Jobs in Germantown Md Remote
2,323 positions found — Page 11
NEW RECRUITMENT AND RETENTION INCENTIVES! Air and Marine Operations (AMO), a component of U.S.
Customs and Border Protection (CBP) offers those with Merchant Mariner Credentials the exceptional opportunity of a career in law enforcement working with an elite team of highly trained professionals whose camaraderie, pride, and purpose are hallmarks of their daily mission protecting America.
If you're looking for an exciting and rewarding job that also provides great pay, benefits, and job stability, now is the time to make your move: become a Marine Interdiction Agent .
AMO is actively seeking applicants to fill full-time security-based positions with the nation's largest law enforcement organization charged with maintaining the security of our national borders while facilitating lawful international travel and trade.
DON'T FORGET TO CHECK OUT THE INCENTIVES – SEE SALARY SECTION BELOW! Salary and Benefits Begin your career as a Marine Interdiction Agent (MIA) and make up to $73,939–$96,116 per year based on your qualifications for the GS-11 grade level and possible extra compensation based on your duty location.
Recruitment Incentive: New hires that are eligible may receive a one-time Recruitment Incentive payout of $10,000 after completing Federal Law Enforcement Training Academy (FLETC) (1 year service agreement will need to be completed) (Recruitment Incentive is only available to new Federal employees as described in 5 CFR 575.102.
Eligibility will be determined by Human Resources.) Example annual compensation for the first three years at our CAMB and subordinates new-hire locations (RUS LEAP 25% Retention Incentive).
GS-11 1st year annual pay
- $102,424 GS-12 2nd or 3rd year annual pay
- $132,931 GS-13 3rd year of annual pay
- $158,075 Example annual compensation for the first three years at our Key West, Key Largo, and Marathon, FL new-hire locations (Locality Salary Table LEAP 25% Retention Incentive) GS-11 1st year annual pay
- $108,431 GS-12 2nd or 3rd year annual pay
- $141,575 GS-13 3rd year of annual pay
- $168,352 Example annual compensation for the first three years at our Long Beach, CA new-hire locations (Locality Salary Table LEAP 25% Retention Incentive) GS-11 1st year annual pay
- $107,749 GS-12 2nd or 3rd year annual pay
- $154,974 GS-13 3rd year of annual pay
- $184,285 This career ladder position has a grade level progression of GS-11, GS-12 and GS-13.
You may be eligible for a promotion to the next higher grade level automatically (without re-applying) once you complete 52-weeks at each grade level (with supervisor approval) and any additional training, licensing, and certification requirements.
Agents are eligible to select from an array of federal employment benefits that include health, dental and other insurance plans, a generous annual and sick leave program, and participation in the Thrift Savings Plan, a retirement plan akin to a traditional and ROTH 401(k) offering.
Recruitment Incentive (RI): Upon Entrance on Duty (EOD), you may be eligible to receive a Recruitment Incentive LEAP: Law Enforcement Availability Pay (25% Everyone) RI: Retention Incentive (25% for Caribbean Air and Marine Branch (CAMB) Locations, Key Largo, FL, Key West, FL, Marathon, FL and Long Beach, CA)
*Retention Incentive is contingent on eligibility.
Eligibility will be determined by Human Resources Duty Locations A duty location will be offered after successful completion of the pre-employment process.
The duty location listed in the final offer letter may include any geographic location within the Southwest Region, Southeast Region or Caribbean Air and Marine Branch.
Note: Your opportunity for final selection is increased based on your flexibility to Enter on Duty at priority duty location.
Current possible duty locations include: Southeast Region: Fort Lauderdale, Miami and Marathon, FL and CAMB: Fajardo, Mayaguez, Ponce, and San Juan PR; and Saint Thomas, VI Northern Region: Bellingham, WA Limited Duty Locations as of – 1 2/1/2025 Applying to this JOA does not guarantee any of the locations listed below will still be available once you've completed the pre-employment process.
Locations are offered based on the current needs of the service at that time.
Northern Region: Port Huron, MI Southeast Region: Houma, LA Southwest Region: San Diego, CA Duties and Responsibilities As a Marine Interdiction Agent, you will perform marine-based law enforcement operations for the detection, prevention, interdiction, and apprehension of terrorists, terrorist weapons, and other contraband and persons from illegally entering or attacking the United States.
Typical duties may include: Monitoring behavior patterns and activities of suspect persons, vehicles, or vessels believed to be engaged in illegal activities.
Interpreting radar data to calculate appropriate intercept while tracking vessels and people to a successful interdiction.
