Jobs in Hedgesville Wv Flexible
2,035 positions found — Page 3
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.
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.
Job Description
POSITION: Registered Nurse
SCHEDULE: Opportunities available for day, evening, and night shifts
FACILITY: Vicki Douglas Juvenile Center/Martinsburg Correctional Center
LOCATION: Martinsburg, WV
Are you ready for a nursing role where your skills truly matter and your impact is immediate ?
Wexford Health Sources, Inc. is one of the nation's largest correctional healthcare providers, serving justice-involved patients for over 30 years. Many of our patients are receiving their first experience with quality, compassionate care -and it starts with you.
Position Summary
As a Registered Nurse in our facility, you'll do more than care for patients-you'll lead, teach, and advocate. Working closely with healthcare and correctional staff, you'll assess physical/mental health needs, administer medications, and guide treatment plans from start to finish. You'll play a key role in supporting patient education, making timely referrals, and helping maintain safety and standards across the unit. Whether you're managing medications, mentoring staff, or responding to a crisis, your skills will make a real impact every day.
You'll do more than just deliver care.
You'll restore dignity, build trust, and change lives.
Why Work with Wexford Health?
* Performance check-ins with annual merit increase
* Generous paid-time off program that combines vacation and sick leave
* Paid holidays
* Comprehensive health insurance through BlueCross BlueShield
* Dental and Vision insurance
* 401(k) retirement saving plan
* Company-paid short-term disability and life insurance
* Non-taxed Healthcare and dependent care spending account
* Continuing education options
* Free CEUs
* Pet Insurance
* Flexible pay options including Wisley Card and PayPal
* Discounted Tuition at University of North Alabama, Chamberlain University, Salem University, and Southern New Hampshire University
* Partnership discounts on student loan refinancing, home/auto insurance, travel, electronics, entertainment, restaurants, health and wellness, and more!
What You'll Need
* Active unrestricted RN license and 1-2 years of nursing experience (correctional experience preferred).
* Active CPR certification.
* Strong clinical and communication skills; adaptability in high-pressure settings.
* A compassionate, nonjudgmental approach to patient care.
Equal Opportunity Employer
We celebrate diversity and welcome all qualified candidates.
Your skills matter here. Your compassion changes lives.
Apply today and become the RN your community needs.
23227
Urology Physician
StartDate: ASAP Available Shifts: 8;Weekend;On Call Pay Rate: $294.88 - $319.20
This facility is seeking a Urology Physician for locum tenens support as they look to fill a current need.
Details and requirements for this opportunity:
· Schedule: Monday-Friday from 8a-4:30p with call duties
· Practice Setting: Veteran Medical Center
· Types of Cases: Urology
· Credentialing Timeframe: 60 days
· Electronic Medical Record (EMR): CPRS
· Certifications Required: Advanced Cardiac Life Support (ACLS), Basic Life Support (BLS)
· Licensure Required: Any Unrestricted State License
Facility LocationMartinsburg is a city that is steadily on the rise, due in part to its close proximity to both Baltimore and our nation's capital. Low cost of living and short commute times to these larger cities have drawn people to charming Martinsburg in droves. It's one of those rare cities where small-town living doesn't mean being cut-off from the perks and bustle of bigger metropolises. Shoppers flock to the Martinsburg Mall for all their consumer needs. The city is serviced by Amtrak, which makes commuting to the business and entertainment districts a breeze for people living in the suburbs. Job Benefits
AMN Healthcare typically arranges medical or dental malpractice insurance for the contractor providers we match to client opportunities. In addition, our locum tenens can receive highly competitive pay and a dedicated team that handles all travel, lodging, u0009rentals and transportation needs. About the Company
At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable. Urology, Urologist, Urology Doctor, Urology Physician, Physician Urology, Doctor Urology,
AMN Healthcare is a digitally enabled workforce solutions partner focused on solving the biggest challenges affecting healthcare organizations today. We offer a single-partner approach to optimize labor sources, increase operating margins, and provide technologies to expand the reach of care.
You'll work with the Explosive Performance Site Director and team to build your training business and turn clients into lifelong fans.
What you'll do: Deliver high-quality, sport-specific sessions using EP methods (TRX, Keiser Power, dynamic flexibility, acceleration, FMS, etc.) Run Smart Start assessments, movement analysis, and 1:1 training sessions Build your business through referrals, events, and on-floor prospecting Track leads, floor hours, and PT sessions accurately and follow SOPs for billing/commissions Represent Explosive Performance at special events and support team meetings Follow club policies, complete required training, and respond to member needs professionally What We're Looking For: Nationally recognized personal training certification (required) Current CPR/AED and continuing education credentials (required) Confident coach with strong communication, sales, and organizational skills Able to work flexible hours and deliver friendly, results-driven service Benefits & Perks Complimentary club membership guest privileges Discounts on training, spa services, programs, and apparel Employee referral bonus In-house Certification Continuing Education Full-Time Only : Medical, dental, vision, life insurance, 401(k), and paid time off US FITNESS IS AN EQUAL OPPORTUNITY EMPLOYER Know Your Rights Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities5c143e31-5e48-4549-b638-05792d185386
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.
POSITION SUMMARY/RESPONSIBILITIES
Provides basic leadership skills for assigned patients, collaborates with other departments and begins process of proactive thinking when implementing the plan of care. Serves as mentor to the staff nurse and ancillary personnel; receives mentoring from Staff Nurse II and III; and Patient Care Coordinator.
EDUCATION/EXPERIENCE
Minimum of one year experience required. Verification of course completion in accordance with all American Heart Association Basic Cardiac Life Support and Health Care Provider guidelines is required. BSN highly preferred.
LICENSURE/CERTIFICATION
Current license from the Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required. 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.
Counsels and assists patients and their families with personal and environmental difficulties which predispose illness or hinder the patient from receiving maximum benefits from medical care.
Acts as a therapeutic agent as a member of multi-disciplinary health and mental health teams.
Master's degree in Social Work from a school accredited by the Council on Social Work Education is required.
One year's post master's degree experience in a health care setting is preferred.
Current state licensure from the Texas Department of Human Services is required.
Remote working/work at home options are available for this role.
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.
At least one year experience in direct patient care is preferred.
Current American Heart Association, Basic Cardiac Life Support and Healthcare Provider card required.
ACLS certification may be required based on site location.
Various certifications may be required based on location site.
Must possess a current license to practice Vocational Nursing in the State of Texas.
Remote working/work at home options are available for this role.
