Jobs in Chester Middlesex County Ct Remote
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Are you a dependable, patient-focused Dental Assistant looking to grow in a modern, supportive dental practice? East Haddam Dental Associates is seeking a skilled Dental Assistant to join our collaborative clinical team. If you enjoy working with patients, value teamwork, and want to expand your skills in a well-established practice, this is your opportunity to thrive.
At East Haddam Dental Associates, we combine advanced technology with compassionate care to provide exceptional dental experiences for patients of all ages. Our practice is known for its welcoming environment, personalized treatment approach, and commitment to clinical excellence.
Why Join East Haddam Dental Associates?
Competitive Pay: $24-26/hour based on experienceStable Schedule: Monday-Friday | 8AM-5PMProfessional Development: Continuing education opportunities and hands-on learning in a modern clinical environmentSupportive Team Culture: Work alongside experienced dentists and dental professionals who value collaboration and patient careModern Facility: Digital x-rays, intraoral cameras, and advanced diagnostic tools for efficient, high-quality treatment
Practice Highlights
East Haddam Dental Associates | 32 William F. Palmer Road, Suite 101, Moodus, CT 06469Modern dental office with advanced technology and digital imagingPrivate treatment rooms designed for patient comfortWelcoming reception area with comfortable seating and complimentary coffee stationFull-service practice offering preventive, cosmetic, and restorative dentistry
About East Haddam Dental Associates
East Haddam Dental Associates provides a full range of dental services including preventive care, cosmetic dentistry, and restorative treatments. Our practice focuses on creating personalized treatment plans that help patients achieve healthy, confident smiles while delivering a comfortable and supportive experience from start to finish.
From the moment patients arrive, they are greeted by a friendly team and guided through a comfortable, patient-centered experience. Our office is designed to make every visit efficient, relaxing, and focused on outstanding care.
Your Role as a Dental Assistant
Create a warm and welcoming experience for every patientAssist dentists chairside during a wide range of dental proceduresPrepare operatories and sterilize instruments according to OSHA guidelinesTake high-quality digital dental x-raysEducate patients on oral hygiene and post-treatment careMaintain organized treatment rooms and assist with inventory managementSupport the clinical team to ensure efficient patient flow and excellent care delivery
What We’re Looking For
High school diploma or equivalent (required)X-ray certification (required)Infection control certification (required)Completion of a dental assisting program (preferred)Previous dental assisting experience (preferred)Strong communication skills and patient-focused mindsetReliable, organized, and team-oriented attitude
Apply Today
If you're ready to grow your dental assisting career in a welcoming, technology-driven practice where your contributions matter, we invite you to apply today and become part of the East Haddam Dental Associates team.
East Haddam Dental Associates is a proud affiliate of Affinity Dental Management, an equal opportunity employer committed to a diverse and inclusive workforce. We encourage qualified candidates from all backgrounds to apply and will consider all qualified applicants for employment without regard to race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age, disability, or genetic information or other characteristics protected by law. All candidates’ employment is contingent on successful completion of a background check, reference check, and employment verification.
{Dental Care Assistant, Certified Dental Assistant (CDA), Dental Operatory Assistant, Expanded Functions Dental Assistant (EFDA), Registered Dental Assistant (RDA), Clinical Dental Assistant, Dental Team Member, Chairside Dental Assistant}
PId2b50001e8a1-362
Job Description:
The Automation Controls Engineer is integral to the design, commissioning, and continued support of automated assembly and test equipment. Ideal candidates will have a well-rounded knowledge of the design of automated manufacturing systems and a strong ability to program Allen-Bradley PLCs to interface with robots, servos, solenoid valves, vision systems, process control sensors, conveyors, and other components. Close attention to detail and drive to build on and improve existing systems is required as we develop new and innovative ways to accelerate our manufacturing capabilities.
What We’re Looking For:
- Bachelor’s degree in a related engineering field.
- 5+ years of experience with the design, fabrication, and commissioning of automated assembly and test equipment, specifically in the discipline of electrical controls.
- An advanced level of skill programming Allen-Bradley CompactLogix PLCs from blank projects in ladder logic.
- A well demonstrated knowledge of all I/O interfacing types (Digital, Analog, Fieldbus, Ethernet, Serial) and the evaluation and selection process for them.
