Jobs in Oregon Dane County Wi Remote
2,207 positions found — Page 11
Position Overview:
The Clinical Manager – Home Health works under the direction and guidance of the Branch Administrator to provide supervision of all clinical staff working with high medical acuity clients and/or clients receiving extended non‐licensed support services. This leader is responsible to provide staff orientation and ensure competence as a Preceptor and or ensure RN Case Manager/Preceptor resources are in place. Ensures that services are delivered according to licensing guidelines, professional medical standards and agency policies and procedures.
Essential Job Functions:
- Plans, develops, and manages the clinical programs, services, activities, and employees of the agency consistent with company policy and regional management directives.
- Assists with the oversight of the agency’s growth related to home care.
- Serves as the clinical expert and assists with the operational and financial management of the agency.
- Investigate and take appropriate actions on client/consumer complaints.
- Participate in the recruiting, hiring, and identifying the training needs of clinical staff
- Evaluates programs and services regularly to identify opportunities for improvement.
- Conducts regular client home visits to ensure quality of care and performs home visits as needed.
- Ensures client compliance with federal/state regulations through policy and procedure administration to staff.
- Supervises all clinical staff (RN/LPN/CNA) and perform annual employee evaluations for all clinical staff.
- Responsible for overseeing case management to ensure services that are financially sound.
- Manage caseload as needed for client coverage
Aveanna Healthcare Offers:
- 401(k) with match
- Health, Dental and Vision Benefits for employees at 30+ hours
- Tuition Discounts and Reimbursement
- PTO, Sick Time, and Paid Holidays
Requirements:
- Registered Nurse licensure in the state of practice.
- Obtain and maintain active CPR per agency policy.
- Associates degree required
Preferred:
- 3+ years RN experience in a healthcare setting (home health or hospice)
- Medicare Skilled Nursing experience and a basic understanding of OASIS
HHH
As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.
Notice for Job Applicants Residing in California
Notice for Job Applicants Residing in Florida
Position Overview:
The Clinical Manager – Home Health works under the direction and guidance of the Branch Administrator to provide supervision of all clinical staff working with high medical acuity clients and/or clients receiving extended non‐licensed support services. This leader is responsible to provide staff orientation and ensure competence as a Preceptor and or ensure RN Case Manager/Preceptor resources are in place. Ensures that services are delivered according to licensing guidelines, professional medical standards and agency policies and procedures.
Essential Job Functions:
- Plans, develops, and manages the clinical programs, services, activities, and employees of the agency consistent with company policy and regional management directives.
- Assists with the oversight of the agency’s growth related to home care.
- Serves as the clinical expert and assists with the operational and financial management of the agency.
- Investigate and take appropriate actions on client/consumer complaints.
- Participate in the recruiting, hiring, and identifying the training needs of clinical staff
- Evaluates programs and services regularly to identify opportunities for improvement.
- Conducts regular client home visits to ensure quality of care and performs home visits as needed.
- Ensures client compliance with federal/state regulations through policy and procedure administration to staff.
- Supervises all clinical staff (RN/LPN/CNA) and perform annual employee evaluations for all clinical staff.
- Responsible for overseeing case management to ensure services that are financially sound.
- Manage caseload as needed for client coverage
Aveanna Healthcare Offers:
- 401(k) with match
- Health, Dental and Vision Benefits for employees at 30+ hours
- Tuition Discounts and Reimbursement
- PTO, Sick Time, and Paid Holidays
Requirements:
- Registered Nurse licensure in the state of practice.
- Obtain and maintain active CPR per agency policy.
- Associates degree required
Preferred:
- 3+ years RN experience in a healthcare setting (home health or hospice)
- Medicare Skilled Nursing experience and a basic understanding of OASIS
HHH
As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.
Notice for Job Applicants Residing in California
Notice for Job Applicants Residing in Florida
Position Overview:
The Clinical Manager – Home Health works under the direction and guidance of the Branch Administrator to provide supervision of all clinical staff working with high medical acuity clients and/or clients receiving extended non‐licensed support services. This leader is responsible to provide staff orientation and ensure competence as a Preceptor and or ensure RN Case Manager/Preceptor resources are in place. Ensures that services are delivered according to licensing guidelines, professional medical standards and agency policies and procedures.