Searching persons, vessels, baggage, and cargo for contraband or weapons incidental to detention or arrest.
Collecting, refining, and analyzing strategic and tactical intelligence.
Qualifications This GS-11 grade level position has a selective factor: As a minimum qualification requirement all candidates must have a qualifying Merchant Mariner Credential.
See the U.S.
Coast Guard Issued Merchant Mariner Credentials (MMC) section that is listed below for qualifying capacities.
You qualify for the GS-11 grade level if you possess one (1) year of specialized experience equivalent to at least the next lower grade level, performing duties such as: Independently applying advanced skill in controlling/commanding law enforcement scenes to include conducting searches, making arrests, processing arrests and seizure of evidence and property.
Conducting investigative inquiries using various techniques, examining files and records, physical and documentary evidence to identify logical conclusions.
Utilizing cameras and other electronic high-tech surveillance equipment to gather evidence, collect, evaluate, and then preserve that physical and documentary evidence.
Highly skilled in writing comprehensive arrest, criminal and incident reports.
Assisting government or state attorneys in preparation for court cases or grand juries, testifies as a law enforcement officer in court proceedings, and administrative forums.
Considerable experience applying arrest authorities and constitutional law in various alleged criminal situations, or knowledge and experience of CBP laws, regulations, policies, legal precedent.
OR GS-11 Education Substitution for experience: A Ph.D.
or equivalent doctoral degree, three (3) full years of progressively higher-level graduate education leading to such a degree, or LL.M.
OR Combining Experience and Education: A combination of successfully completed post-bachelors' education (above) and experience.
This will be calculated using your resume and unofficial transcripts submitted with your application.
AND U.S.
Coast Guard Issued Merchant Mariner Credentials (MMC): You must submit a valid, legible copy of your Merchant Mariner Credential at time of application.
Your copies must include the expiration and capacity pages of your MMC.
Qualifying Capacities are Operator of Uninspected Passenger Vessel (OUPV), Mate of 200 gross tons or greater (Inland, Great Lakes, Near Coastal or Oceans), Chief Mate, Second Mate, and Third Mate Unlimited Oceans or Master of 25 GRT or greater (Inland, Great Lakes, Near Coastal or Oceans) OR An Accepted MMLD Application: You must submit proof an accepted MMLD application, for a MMC with a qualifying capacity, and a credential status that is in a positive standing.
It cannot be pending additional information for MMLD application process.
You must have your Official MMC Credential in hand at the time of scheduling and at assessment appointment.
NOTE: Your resume must explicitly indicate how you meet this requirement, otherwise you will be found ineligible.
Please see the "Required Documents" section below for additional resume requirements.
Other Requirements Citizenship : You must be a U.S.
Citizen to apply for this position.
Residency : You must have had primary U.S.
residency (includes protectorates as declared under international law) for at least three of the last five years.
Age Requirement: In accordance with Public Law 100-238, this position is covered under law enforcement retirement provisions.
Candidates must be referred for selection to the Border Patrol Agent position before reaching their 40th birthday in accordance with Department of Homeland Security Directive 251-03.
The age restriction may not apply if you are currently serving or have previously served in a federal civilian law enforcement (non-military) position covered by Title 5 U.S.C.
8336(c) or Title 5 U.S.C.
8412(d).
AGE WAIVER: Creditable law enforcement officer service
- Covered by Title 5 U.S.C.
8336(c) or Title 5 U.S.C.
8412(d), or creditable service covered by Title 5 U.S.C.
8401(36) (as a Customs and Border Protection Officer) on or after July 6, 2008, may be applied toward the maximum age requirement.
This age restriction may not apply if you are currently serving in a federal civilian (not military) law enforcement position covered by Title 5 U.S.C.
8336(c) or Title 5 U.S.C.
8412(d).
Veterans' Preference Eligibility
- To ensure compliance with statutes pertaining to the appointment of preference eligible veterans as determined by the Merit Systems Protection Board in its decision Isabella v.
Dept of State, the maximum age for original appointment articulated above shall not apply to the hiring of individuals entitled to veterans' preference eligibility under 5 U.S.C.
3312.
You must submit proof of Veteran's Preference (DD-214 Member 4 Copy) at the time of application.
Training : This position has a training requirement.
You may be required to successfully complete the training requirement as a condition of employment.
Failure to successfully complete the required course(s) of training in accordance with CBP standards and policies will result in placement into either a former or different position, demotion, or separation as determined by management and appropriate procedures.
Travel Required: You may be expected to travel for this position based on operational needs.