- A high level of knowledge in implementing machine safety into the design of equipment by using emergency stops, interlocking doors, safety scanners, and safety relays.
- Wide reaching exposure to various sensors used in machine and process control.
- An advanced level of skill programming 6-axis, collaborative, and SCARA industrial robots, specific experience with Epson, UR and/or Yamaha robots is a plus.
- Experience creating HMI screens that are easy to understand, aesthetically pleasing, and have intuitive navigation schemes.
- Knowledge of SCADA platforms such as Ignition.
- Experience with relational database systems such as MSSQL Server.
- A high level of proficiency in using CAD to create electrical schematics for industrial control panels and field wiring.
- Experience selecting and programing vision system components based on the application requirements, specific experience with Cognex and/or Keyence is a plus.
- Linear motion control experience using servo and stepper driven systems.
- A working knowledge of different part feeding methods, such as traditional bowl feeders and alternative flexible vibratory types.
Responsibilities:
The Automation Controls Engineer will interface with automation equipment and contribute to cross-functional project teams in three key areas - New equipment developed on-site, new equipment developed using outside resources, and the continuous improvement of existing equipment in production.
New equipment developed on-site:
- Be on the forefront of new machine designs, working closely with the mechanical and other engineering teams to develop the controls systems that will bring the machines to life.
- Develop Piping and Instrumentation Diagrams (P&ID).
- Create electrical control panel schematics and layouts following applicable codes and guidelines such as NFPA79 and NEC using CAD, ensuring the design meets all safety requirements.
- Conceptualize, write, and deploy software on Allen-Bradley CompactLogix PLCs using ladder logic following company standards for code cleanliness, reusability, and documentation.
- Design and deploy aesthetically pleasing and intuitive HMI screens following company standards.
- Integrate and program all components required for machine operation such as robots, servo drives, vision systems, conveyor systems, and pneumatic solenoid valves.
- Manage electrical design changes and updates during the build phase, including the layout of field wiring and pneumatic components.
New equipment developed using outside resources:
- Work with vendors on the electrical design and review phases of projects to ensure conformance to applicable company standards.
- Document and maintain best practices and preferred component lists to promote continuity across multiple projects.
- Develop testing procedures to verify vendor PLC code, HMI screen integrity, and Alarm management to minimize potential downtime after delivery.
Existing equipment in production:
- Install new hardware and perform modifications on existing equipment software to improve reliability, increase throughput or accommodate new assembly steps.
- Become an expert on existing machinery to assist with troubleshooting when required.
- Participate in quality validation procedures using statistical methods such as Gage R&R, and Process Capability & Performance.
The Lee Company Advantages:
The Lee Company offers opportunities for career growth in a stable, well-managed company providing an attractive range of benefits including company-paid health insurance, generous profit sharing, full tuition reimbursement, and daycare subsidy. The Lee Company is situated in southern New England in a rural, campus setting close to the Long Island Sound.
Please send your resume to
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
Location Detail: NAT 1353 Gold Star Hwy Groton (10154)
Shift Detail: Schedule: Mon-Fri; 9:00am - 5:30pm
Work where every moment matters.
Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network.
Natchaug Hospital is Eastern Connecticut’s leading provider for children, adolescents and adults with mental illness and substance abuse addictions. We offer a variety of programs including inpatient and outpatient behavioral health, residential treatment for court-involved teenage girls, geriatric services, clinical day treatment schools and chemical dependency services. Through our multi-site network of care, we constantly strive to meet its mission in helping people find their way while educating and empowering individuals to participate in their own care and recovery.
Job Summary
Supervisor of Behavioral Health works in coordination with interdisciplinary teams to organize, prepare, and deliver evidence based clinical services across the continuum of care for Adults and Child/Adolescents. Clinical services include individual, group and family therapy. Maintains ethical principles and professional standards of practice in adherence to the discipline’s professional code of ethics.
This is a key supporting member of the management team that oversees day-to-day program operations and is responsible for the supervision of assigned clinical care activities to monitor standard work and meet regulatory requirements. Career growth opportunities.
Key areas of responsibility:
Unit and Personnel Management
- Supervise all clinical care, including use of behavioral health interventions, emergency management and monitors compliance with requirements for treatment planning and transition planning.
- Hires, trains, provides coaching and gives corrective action, delegates tasks to ensure productivity and educates staff.
