, AZ · On-site
The Payroll Manager works under the direction of the Payroll and HRIS Director to provide accurate and timely bi-weekly payroll processing for all Haven Health facilities. This position oversees the ...
Gilbert, AZ · On-site
The Payroll Manager works under the direction of the Payroll and HRIS Director to provide accurate and timely bi-weekly payroll processing for all Haven Health facilities. This position oversees the ...
As a Restaurant General Manager, you are key to our business. You are responsible in managing your team along with operational and financial objectives. You will achieve sales goals, develop your ...
As a Restaurant General Manager, you are key to our business. You are responsible in managing your team along with operational and financial objectives. You will achieve sales goals, develop your ...
Phoenix, AZ · On-site
$46K - $62K/yr
Submits documented reports regarding installed fire suppression and HGM system's inspection * Ensures all electrical systems safety is understood and followed during the completion of system ...
Phoenix, AZ · On-site
$46K - $62K/yr
Submits documented reports regarding installed fire suppression and HGM system's inspection * Ensures all electrical systems safety is understood and followed during the completion of system ...
Be Seen First
Richmond, TX · On-site
$11 - $13/hr
Many of our substitute teachers later become full-time Assistant Teachers , making this a great opportunity to join the HGM Montessori community. What You'll Do * Provide classroom support as needed ...
Quick apply
Be Seen First
Richmond, TX · On-site
$11 - $13/hr
Many of our substitute teachers later become full-time Assistant Teachers , making this a great opportunity to join the HGM Montessori community. What You'll Do * Provide classroom support as needed ...
Phoenix, AZ · On-site
$46K - $62K/yr
Submits documented reports regarding installed fire suppression and HGM system's inspection * Ensures all electrical systems safety is understood and followed during the completion of system ...
Phoenix, AZ · On-site
$46K - $62K/yr
Submits documented reports regarding installed fire suppression and HGM system's inspection * Ensures all electrical systems safety is understood and followed during the completion of system ...
Phoenix, AZ · On-site
$37K - $50K/yr
Submits documented reports regarding installed fire suppression and HGM system's inspection * Ensures all electrical systems safety is understood and followed during the completion of system ...
Phoenix, AZ · On-site
$37K - $50K/yr
Submits documented reports regarding installed fire suppression and HGM system's inspection * Ensures all electrical systems safety is understood and followed during the completion of system ...
Eau Claire, WI · On-site
$12.50 - $16.75/hr
Current driver's license and ability to meet approval requirements of HGM's insurance company for driving mission vehicles. Responsibilities include: * Getting to know the guests, building ...
Eau Claire, WI · On-site
$12.50 - $16.75/hr
Current driver's license and ability to meet approval requirements of HGM's insurance company for driving mission vehicles. Responsibilities include: * Getting to know the guests, building ...
Be Seen First
Richmond, TX · On-site
$11 - $13/hr
Many of our substitute teachers later become full-time Assistant Teachers , making this a great opportunity to join the HGM Montessori community. What You'll Do * Provide classroom support as needed ...
Quick apply
Be Seen First
Richmond, TX · On-site
$11 - $13/hr
Many of our substitute teachers later become full-time Assistant Teachers , making this a great opportunity to join the HGM Montessori community. What You'll Do * Provide classroom support as needed ...
Eau Claire, WI · On-site
$12.50 - $16.75/hr
... HGM's insurance company for driving mission vehicles. Responsibilities include: • Getting to know the guests, building relationships, and learning about their goals, dreams, and needs. • ...
Eau Claire, WI · On-site
$12.50 - $16.75/hr
... HGM's insurance company for driving mission vehicles. Responsibilities include: • Getting to know the guests, building relationships, and learning about their goals, dreams, and needs. • ...
$12.50 - $16.75/hr
Current driver's license and ability to meet approval requirements of HGM's insurance company for driving mission vehicles. Responsibilities include: Getting to know the guests, building ...
$12.50 - $16.75/hr
Current driver's license and ability to meet approval requirements of HGM's insurance company for driving mission vehicles. Responsibilities include: Getting to know the guests, building ...
Eau Claire, WI · On-site
$12.50 - $16.75/hr
... HGM's insurance company for driving mission vehicles. Responsibilities include: • Getting to know the guests, building relationships, and learning about their goals, dreams, and needs. • ...
Eau Claire, WI · On-site
$12.50 - $16.75/hr
... HGM's insurance company for driving mission vehicles. Responsibilities include: • Getting to know the guests, building relationships, and learning about their goals, dreams, and needs. • ...
