Jobs in San Jose Ca Remote
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HCLTech is looking for a highly talented and self- motivated Mechanical Design Lead / Manager to join it in advancing the technological world through innovation and creativity.
Job Title: Mechanical Design Lead / Manager
Job ID:
Position Type: Full-time with HCLTech
Location: San Jose, CA
Role/Responsibilities
- Bachelor’s degree in mechanical engineering or equivalent and 8-12 years of EMS design experience
- 8+ years of relevant experience in design of compute/network products
- Expertise in use of 3D MCAD tools (Creo/NX)
- Experience in performing static and dynamic analysis using tools such as Creo Simulate or ANSYS
- Expert in tolerance analysis, Geometric Dimensioning and Tolerancing (GD&T), and statistical analysis
- Experience designing sheet metal for high volume production
- Strong analytical and problem-solving skills
- Strong knowledge and understanding of GD&T principles and tolerance analysis
- Demonstrated leadership skills
- Design and deliver next generation chassis and cards that meet system product requirements
- Perform detailed 2D tolerance analysis for complex electro-mechanical assemblies using spreadsheets and/or 3D tolerance analysis tools such as CETol
- Design and develop innovative mechanical solutions using sheet metal, plastic, and die-cast that meet EMI, safety, and compliance requirements
- Develop 3D CAD models using Creo or NX
- Create detailed drawings by applying Geometric Tolerancing and Dimensioning (GD&T) principles
- Lead resolution of issues by working closely with manufacturing teams and suppliers, developing mitigation plans, and keeping management informed
- Collaborate with cross-functional teams (HW, SI, CAD, Thermal, Manufacturing, etc.) to negotiate requirements and evaluate technical risks and tradeoffs
- Collaborate with thermal engineers to design and implement cooling solutions
- Provide technical design guidance and mentoring for junior engineers
Pay and Benefits
Pay Range Minimum: $51.50 per hour
Pay Range Maximum: $57.34 per hour
HCL is an equal opportunity employer, committed to providing equal employment opportunities to all applicants and employees regardless of race, religion, sex, color, age, national origin, pregnancy, sexual orientation, physical disability or genetic information, military or veteran status, or any other protected classification, in accordance with federal, state, and/or local law. Should any applicant have concerns about discrimination in the hiring process, they should provide a detailed report of those concerns to for investigation.
Compensation and Benefits
A candidate’s pay within the range will depend on their work location, skills, experience, education, and other factors permitted by law. This role may also be eligible for performance-based bonuses subject to company policies. In addition, this role is eligible for the following benefits subject to company policies: medical, dental, vision, pharmacy, life, accidental death & dismemberment, and disability insurance; employee assistance program; 401(k) retirement plan; 10 days of paid time off per year (some positions are eligible for need-based leave with no designated number of leave days per year); and 10 paid holidays per year.
How You’ll Grow
At HCLTech, we offer continuous opportunities for you to find your spark and grow with us. We want you to be happy and satisfied with your role and to really learn what type of work sparks your brilliance the best. Throughout your time with us, we offer transparent communication with senior-level employees, learning and career development programs at every level, and opportunities to experiment in different roles or even pivot industries. We believe that you should be in control of your career with unlimited opportunities to find the role that fits you best.
Position Summary
The Account Manager oversees the daily operations of an assigned location, ensuring exceptional service for clients and guests. This role involves managing staff, maintaining strong client relationships, overseeing financial aspects such as revenue and payroll, and performing valet duties when needed.
Primary Objective
To lead and manage valet operations by delivering outstanding guest service, optimizing efficiency, and driving financial performance. The Account Manager focuses on staff development, operational excellence, and customer satisfaction, ensuring a safe, professional, and organized valet experience while continuously improving service quality and business growth.
Duties and Responsibilities
Client Relationship Management
Serve as the primary contact for each property, ensuring contractual obligations are met while fostering open communication, addressing concerns, and building trust with stakeholders to strengthen partnerships and identify opportunities for service improvements and business growth.
Daily Operational Oversight
Manage scheduling, staffing, and quality assurance to ensure smooth daily operations at each location. Conduct regular site visits to identify and resolve issues, maintain equipment, improve processes, and uphold consistent customer service standards.
Financial and Administrative Tasks
Monitor site-level revenue, payroll, and expenses to identify trends and irregularities, working with the Regional Director on cost control and accurate record-keeping to keep operations financially on track and within budget.