- Assesses staff performance and develops clinical team.
- Identifies opportunities for operational improvement and plans to implement them in collaboration with Program Manager.
- Provides clear goals and expectations for staff and holds them accountable. Sets and measures results with respect to established objectives.
Direct Patient Care
- When required, conducts a comprehensive bio-psychosocial assessment and establishes a care plan, as appropriate.
- Provides direct patient care that may include: case management, care coordination, interdisciplinary collaboration for care transition needs, crisis intervention/safety planning, counseling, and emotional support to patients and families coping with illness, trauma, or end-of-life care, referral and discharge planning.
Clinical Excellence
- Leads administrative and development activities including but not limited to: team meetings, clinical supervision of staff and staff education.
- Provide field supervision to second year student interns
Qualifications
- Master's degree in social work, counseling or marriage & family therapy required.
- Current Connecticut license; LCSW, LPC, or LMFT required.
- 1 year of management experience in a healthcare related setting required.
- 2 years of experience as a licensed Clinician required.
- Previous experience in clinical setting with Adults or Children/Adolescents populations
- Computer proficient
- Ability to assess problems, determine solutions and make decisions within a timely manner
- Utilize supervision and team approaches in the context of patient assessment and clinical interventions
- Excellent communication skills, with the ability to establish relationships within and outside their entity
- Focused on personal, patient/client and unit/staff safety
We take great care of careers.
Hartford HealthCare provides eligible colleagues with an extensive benefits package and all the benefits of working with a top-notch organization:
- Medical and dental benefits
- 401(k) plan with employer match up to 7%
- Generous paid time off with accrual starting on the date of hire
- Federal Loan Forgiveness
- Discounts on services, products and optional coverages – movie tickets, pet insurance, travel and more!
With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge – helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving colleagues-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment.
Admissions Registered Nurse / RN, Hospice
Location: Middlebury, CT
Position: Admissions Registered Nurse / RN, Hospice
Position Type: Part Time
Remote/Virtual Position: No
Coverage Area: UCONN, Waterbury and Griffin Hospitals / Weekend GIP admissions/visits
Find Your Passion and Purpose as a Hospice Admissions Registered Nurse
Salary: $43 - $50 / hour
Schedule: Every Sat and Sunday plus 1 day during the week 8am-5pm / 3 8-hour shifts
Offer Based on Years of Experience
What You Need to Know:Reimagining Your Career in Hospice
Caring for others is more than what you do — it’s who you are. At AccentCare, you’ll join a purpose-driven, collaborative culture that sets the standard for excellence and gives you the trust and tools to do your best work. You’ll belong to a team that cares deeply for patients and each other; a team committed to consistently providing exceptional care.
We’re proud to be named one of America’s Greatest Workplaces 2025 by Newsweek — a reflection of our shared commitment to excellence, integrity and compassion as we shape the future of aging in place. When you thrive, so does the community of care we’re building together.
Be the Best Hospice Admissions RN You Can Be
If you meet these qualifications, we would love to meet you:
- Licensed as a Registered Nurse in the state(s) of practice, with an associate degree preferred and CPR certification recommended (required for direct patient care in Georgia). Must meet state-specific regulatory requirements.
- Previous nursing experience in hospice, home health, general medical-surgical, or population-specific care (e.g., pediatrics, geriatrics) is required, along with willingness to serve on-call.
- Must have a reliable vehicle, valid driver’s license, and the minimum required liability auto insurance.
- Strong communication and organizational skills, with working knowledge of Microsoft Office Suite and EMR systems. Must be able to work effectively as part of an interdisciplinary team.
- Physically able to lift patients over 200 pounds (with assistance), stand, walk, sit, stoop, and perform other physical movements frequently. Regular exposure to indoor environments and moderate noise expected.