Essential Job Functions:
- Plans, develops, and manages the clinical programs, services, activities, and employees of the agency consistent with company policy and regional management directives.
- Assists with the oversight of the agency’s growth related to home care.
- Serves as the clinical expert and assists with the operational and financial management of the agency.
- Investigate and take appropriate actions on client/consumer complaints.
- Participate in the recruiting, hiring, and identifying the training needs of clinical staff
- Evaluates programs and services regularly to identify opportunities for improvement.
- Conducts regular client home visits to ensure quality of care and performs home visits as needed.
- Ensures client compliance with federal/state regulations through policy and procedure administration to staff.
- Supervises all clinical staff (RN/LPN/CNA) and perform annual employee evaluations for all clinical staff.
- Responsible for overseeing case management to ensure services that are financially sound.
- Manage caseload as needed for client coverage
Aveanna Healthcare Offers:
- 401(k) with match
- Health, Dental and Vision Benefits for employees at 30+ hours
- Tuition Discounts and Reimbursement
- PTO, Sick Time, and Paid Holidays
Requirements:
- Registered Nurse licensure in the state of practice.
- Obtain and maintain active CPR per agency policy.
- Associates degree required
Preferred:
- 3+ years RN experience in a healthcare setting (home health or hospice)
- Medicare Skilled Nursing experience and a basic understanding of OASIS
HHH
As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.
Notice for Job Applicants Residing in California
Notice for Job Applicants Residing in Florida
Time Type:
Full timeRemote Type:
Job Family Group:
SalesJob Description Summary:
The Sales Development Associate’s job is to meet or exceed pre-determined service expectations while selling product, merchandising, and fulfilling route management objectives to drive volume and profit growth in accounts. This position helps to cover the routes that do not have current coverage until a permanent sales representative can be assigned.Job Description:
Job Responsibilities:
Calls on accounts and covers daily routes that do not have coverage by creating an established and efficient routing pattern.
- Strategizes/preplans on how best to achieve sales and merchandising objectives and understands accounts’ buying patterns by understanding and reviewing company pricing and product programming information on a monthly basis and maintaining accurate historical account purchase information.
- Maintains product levels in accounts by taking inventory and restocking shelves (where legal).
- Ensures maximum brand visibility within accounts by using effective and current point of sale materials when appropriate.
- Services accounts by delivering products to customers in extenuating circumstances, handling customer issues and complaints and referring these issues, as appropriate, to management.
- May be expected to obtain payment depending on the market.
Extended route coverage in some circumstances.
- Attains standards of performance goals by achieving the distribution, volume, and activity goals of supplier brands as set by management.
- Ensures national account compliance where applicable by accurately completing all necessary surveys.
Other duties, as assigned by the jobholder’s supervisor, may also be required.
Minimum Qualifications:
- Bachelor’s degree in related field and/or equivalent training and work experience
- No prior experience required
- Basic PC skills using MS Office and other various computer programs including presentation software
- Must be a results-oriented professional with verbal/written communication skills using diplomacy and discretion as well as customer service skills
- Ability to multi-task, work independently and/or within a team, pay attention to detail and meet deadlines
- Analytic and Reporting skills
- Utilize sound judgement and problem-solving skills
- Ability to work in fast-paced, high-volume, team environment
Preferred Qualifications:
- Ability to hold Solicitor’s Permit
- Understanding of Wine and Spirits
- Strong computer, customer service, and interpersonal expertise
- Preferred previous sales experience
Physical Requirements:
- While performing the duties of this job, the employee is regularly required to, stand, sit; talk, hear, and use hands and fingers to operate a computer and telephone
Competencies:
- Accountable for meeting own targets, work is reviewed periodically.
- Problems encountered will be defined, repetitive, and routine with a solution readily available.
This job description is only a summary of the typical functions of this position, not an exhaustive or comprehensive list of all possible job responsibilities, tasks and duties. Responsibilities, tasks, and duties of individual jobholders may vary from the above description.
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Breakthru Beverage Group is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, genetic information and other legally protected characteristics. The EEO is the Law poster is available here. If you need a reasonable accommodation because of a disability for any part of the employment process, please call (7 and let us know the nature of your request and your contact information.