Team Supervision and Training
Recruit, train, and coach hourly associates, set clear performance expectations, and foster a positive work environment by modeling professionalism and enforcing company policies to support employee satisfaction and excellent customer service.
Communication and Reporting
Provide regular updates to management through reports on progress, challenges, and account needs, while using personal devices as needed to coordinate promptly during emergencies or urgent situations.
Supervisory Responsibilities
Actively involve staff in planning, decision-making, and process improvement while taking full responsibility for team performance. Maintain an open and accessible leadership style, providing regular feedback, supporting skill development, and encouraging professional growth. Seek and apply feedback from both internal and external customers, promote a culture of quality, and continuously work to enhance processes, services, and supervisory skills to drive team success.
Additional Responsibilities
Other tasks may be assigned as needed to support the company’s overall operational and financial objectives, with the expectation that the management remains flexible and responsive to evolving business needs. Attend required staff meetings and complete assigned training modules in a timely manner. Including but not limited to the ability to work flexible hours when needed, particularly during financial close periods and occasional travel for financial reviews, audits, or corporate meetings. May be required.
Knowledge, Skills, and Abilities
Competency/Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
Education/Experience
A high school diploma or GED is required, with at least three years of supervisory experience in parking, hospitality, or a similar customer service field. Additional training or certifications in leadership or business management is beneficial.
Certificates and Licenses
A valid driver’s license and reliable transportation are required for this role, along with maintaining an acceptable motor vehicle record with no more than three moving violations within a three-year period. Candidates must also pass and maintain a clean background check. No special certifications are necessary for this position.
Hospitality, Customer Service, and Communication
Provide exceptional guest service through professional communication, active listening, and personalized assistance, creating a welcoming and memorable experience that aligns with company standards and fosters a positive environment for guests and team members.
Advanced Client Management Skills
Build strong relationships by understanding client needs, resolving issues promptly, and anticipating requirements. Coordinate across locations and adjust strategies to ensure client satisfaction and support long-term partnerships.
Strong Analytical and Problem-Solving Abilities
Analyze revenue and payroll, identify discrepancies, resolve operational inefficiencies, and develop solutions to improve performance and accuracy.
Effective Training and Leadership Skills
Provide hands-on coaching, build strong teams, and ensure consistent operations through knowledge of training methods, operational software, and leadership principles, fostering accountability, clear communication, and employee engagement across multiple sites.
Payroll Management
Manage payroll with a focus on scheduling and overtime control, guiding managers to create efficient schedules that optimize labor costs and improve operational efficiency.
Excellent Communication and Reporting Skills
Provide regular updates to operations and HR while maintaining clear communication with internal departments and external vendors, ensuring complex information is shared clearly and effectively.
Work Environment
The work environment for this role includes both indoor and outdoor settings, requiring collaboration with teams, vendors, and clients on-site and in corporate environments. Associates may frequently use computers, communicate via phone, and perform duties in or around parking facilities. Regular exposure to outdoor weather conditions—including extreme heat, cold, humidity, and wet environments—is expected. The location can be noisy, with moving vehicles operated by the public.
Physical Demands
Valet responsibilities require extended periods of running, standing and walking, along with the ability to lift and carry moderate weights, such as luggage. This role also demands specific vision abilities—including close, distance, peripheral vision, depth perception, and the ability to adjust focus—to maintain situational awareness and ensure the safety of guests, vehicles, and pedestrians on-site.
Cell Phone Use
Employees may be required to use personal cell phones for work-related communication, including coordination with team members, managers, and clients, as well as accessing work applications. Reimbursement for work-related phone usage will follow company policy.
Pay Transparency
PMC is committed to pay transparency and equity among all employees and provides employees an environment where pay transparency and dialogue on compensation are allowed. PMC complies with Equal Employment Opportunity laws as well as federal, state, and local laws on compensation, pay transparency, and pay equity.
Additional Compensation and Benefits
- Health Benefits – Medical, vision and dental insurance – Upon eligibility
- 401K – Upon eligibility
- Supplemental Insurance – Life insurance and critical illness
- Bonus opportunities
- Internal leadership development program
- Paid time off
- Paid training
- Tuition assistance through Bellevue University – Up to $5,250 per year
- Nationwide discounts through Perks at Work
- Military friendly employer
Employee at Will
Employment with PMC is on an at-will basis, meaning either the employee or the employer may end the employment relationship at any time, for any reason, with or without cause or notice, in accordance with applicable laws. A 120-day introductory period applies.