Responsibilities:
- Conduct comprehensive assessments and collaborate with patients, families, physicians, and the interdisciplinary team to develop and adjust individualized plans of care
- Coordinate and communicate care needs with internal and external partners, ensuring timely updates, interventions, and resource utilization
- Provide patient and caregiver education, document care accurately, and maintain up-to-date clinical records that reflect current status and progress
- Participate in on-call rotations, admissions, and interdisciplinary meetings; manage care and scheduling using the Case Management model when serving as Care Manager
- Supervise and support other clinical staff as applicable; engage in ongoing education, special projects, and duties within scope of licensure
Our Investment in You
Caring for others starts with caring for you. We’re committed to fostering a purpose-driven workplace where you feel supported, and that means prioritizing your physical, financial and mental well-being. Our benefits include:
- Medical, dental, and vision coverage
- Paid time off and paid holidays
- Professional development opportunities
- Company-matching 401(k)
- Flexible spending and health savings accounts
- Wellness offerings such as an employee assistance program, pet insurance and access to Calm, a meditation, sleep, and relaxation app
- Programs to celebrate achievements, milestones, and fellow employees
- Company store credit for your first AccentCare-branded scrubs for patient-facing employees
- And more!
Come As You Are
- At AccentCare, you’re part of a community that cares — for patients and each other. You can rest assured we offer equal employment opportunities regardless of race, ethnicity, sex, sexual orientation, gender identity, religion, national origin, age or disability.
#AC-BRCT
Posted Salary Range: USD $43.00 - USD $50.00 /Hr.
LOCATION:
475 High St, Mystic, CT
POSITION TYPE:
Full-Time
SHIFT(S):
7:00am-3:00pm
PAY RANGE:
$50.00- $56.00 per hour
BENEFITS - Part-Time:
- Employer-Paid Life Insurance
- Paid Meal Period
- 8 Paid Holidays
- Sick Time Accrual
- Employee Assistance Program (EAP)
- Employee Discounts
- Shift Differential for Weekend, Evening & Night Shifts
- Casual Fridays
- Paid Training and Orientation
- Uniform Allowance
- Longevity Awards
JOB SUMMARY:
Are you a compassionate and experienced RN Supervisor looking for part-time work while making a real difference in resident care and unit oversight? We are seeking an RN Supervisor who is committed to ensuring high-quality care, supporting staff, and maintaining standards across the facility. At Mystic Healthcare, we pride ourselves on providing exceptional, resident-centered care in a supportive, collaborative environment. If you have strong leadership and clinical skills and enjoy guiding a care team, we invite you to apply.
RESPONSIBILITIES:
- Supervise and manage nursing staff on your shift - ensuring care delivery meets facility standards and regulatory requirements.
- Perform or oversee resident assessments, monitor health status, and respond to changes in condition; coordinate with physicians and care team as needed.
- Ensure documentation accuracy and compliance - including resident records, care plans, incident reports, regulatory compliance paperwork, and shift handoffs.
- Oversee admissions, transfers, and discharges as assigned; coordinate with appropriate departments to ensure smooth transitions of care.
- Provide direct nursing care when necessary (medications, treatments, IVs, specimen collection, etc.), especially during staffing shortages or emergencies.
- Mentor and support assigned staff (RNs, LPNs, CNAs), provide guidance, and act as point of contact for staff and resident/family issues.
- Ensure unit compliance with facility policies, state/federal regulations, safety and infection-control standards.
QUALIFICATIONS:
- Valid, unrestricted RN license in Connecticut.
- Minimum experience working as an RN in a long-term care or skilled nursing environment; supervisory or charge-nurse experience preferred.
- Strong leadership, communication, and organizational skills.
- Ability to assess resident needs, coordinate care, respond to changes in condition, and make sound clinical judgments.
- Dependable, with good attendance and ability to work collaboratively as part of a care team.
ABOUT US:
Ryders Health Management is a family-owned management company overseeing Skilled Nursing & Rehabilitation Centers. Across all our centers, we provide exceptional, patient-centered care to support each resident's recovery or long-term care needs. Our commitment to our staff is as strong as our commitment to our residents. We offer a supportive work environment and opportunities for growth and development.
OUR CARING COMMUNITY:
Mystic Healthcare is a 100-bed, family-owned skilled nursing facility located in Mystic. As part of the Ryders Health family, you'll join a team backed by over 75 years of experience - rooted in quality care, teamwork, and staffing ratios that exceed industry standards.
Come join our compassionate, dedicated team of professionals!
EQUAL OPPORTUNITY EMPLOYER STATEMENT:
We are an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by law.