How to Apply Click the Apply button on this site.
You will be linked to the CBP Talent Network registration page.
For Position of Interest select Air and Marine Operations (Marine Interdiction Agent (MIA)), then complete the pre-screening questions.
You'll then receive a link(s) to the MIA Job Opening Announcements (JOAs) on USAJOBS, the federal government's official employment site, to complete your application.
Be certain to review ALL details of the job opening announcement and follow all instructions in the application process.
As a subscriber to the CBP Talent Network, you'll receive monthly emails with information about webinars, career expos, and future opportunities with AMO and CBP.
The position requires the employee to be on-site during the scheduled shift to perform daily duties and responsibilities.
Schedule: Monday – Friday, 7:00am – 3:30pm.
Responsibilities: Routinely and safely operate materials handling equipment including pallet jacks, hand trucks, and rolling carts.
Pick, pack, and put away items on racks, shelves, pallets, or bins and deliver orders safely and accurately.
Assist in accurately stocking shelves and utilize First In First Out best practices.
Assist in team cycle counting activities as assigned.
Process and maintain accurate documentation for all material movements and transactions.
Operate a hydraulic hoist and a metal tag printer, label printers, and programs, where applicable.
Respond to direction from both supervisor and group lead to complete pack lists.
Maintain a safe and clean work environment by keeping shelves, pallet areas, and workstations clean, neat, and organized in accordance with 5S protocol.
Daily interaction with coworkers on the production line.
Ability to wear necessary and required PPE.
Perform other duties as assigned.
Requirements: High school degree or equivalent.
At least one (1) year of warehouse experience is preferred.
Operation of a pallet jack is required.
Company-sponsored certification for “electric pallet jack” must be obtained within 90 days of employment.
Must have computer skills to function in an ERP environment.
Required Skills: Basic Microsoft Office computer skills, including Excel and Word.
Ability to work in a fast-paced environment.
Ability to respond positively to feedback.
Ability to communicate effectively and demonstrate math and reading skills.
Ability to work with minimal direction.
Preferred Skills: Warehouse experience preferred but not required.
Physical Demands: Work is performed while standing, sitting, and/or walking.
Requires ability to communicate effectively using speech, vision, and hearing.
Requires the use of hands for simple grasping and fine manipulations.
Requires bending, squatting, crawling, climbing, balancing, and/or reaching.
Requires close, distant, color, peripheral vision, and depth perception.
Must be able to climb ladders and spend extended periods of time on his/her feet.
Requires the ability to push or pull weights up to 100 lbs.
Must be able to lift and/or move objects up to 40 lbs.
Requires ability to work under environmental fluctuations in temperature and humidity – including exposure to dust and fumes.
We want you to help us shape the future of shopping experiences and deliver on our purpose of connecting people with the products and experiences that enrich their lives. Joining Advantage Solutions means joining a network of 65,000 teammates serving 4,000+ brands and retail customers across 40+ countries. All the while, being provided the opportunities, support, and enrichment you need to grow your career.
In this position, you'll generate excitement, brand awareness, and increases product sales through consumer engagement obtained from sensory programs. You will perform a wide range of activities ranging from brand promotion, product training or knowledge, and capturing real time feedback on products.
What we offer:
- Competitive wages; $ 18.00 per hour
- Growth opportunities abound - We promote from within
- No prior experience is required as we provide training and team support to help you succeed
- Additional hours may be available upon request
- We offer benefits that can be customized to meet your family's needs, including medical, dental, vision, life insurance, supplemental voluntary plans, wellness programs, and access to discounts through Associate Perks
Now, about you:
- Are comfortable interacting with customers and management in a friendly, enthusiastic, and outgoing manner
- You're 18 years or older
- Available to work 2-3 shifts per week, including weekends
- Can lift up to 50 lbs. on a regular basis and stand for up to 6 hours
- Are comfortable preparing, cooking, and cleaning work area and equipment
- Have reliable transportation to and from work location
- Can use your smartphone or tablet to record work after each shift
- Demonstrate excellent customer service and interpersonal skills with our clients, customers and team members
- Are a motivated self-starter with a strong bias for action and results
- Work independently, but also possess successful team building skills
- Have the ability to perform job duties with a safety-first mentality in a retail environment
If this sounds like you, we can't wait to learn more about you.