A MISSION WORTHY OF A CAREER! If you're looking for "just a job," then stop reading right now.
But, if you're looking for a long-term federal law enforcement career, one that makes a difference every day to our country and its citizens, then the U.S.
Border Patrol (USBP) would like you to take the first step to becoming an entry level Border Patrol Agent.
USBP is hiring immediately to fill full-time, entry-level, career positions in federal law enforcement where your prior experience in public safety, security, military police or law enforcement may qualify.
Train and work with an elite team of professionals whose camaraderie, pride, and sense of purpose are hallmarks of their daily mission of protecting America.
Now is the time to make your move because, along with excellent base pay, exceptional benefits, and job stability, USBP is offering up to $60,000 in additional incentives (see details below) .
Salary and Benefits Annual base salary for newly appointed BPAs varies per grade, as follows: GL-5/GL-7 $51,632
- $92,219 per year.
Border Patrol 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 ROTH 401(k) offering.
*Recruitment Incentive
* Newly appointed Border Patrol Agents (as defined in 5 CFR 575.102 ) will be eligible for up to $20,000 in incentives.
The first $10,000 will be paid upon successful completion of the Border Patrol Academy, with the remaining $10,000 awarded for accepting a prioritized location such as Sierra Blanca, Presidio, Sanderson, Comstock, Freer or Hebbronville, TX; Lordsburg, NM; or Ajo, AZ.
*Retention Incentive
* Newly appointed Border Patrol Agents may also qualify for up to $40,000 in additional incentives distributed over their first four years.
Duty Locations IMPORTANT NOTICE: Duty assignments available at the time of offer may include the Southwest Border, including prioritized locations.
U.S.
Border Patrol determines duty assignments at the time of offer based on operational needs, which may or may not align with candidates' first-choice preferences.
Relocation may be required.
Duty location impacts pay rates; locality pay for federal law enforcement is higher in some locations than others.
A fully trained BPA may be eligible for up to an additional 25% of base pay per the BPA Pay Reform Act of 2014.
This is a career ladder position with a grade level progression of GL-5, GL-7, GL-9, GS-11, and GS-12.
You will be eligible for a promotion to the next higher grade level (without reapplying) once you successfully complete 52 weeks in each grade level.
Duty Locations: You will be asked to select your preferred location for one of the following mission critical locations: Big Bend Sector Stations
-
*Presidio, Van Horn,
*Sanderson, Alpine,
*Sierra Blanca, Marfa Buffalo Sector Stations
- Wellesley Island Del Rio Sector Stations
- Del Rio, Brackettville,
*Comstock, Eagle Pass North, Eagle Pass South, Carrizo Springs, Uvalde El Paso Sector Stations
- Alamogordo, Clint, Deming, El Paso, Fort Hancock, Las Cruces,
*Lordsburg, Santa Teresa, Ysleta El Centro Sector Stations
- El Centro, Indio, Calexico Grand Forks Sector Stations
- Pembina Havre Sector Stations
- Havre, Malta, Plentywood, Scobey, Sweetgrass Houlton Sector Stations
- Calais, Fort Fairfield, Jackman, Rangeley, Van Buren Laredo Sector Stations
- Laredo South, Cotulla,
*Hebbronville, Laredo West,
*Freer, Laredo North, Zapata Rio Grande Valley Sector Stations
- Rio Grande City, Fort Brown, McAllen, Brownsville, Falfurrias, Weslaco, Kingsville, Harlingen San Diego Sector Stations
- Boulevard, Brownfield, Campo, Chula Vista, Imperial Beach, Murrieta, San Clemente Spokane Sector Stations
- Colville, Curlew, Metaline Falls, Oroville Swanton Sector Stations
- Beecher Falls, Burke, Champlain, Newport, Richford Tucson Sector Stations
-
*Ajo, Tucson, Nogales, Douglas, Brian A Terry, Sonoita, Casa Grande, Three Points Substation, Willcox Yuma Sector Stations
- Blythe, Yuma, Wellton Duties and Responsibilities As a BPA, you will be part of our 60,000 workforce that strives to protect the American people by safeguarding our borders, deterring illicit activity, and enhancing the nation's economic prosperity.