Citizen, U.Person, or Immigration Status Requirements:
S. government issued security clearance is required. S. citizens are eligible for a security clearance Security Clearance Type:
Secret Security Clearance Status:
Active and existing security clearance required after day 1
At Raytheon, the foundation of everything we do is rooted in our values and a higher calling – to help our nation and allies defend freedoms and deter aggression. Raytheon Engineering designs, produces, and builds new technologies and enhances existing capabilities to solve our customers’ most complex challenges. The Airborne Antenna Design Department is a team of engineers responsible for electrical design and development of RF products within Raytheon. Our charter is to provide expertise in sub-systems engineering, RF and radome design, digital apertures, antenna ranges and module test.
We are looking to add to our team and desire a Senior Technical Support Engineer to be part of a team that provides the most advanced end-to-end solutions that detect, track, engage and neutralize a broad range of threats. The role includes knowledge of RF product testing and associated RF test equipment, typically obtained through a University Degree program, or through work experience. May have practical knowledge of projects, programs and systems with the ability to make enhancements in daily work.
Perform electrical engineering functions involving the layout, building, testing, troubleshooting, repairing and modification of electronic or electro-mechanical devices, assemblies, subsystems, and systems.
Perform analysis on production data, to determine root cause analysis of failures.
Be involved in planning and executing rework of production assemblies.
This 1st shift role will be 100% on-site and based in McKinney, TX.
Typically requires a degree in Science, Technology, Engineering or Mathematics (STEM) and a minimum of 5 years of prior work experience to include any combination of the following:
S. government issued security clearance is required. S. citizens are eligible for a security clearance.
Active DoD Secret clearance with investigation within last five years.
Our values drive our actions, behaviors, and performance with a vision for a safer, more connected world. This position offers relocation based on candidate eligibility.
Clearance Information: This position requires a security clearance. DCSA Consolidated Adjudication Services (DCSA CAS), an agency of the Department of Defense, handles and adjudicates the security clearance process. More information about Security Clearances can be found on the US Department of State government website here:
As part of our commitment to maintaining a secure hiring process, candidates may be asked to attend select steps of the interview process in-person at one of our office locations, regardless of whether the role is designated as on-site, hybrid or remote.
RTX considers several factors when extending an offer, including but not limited to, the role, function and associated responsibilities, a candidate’s work experience, location, education/training, and key skills.
Hired applicants may be eligible for benefits, including but not limited to, medical, dental, vision, life insurance, short-term disability, long-term disability, 401(k) match, flexible spending accounts, flexible work schedules, employee assistance program, Employee Scholar Program, parental leave, paid time off, and holidays. Specific benefits are dependent upon the specific business unit as well as whether or not the position is covered by a collective-bargaining agreement.
Hired applicants may be eligible for annual short-term and/or long-term incentive compensation programs depending on the level of the position and whether or not it is covered by a collective-bargaining agreement. Payments under these annual programs are not guaranteed and are dependent upon a variety of factors including, but not limited to, individual performance, business unit performance, and/or the company’s performance.
S. territory, the appropriate pay structure and benefits will apply.
RTX anticipates the application window closing approximately 40 days from the date the notice was posted. However, factors such as candidate flow and business necessity may require RTX to shorten or extend the application window.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or veteran status, or any other applicable state or federal protected class. RTX provides affirmative action in employment for qualified Individuals with a Disability and Protected Veterans in compliance with Section 503 of the Rehabilitation Act and the Vietnam Era Veterans’ Readjustment Assistance Act.
Privacy Policy and Terms:
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Remote working/work at home options are available for this role.
Join a mission-driven team making a lasting difference in kidney care.
University Health is seeking a passionate, board-certified Nurse Practitioner or Physician Assistant to join our dynamic Nephrology team. In this hybrid role—split between inpatient and outpatient settings—you'll provide compassionate, patient-centered care while helping advance our commitment to excellence in nephrology.
The ideal candidate is a dedicated clinician who thrives in a collaborative environment, values lifelong learning, and is eager to support a diverse patient community. Two or more years of direct nephrology experience are preferred.