Work for a company that is truly making the world a happier place, one smile at a time! At Benevis, we create over a million smiles a year in the communities we serve and believe that every person deserves access to quality, affordable dental care. This mission drives everything we do! With over 2000 employees in offices across the country from clinical to support staff - we are united in our mission to create happy, healthy smiles through providing high quality dental care to underserved families in a fun, compassionate environment. Are you ready to join us in creating our next million smiles? We have JUST the opportunity for you.
We are actively seeking a Traveling Associate Dentist to join our growing team. Support our mission to provide excellent dental care in the community and help us create more smiles and memorable experiences for children and adults. Join a team that believes in teamwork and truly cares about their patients. Find your opportunity to make an impact:
- Take care of your community while participating in activities to promote a positive image of the company!
- Join in morning huddles (hey, you can even run one!), plan your day and let your team know how much you appreciate them, highlight great examples of customer focus, collaboration, meeting goals, etc.
- Love working with kids (they make up 70% or more of our patient base)
Responsibilities:
- Traveling Associate Dentists are responsible for providing dental services to patients with the support of their team.
- Hold staff to the highest integrity by adhering to all government regulations, company standards, and company compliance programs.
- Other duties as assigned
Our practice has:
- DentaPro software
- Digital x-ray and Panorex units
- Fiber-optic handpieces
- Yearly OSHA and HIPPA and Emergency Management training
- Ratio of 1 hygienist, 1 hygiene assistant, 2 dental assistants per provider
- Patient Base: primarily ages 3-21 and up to 30% adult population (depending upon location)
- Office flow: average 10-12 operative patients and 20-25 hygiene patients
- State insurance plans, PPO and out-of-network payor mix
Qualifications:
We expect you to have:
- DDS/DMD from a dental education program accredited by the Commission on Dental Accreditation
- Current, valid license to practice dentistry in states where providing care or eligible for licensure
- Other certifications as required - CPR, DEA, etc.
- Nitrous Oxide certification (only LA, MS, DC, TX, MA)
- Compassion and a strong desire to provide dental care to both children and adults
- Willing and able to travel to the following offices:
- 6471 Marlboro Pike, District Heights, MD 20747
- 1147 University Blvd E, Takoma Park, MD 20912
- 2429 Frederick Ave, Baltimore, MD 21223
- 7839 Eastern Ave, Baltimore, MD 21224
- 5700 Ritchie Hwy, Brooklyn, MD 21225
- 1900 N Broadway, Baltimore, MD 21213
- 4173 Patterson Ave, Baltimore, MD 21215
This opportunity provides:
- Growth and development through mentoring and collaboration
- Sign-on bonuses: Up to $20,000 (based off start date and experience)
- Student loan repayment assistance of $1000/month
- Relocation Assistance: Up to $5,000
What we offer:
- Guaranteed $850/daily rate with uncapped earning potential
- No lab fees
- FT providers are eligible to participate in Medical/Dental/Vision insurance plans, HSA/FSA
- Short Term Disability/Long Term Disability and Basic Life Insurance plans are paid for by company
- 401(k) Retirement Plan with Company match
- Company paid malpractice insurance coverage
- Paid holidays and time off
- Continuing Education reimbursements
- CE offered through ADA Accredited Continued Education Recognition Program (C.E.R.P)
- Reimbursements for associated licenses, certifications and professional dues such as ADA and/or AAPD memberships
- Multiple schedule options to help maintain a healthy work/life balance
- VISA and Green Card sponsorship available
We value teamwork, mutual respect and cooperation. We do not practice unlawful discrimination, including harassment or tolerate it in our workplace. What do we mean by discrimination? We mean that we do not discriminate on the basis of race, color, creed, religion, sex, national origin, age, citizenship, disability, sexual orientation or any other characteristic protected by federal, state, or local law.
This medical center facility serves over 117 beds serving children, adolescents, adults and older adults.
This position requires administrative and clinical oversight for inpatient facilities and outpatient clinics.
Responsibility for 8 employed psychiatrists, several NPs, as well as independent contracts.
Qualified candidates will possess:? Degree of Doctor of Medicine ? Board Certification from the American Board of Psychiatry and Neurology.? Previous leadership experience or medical director experience preferred.
? Excellent interpersonal relationship skills? Excellent skills in maintaining highly confidential information ? Skilled in compiling clinical documentation in a timely manner? Experience working with an electronic medical record preferredFinancial package and benefits:? Competitive salary and bonus ? Medical, dental, vision, life, AD&D, disability insurances, flexible spending accts.? PTO, funds and designated time off for continuing medical education? Retirement savings plan with matching? Professional fees toward license, DEA, journals, societies
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:
Click on this link to read the Policy and Terms
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.
Top of Form
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.