Fair Labor Standards Act (FLSA)
This position is classified as exempt under the Fair Labor Standards Act (FLSA), meaning employees in this role are not eligible for overtime pay for hours worked beyond 40 in a workweek at a rate of one and one-half times their regular hourly rate. PMC adheres to all applicable federal, state, and local wage and overtime laws, ensuring that compensation complies with these legal standards. All hourly rates will meet or exceed the minimum wage requirements for your specific work location.
PMC is compliant with all state workman’s compensation laws.
Employee Leave
PMC is compliant with all state specific required and FMLA paid leave requirements, such as sick leave, state paid family leave, etc.
Equal Employment Opportunity (EEO) Statement
Parking Management Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, disability, age, or veteran status.
ADA and Equal Employment Opportunity (EEO) Compliance
Parking Management Company will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990 and ensure equal employment opportunity. This job description will be reviewed periodically as duties and responsibilities change with business necessity. Essential and marginal job functions are subject to modification in compliance with the Americans with Disabilities Act of 1990 and ensure equal employment opportunity. This job description will be reviewed periodically as duties and responsibilities change with business necessity. Essential and marginal job functions are subject to modification.
Job Title: Valet Account Manager
Department: Valet Parking Division
Reports directly to: City Manager / Area Manager
Schedule: Full Time
Status: Exempt
Compensation: Salary plus potential bonus opportunities
(Salary can vary depending on market and applicable experience)
Full-Time | Youth Sports, Coaching & Program Development
Help Shape the Future of Basketball at Legarza Sports
Since 1989, Legarza Sports has been a leader in youth basketball in the Bay Area. Generations of players and families have come through our programs, and we are committed to continuing to grow and evolve as the needs of players and parents change.
We’re hiring a Basketball Program Coordinator to help support and expand our basketball programming while working closely with our leadership team. This role offers the opportunity to be part of the ground-level growth of our club basketball program, which launched its first season with 20 teams.
T
he right candidate will combine a passion for coaching with an interest in helping build and grow a program that has already become a trusted name in youth basketball.
About the Role
This is a hybrid role that combines:
- Daytime PE instruction during the school year
- Basketball coaching across after-school classes, camps, leagues, and club teams
- Program development and operational support
You’ll begin by learning Legarza’s philosophies, systems, and teaching methods while coaching and supporting existing programs. Over time, you’ll take on increasing responsibility in areas like curriculum development, coach support, scheduling, and program growth.
This is an ideal opportunity for someone who wants to grow into a leadership role in youth basketball, rather than stepping into a fully built position.
What You’ll Do
Program Leadership & Development
- Help lead and expand Legarza’s basketball camps, classes, leagues, and club teams
- Support the continued growth of our club basketball program
- Contribute to the development and evolution of basketball curriculum and training systems
- Assist with coach development and mentorship
- Collaborate with leadership on program growth and long-term strategy
Coaching & Instruction
- Coach after-school basketball classes, camps, and leagues
- Support and potentially coach within the club basketball program
- Teach PE programs during the school day
- Deliver engaging, high-energy instruction focused on skill development, teamwork, and leadership
- Model strong communication, professionalism, and classroom management
Operations & Growth
- Help coordinate scheduling, staffing, and program logistics
- Support enrollment growth by delivering excellent programs
- Contribute ideas to improve programs as player and family needs evolve
Who We’re Looking For
You may be early in your leadership journey—but you’re serious about growth.
Required
- Basketball playing and/or coaching experience
- Passion for youth development and teaching
- Strong communication and organizational skills
- Willingness to learn, take feedback, and grow into leadership
- High energy, reliability, and professionalism
Preferred (not required)
- Experience coaching camps, teams, or club basketball
- Interest in building and growing a sports program
- Long-term interest in youth sports leadership
If you don’t meet every qualification but feel excited about this opportunity, we still encourage you to apply.
Compensation & Growth
- Starting pay: $25–$26/hour
- Clear opportunities for advancement as the basketball program grows
- Long-term leadership and ownership potential for strong performers
- Compensation scales with responsibility, impact, and program success
- Medical, dental, and vision benefits (for eligible employees)
- Paid holidays and vacation
This role begins at an entry-to-mid level while you learn our systems but offers significant long-term upside for the right person who helps grow and lead the program.
Why Legarza?
- Mission-driven organization focused on leadership, character, and excellence
- Over 35 years of leadership in Bay Area youth basketball
- Proven programs with strong demand and room to innovate
- Supportive team culture with high standards
- Real opportunity to grow alongside the company
Learn more about our philosophy and values:
to Help Build the Next Era of Legarza Basketball?