Eau Claire, WI · On-site
$12.50 - $16.75/hr
Current driver's license and ability to meet approval requirements of HGM's insurance company for driving mission vehicles. Responsibilities include: Getting to know the guests, building ...
Eau Claire, WI · On-site
$12.50 - $16.75/hr
Current driver's license and ability to meet approval requirements of HGM's insurance company for driving mission vehicles. Responsibilities include: Getting to know the guests, building ...
Eau Claire, WI · On-site
$12.50 - $16.75/hr
Current driver's license and ability to meet approval requirements of HGM's insurance company for driving mission vehicles. Responsibilities include: * Getting to know the guests, building ...
Eau Claire, WI · On-site
$12.50 - $16.75/hr
Current driver's license and ability to meet approval requirements of HGM's insurance company for driving mission vehicles. Responsibilities include: * Getting to know the guests, building ...
... HGM's insurance company for driving mission vehicles Ability to lift and carry up to 50 pounds occasionally. Summary of responsibilities: Create and maintain an intentional, faith-based, healthy ...
... HGM's insurance company for driving mission vehicles Ability to lift and carry up to 50 pounds occasionally. Summary of responsibilities: Create and maintain an intentional, faith-based, healthy ...
Tampa, FL • Remote
$36 - $40/hr
Full-time
Medical, PTO
Posted 23 days ago
PURPOSE AND SCOPE:
The UM Nurse Reviewer is responsible for the medical necessity review of outpatient services that
require prior authorization, and /or management of concurrent inpatient admissions. The medical
necessity review process includes assessment and interpretation of plan specific benefits, medical
criteria, and clinical documentation.
PRINCIPAL RESPONSIBILITIES AND DUTIES
• Performs prospective, concurrent, and retrospective inpatient and/or outpatient utilization reviews
(UR) using evidence-based guidelines, policies and nationally recognized clinical criteria, and internal
policies and procedures.
• Evaluates severity of illness and intensity of service of member’s needs at time of inpatient
admission utilizing approved criteria.
• Triage and prioritize cases and other assigned duties to meet CMS turnaround time standards.
• Prepare and escalate cases to MDs for review when appropriate.
• Demonstrates effective communication methods and skills, using lines of authority appropriately.
• Establishes a relationship with providers to determine/provide needed services to member.
• Maintains accurate record of UR activities.
• Regular attendance is required as employee works as part of a team & requires interaction with
medical staff and clients.
• Adheres to quality standards and confidentiality policies and procedures.
• Ensures compliance with all state and federal regulations and guidelines in day-to-day activities.
• Adapts to changes in policies, procedures, new techniques, and additional responsibilities.
CUSTOMER SERVICE:
• Responsible for driving the HealthOps culture through values and customer service standards.
• Accountable for outstanding customer service to all external and internal contacts.
• Develops and maintains positive relationships through effective and timely communication.
• Takes initiative and action to respond, resolve and follow up regarding customer service issues with all
customers in a timely manner.
EDUCATION, EXPERIENCE AND REQUIRED SKILLS:
• Licensed RN or LPN required.
• Minimum of two to three years varied clinical experience required.
• Managed care experience preferred.
• An equivalent combination of education, training, and experience.
• Ability to read and interpret documents and calculate figures and amounts.
• Excellent oral and written communication skills including good grammar, voice and diction.
• Proficient in MS Office with basic computer and keyboarding skills.
• Excellent customer service skills (friendly, courteous and helpful).
• InterQual experience helpful.
HandsOn Global Management (“HGM”) is a hybrid family office / PE fund / technology incubator focused on building innovative companies and driving synergies within our portfolio. We specialize in technology platforms, analytics and business process services.
Headquartered in Santa Monica, CA, HandsOn Global Management (“HGM”) manages a number of funds and investments in partnership with some of the world’s largest investment banks, private equity groups and global financial institutions. Over the last decade, HGM has completed several acquisitions, integrated them and taken some public. Companies acquired and controlled by HGM employ over 17,000 people in the Americas, EMEA, and Asia, and have over 50% of the Fortune 100® as customers.
HGM’s main focus is on acquiring synergetic assets in U.S. and emerging markets, which yield above-market returns. To achieve this goal, HGM invests in companies with strong fundamentals and significant performance improvement potential, where the HGM team can apply their hands-on approach to managing portfolio companies, as well as their investment discipline and technology to increase the overall value proposition of each portfolio company.