Why You'll Love This Role
- Balanced Schedule: Monday–Friday hybrid model—1 week in clinic, 1 week rounding in the hospital
- Impactful Work: Manage and follow patients with acute and chronic kidney disease, ensuring continuity and quality of care
- Collaboration: Work side-by-side with nephrologists and multidisciplinary teams to create personalized treatment plans
- Guidance and mentorship from a dedicated academic nephrologist
- Education & Empowerment: Help patients and families understand disease management, medications, and lifestyle changes
- Professional Growth: Participate in quality improvement initiatives and contribute to the continued growth of our Nephrology program
What We Offer
- Competitive compensation package
- Annual Professional Business Expense Allowance and Paid CME days
- Internal Loan Repayment program
- Comprehensive benefits with affordable medical insurance
- Generous paid time off and retirement plan options with employer match
- Mentoring programs and regular provider meetings that foster teamwork and growth
Education & Experience
Graduate of an accredited Nurse Practitioner (NP) or Physician Assistant (PA) program.
- At least 3 years of nursing experience with 2 years of advanced practice preferred.
Licensure & Certifications
Current Texas RN and APRN license (for NPs) or Texas PA license. Must hold national certification, prescriptive authority, and AHA BLS (or higher) certification as required by Medical-Dental Staff Bylaws. A valid DEA number is required within 90 days of hire.
Life in San Antonio, Texas
Experience the perfect blend of big-city amenities and small-town charm in San Antonio—a vibrant, culturally rich community known for its friendly people, diverse neighborhoods, and affordable cost of living. Enjoy world-class dining, outdoor recreation, and a thriving arts scene, all while benefiting from no state income tax. With excellent public and private schools, San Antonio offers an exceptional quality of life for professionals and families alike.
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Bottom of Form
Join us at University Health and UMA—where your skills, compassion, and expertise will make a meaningful impact every day.
Remote working/work at home options are available for this role.
POSITION SUMMARY/RESPONSIBILITIES
Provides direct and indirect nursing care to patients in the ambulatory setting in accordance with UH policies and standards. Supports and promotes University Health values to ensure patient/guest relations. Performs the nursing process in a safe therapeutic manner in a designated clinic setting. Maintains, facilitates and promotes department policies and standards.
EDUCATION/EXPERIENCE
Graduation from an accredited school of vocational nursing is required. Starting pay varies based on experience; entry up to 2 years, 2–3 years and 4 years or more experience in health care delivery as an LVN. PALS and ACLS certification may be required based on site location.
LICENSURE
Must possess a current license to practice Vocational Nursing in the State of Texas. Must have a current AHA BLS Healthcare Provider or AHA BLS Instructor Provider card.
Remote working/work at home options are available for this role.
POSITION SUMMARY/RESPONSIBILITIES Serves as a member of the mental health care team that provides specialized health care for selected groups of patients in the Adult Detention Center.
Participates as a part of a multidisciplinary team that includes medical and mental health.
Actively supports and adheres to the University Health policies and procedures.
Ensures efficient, appropriate and adequate mental health care is administered to incarcerated individuals in the Bexar County Adult Detention Center.
Supports and adheres to University Health (UH) and Detention Health Care Services (DHCS) – policies and procedures.
Demonstrates behaviors consistent with UH mission, vision, and values.
Promotes excellent internal and external customer relations.
EDUCATION A Registered Professional Nurse who is prepared for advanced nursing practice by virtue of knowledge and skills obtained through an accredited post basic or advanced educational program of study acceptable to the Board of Nurse Examiners.
A Master's degree in nursing is preferred.
Three years of nursing experience is required and two years of advanced practice is preferred.
Certification by a national nursing body is recommended.
LICENSURE Must be currently licensed as a Registered Nurse in Texas and credentialed by the State to practice as a Nurse Practitioner.
Prescriptive authority is required.
Remote working/work at home options are available for this role.
Conducts comprehensive clinical reviews of adverse determinations related to medical necessity.
Initiates outreach to providers to obtain clarification or additional documentation in alignment with established clinical criteria and organizational policies, to support Medical Director decision making.
Provides support for claim appeals in relation to medical necessity.
Ensures the timely and accurate resolution of appeal cases and supports organizational adherence to all state, federal, and accreditation standards.
Facilitates member second level appeal process.
Graduate from an accredited school of professional nursing is required.
BSN preferred.
Minimum 2 years acute care experience or managed care experience is required.
Basic knowledge of Medicaid, Medicare preferred.
Knowledge of InterQual screening criteria, ICD-10, CPT coding preferred.
Current Registered Nurse (RN) license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required.
Active Certification in Case Management (CCM) is preferred.
Remote working/work at home options are available for this role.