Being a BPA makes you a valuable member of the Federal Law Enforcement Officer (LEO) profession.
Typical assignments include: Detecting and questioning people suspected of violating immigration and custom laws and inspecting documents and possessions to determine citizenship or violations Preventing and apprehending undocumented noncitizens and smugglers of noncitizens at or near the borders by maintaining surveillance from covert positions to include using infrared scopes during night operations Interpreting and following tracks, marks, and other physical evidence of illegal entry of persons or contraband Performing farm checks, building checks, traffic checks, city patrols, and transportation checks Patrolling the international boundary and coastal waterways using a variety of government assets such as vehicles, horses, vessels, watercraft, off-road vehicles, ATVs, snowmobiles, and motorcycles for the accomplishment of the USBP Mission.
Qualifications You qualify for the GL-5 grade level if you possess one of the following: Experience: One (1) year of general work experience that demonstrates the ability to take charge, make sound decisions, and maintain composure in stressful situations; to learn regulations, methods, and techniques through classroom training and/or on-the-job instruction; and the ability to gather concise information through questioning, observation, and examination of documents and records; OR Education Substitution: A bachelor's degree or successful completion of a full four-year course of study in any field leading to a bachelor's degree from an accredited college or university; OR Combination of Experience and Education: A combination of general work experience AND successfully completed college education.
This will be calculated using your resume and official or unofficial transcripts submitted with your application.
You qualify for the GL-7 grade level if you possess one of the following: Experience: One year of specialized work experience that shows you have the skills necessary to: Make sound judgments and decisions in the use of firearms.
Deal effectively with people in a courteous and tactful manner in connection with law enforcement matters.
Analyze information rapidly and make prompt decisions where you will be expected to make arrests after the completion of required training and apply these skills in a law enforcement capacity such as criminal code enforcement, determining violations of laws, correctional or rehabilitation work involving criminal offenders, security, military, etc.
The above experience will be applied in connection with the following: Make arrests and exercise sound judgment in the use of firearms; deal effectively with people in a courteous manner in connection with law enforcement matters; analyze information rapidly and make prompt decisions; or develop and maintain contact with a network of informants.
Education Substitution for the GL-7 grade level: A bachelor's degree with superior academic achievement, which is based on (1) class standing, (2) grade-point average (i.e., GPA of 3.0 or higher out of a possible 4.0), or (3) honor society membership.
Or will receive a bachelor's degree with Superior Academic Achievement.
Or one full year of graduate-level education in a field of study related to law enforcement (e.g., criminal justice, homeland security, justice studies, law enforcement, courts and judicial systems, forensic technology, forensic psychology, or corrections and rehabilitation) from an accredited college or university; OR A Combination of Experience and Education: This will be calculated using your resume and official or unofficial transcripts submitted with your application.
Note: If you have previous or current law enforcement or military law enforcement experience, you may qualify at the GL-9 and or GS-11 grade level.
Please refer to the BPA GL-9
- 11 announcement.
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 Restriction : 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).
Veterans' Preference : You may also be eligible for an excepted service Veterans Recruitment Appointment (VRA).
The age restriction does not apply if you are Veterans' Preference eligible.
Formal Training : After you are hired, you will be detailed to the U.S.
Border Patrol Academy in Artesia, New Mexico, for approximately six (6) months of intensive instruction in immigration and nationality laws, law enforcement and USBP-specific operations, driver training, physical techniques, firearms, and other courses.
Border Patrol work requires the ability to speak and read Spanish, as well as English.
Border Patrol Agents will be provided training to become proficient with the Spanish language at the Academy.
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 Border Patrol Agent, then complete the pre-screening questions.
You'll then receive a link(s) to the BPA 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 opportunity announcement and follow all instructions in the application process, including items (resume, transcripts, etc.) to submit.
You will be evaluated based on your resume, supporting documents, and the BPA Entrance Exam .
If you have questions about the application process, contact a recruiter through the U.S.
Border Patrol page: /s/usbp .
As a subscriber to the CBP Talent Network, you'll receive monthly emails with information about webinars, career expos, and future opportunities with CBP.
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.