Apply today and take the first step toward a long-term leadership role in youth basketball.
Pay: From $25.00 per hour
Benefits
- 401(k)
- Dental insurance
- Health insurance
- Vision insurance
- Paid time off
- Parental leave
- Referral program
- Opportunities for advancement
Work Location: In person
Job Title: ServiceNow Project Manager
Location: Remote/San Francisco, CA
Position Type: Full-time, Direct Hire
Salary Range: $135-150,000 (negotiable based on experience)
Summary:
The ServiceNow Project Manager will oversee the end-to-end implementation of ServiceNow across the organization. The ideal candidate will have a proven track record of successfully leading complex ServiceNow deployments, with a strong preference for experience in the utilities sector. This is a role requiring strategic leadership, cross-functional coordination, and hands-on program management expertise.
Responsibilities:
• Lead the full lifecycle of the ServiceNow implementation program, from planning and design through deployment and stabilization.
• Collaborate with stakeholders across IT, operations, and business units to define requirements, scope, and success criteria.
• Manage vendor relationships, including ServiceNow partners and system integrators.
• Ensure alignment with enterprise architecture, security, and compliance standards.
• Drive change management, training, and communication strategies to support adoption.
Qualifications:
• 7+ years of Project Management experience.
• At least 7+ years experience leading ServiceNow implementations.
• ServiceNow CIS Certifications in two of the three ServiceNow apps is required: ITSM, ITOM and/or SSM.
• Deep understanding of ServiceNow modules such as ITSM, ITOM, CMDB, and SSM.
• Strong leadership and stakeholder management skills.
• Experience managing cross-functional teams and third-party vendors.
• Excellent communication, organizational, and problem-solving skills.
• Must be fluent at using either agile or waterfall project management methodologies.
• Must be able to manage the program to the required budget, in addition to providing budgetary forecast and burndown reports on a scheduled basis.
About Altera
Altera is a leading provider of FPGAs, SoCs, and semiconductor solutions powering innovation across AI, networking, high-performance computing, and embedded systems. We are committed to delivering world-class silicon products through rigorous validation and engineering excellence.
Role Overview
Altera is seeking a visionary Senior Director of Post-Silicon Validation to lead and drive all aspects of post-silicon validation across multiple product lines. This strategic leadership role is responsible for defining validation roadmaps, ensuring robust silicon bring-up, and enabling high-quality product launches.
Key Responsibilities
Strategic Leadership: Define and implement Altera's post-silicon validation strategy, roadmap, and execution plans to meet quality and time-to-market goals.
End-to-End Validation Ownership: Oversee the full post-silicon validation lifecyclefrom initial bring-up to high-volume production ramp-up.
Cross-Functional Collaboration: Partner with design, verification, software, test, and manufacturing teams to ensure seamless validation and debug processes.
Technical Excellence: Lead efforts in system-level debugging, performance characterization, and validation methodology development.
Process Optimization: Establish and continuously improve validation tools, automation frameworks, and lab infrastructure.
Risk Management: Identify and mitigate technical risks, ensuring robust contingency planning and issue resolution.
Team Leadership: Build, mentor, and lead a high-performing validation team, fostering innovation and collaboration.
Executive Communication: Provide regular updates to senior leadership on validation progress, risks, and resolutions.
Compliance & Standards: Ensure validation practices align with industry standards and regulatory requirements.
Salary Range
The pay range below is for Bay Area California only. Actual salary may vary based on a number of factors including job location, job-related knowledge, skills, experiences, trainings, etc. We also offer incentive opportunities that reward employees based on individual and company performance.
$221,500 - $326,350 USD
*We use artificial intelligence to screen, assess, or select applicants for the position.*
#LI-MD1
Qualifications:Required Qualifications
Bachelor's or Master's degree in Electrical Engineering, Computer Engineering, or related field.
10+ years of experience in silicon validation, with 5+ years in a leadership role.
Proven track record managing large-scale validation programs across multiple product lines.
Deep expertise in post-silicon validation methodologies, high-speed interfaces, power management, and system-level debug.
Strong leadership and cross-functional collaboration skills.
Experience with industry-standard validation tools and lab equipment.
Excellent communication and problem-solving abilities.
Preferred Qualifications
Experience in high-performance computing, AI accelerators, or networking silicon products.
Knowledge of firmware validation, statistical data analysis, and test automation.
Familiarity with Agile development and modern program management practices.
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.