Jobs in Spring Valley Ohio Remote
2,093 positions found — Page 11
U.S. Customs and Border Protection (CBP) offers those interested in a career in law enforcement an exceptional opportunity to work with an elite team of highly trained professionals whose camaraderie, pride, and purpose are hallmarks of their daily mission of protecting America. You will be part of the Department of Homeland Security workforce, protecting American interests and securing our nation.
If you are looking for a rewarding career with great pay, benefits, and job stability, now is the time to make your move.
As a Customs and Border Protection Officer (CBPO), 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 nations economic prosperity. Being a CBPO makes you a valuable member of the Federal Law Enforcement Officer (LEO) profession.
Typical assignments include:
- Enforcing customs, immigration, and agriculture laws and regulations.
- Facilitating the flow of legitimate trade and travel.
- Conducting inspections of individuals and conveyances.
- Determining the admissibility of individuals for entry into the United States.
- Preventing the illegal entry of individuals and prohibited goods and the smuggling of illegal drugs and other contraband.
Duty Locations Incentives available for some locations
You will be asked to provide your preference for one of the following mission-critical locations: (list truncated for brevity include full list in production)
The preference locations listed above are expected to have vacancies available in the future; however, if the duty locations do not have vacancies at the time of your final offer, you may be offered a duty location in another geographic location within the United States.
Salary and Duty Location Recruitment Incentives and Benefits
Annual Base Salary for newly appointed CBPOs varies as follows:
GS-9: $61,111 - $124,443 per year
Note: A fully trained CBPO is eligible for up to $45,000 in overtime pay in addition to the starting salary.
Officers are eligible to select from an array of federal employment benefits that include health, dental and other insurance plans, generous annual and sick leave, and participation in the Thrift Savings Plan.
LOCATION INCENTIVES: If you accept one of the duty locations listed below, you may be eligible to receive an additional 15%-25% of your salary each year for the first three (3) years of employment in addition to any overtime pay. Some locations may offer 25% for four (4) years.
Duty locations offering 25% recruitment incentives: Otay Mesa, San Francisco, San Ysidro, and Tecate, CA; Key West, FL; etc.
Duty locations offering 15% recruitment incentives: Honolulu, HI; Portal, ND; etc.
Duty location offering 10% recruitment incentives: Calexico, CA
Qualifications:
You qualify for the GS-9 grade level in one of the following ways: experience, education, or a combination of both.
Experience: A minimum of one (1) year of specialized experience equivalent to at least the next lower grade level that includes:
- Detaining suspected violators of federal, state, or local laws and/or arresting violators using the proper law enforcement methods.
- Enforcing laws and regulations relating to importing, exporting, and/or international shipping.
- Utilizing intelligence techniques and behavior analysis to identify potential threats.
- Conducting interviews in a law enforcement capacity.
Education Substitution: A master's (or higher) degree or an LL.B. or J.D. from an accredited college or university; OR
Combination of Experience and Education: A combination of specialized experience AND successfully completed graduate-level education.
Other Requirements:
- Citizenship: Must be a U.S. Citizen.
- Residency: Primary U.S. residency for at least three of the last five years.
- Age Restriction: Must be referred before your 40th birthday (some exceptions apply).
- Veterans Preference: Eligible veterans may qualify for excepted service appointment.
Formal Training: Includes two-week orientation and 101-day academy at FLETC in Glynco, GA. Spanish training may be required for certain locations.
How to Apply:
Click the Apply button on this site. Youll be directed to the CBP Talent Network page. Select "Customs and Border Protection Officer" as your Position of Interest. Youll receive a link to the official job posting on USAJOBS to complete your application. Be sure to follow all instructions.
As a subscriber to the CBP Talent Network, youll receive monthly emails with updates and opportunities.
RequiredPreferredJob Industries- Government & Military
Border Patrol Agent (BPA) - Experienced (GL-9 GS-11)
NEW RECRUITMENT AND RETENTION INCENTIVES!
Check out these higher-salaried federal law enforcement opportunities with the U.S. Customs and Border Protection. Your current or prior law enforcement experience may qualify you for this career opportunity with the nation's premier federal agency charged with securing our borders and protecting our country.
You may qualify for these higher-graded Border Patrol Agent (BPA) employment opportunities if you have current or prior law enforcement experience. This experience could have been gained as part of a military police assignment or as a member of a state or local law enforcement organization. Look at the duties and responsibilities section below to see if you are interested in these federal law enforcement opportunities and review the qualifications section below to see if you are qualified.
>DON'T FORGET TO CHECK OUT THE INCENTIVES – SEE SALARY SECTION BELOW
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.
The U.S. Border Patrol (USBP) offers those interested in a career in law enforcement an opportunity to work with an elite team of highly trained professionals whose camaraderie, pride, and purpose are hallmarks of their daily mission of protecting America.
If you seek an exciting and rewarding job that provides excellent pay and exceptional federal benefits, now is the time to make your move. U.S. Customs and Border Protection (CBP) is hiring immediately for these full-time, career Law Enforcement Officer (LEO) opportunities.
Salary and Benefits:
Salary for newly appointed law enforcement Border Patrol Agents varies from:
Base Salary: GL-9/GS-11 $63,148 - $120,145 per year
Locality Pay: Varies by duty location.
Overtime Pay: Up to 25%
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 from GL-9 to GS-11 to GS-12. You will be eligible for a promotion to the next higher grade level (without re-applying) once you successfully complete 52 weeks in the lower grade level.
All Border Patrol Agents may select from an array of federal employment benefits that include health and insurance plans, a generous annual and sick leave program, and participation in the Thrift Savings Plan, a retirement plan that is similar to traditional and ROTH 401(k) offerings.
*Recruitment Incentive* Newly appointed Border Patrol Agents (as defined in 5 CFR 575.102 ) will be offered up to a $20,000 incentive. 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. Prioritized locations include Sierra Blanca, TX; Presidio, TX; Sanderson, TX; Comstock, TX; Lordsburg, NM; Freer, TX; Hebbronville, TX; 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.
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 customs laws and inspecting documents and possessions to determine citizenship or violations.
- Preventing and apprehending aliens and smugglers of aliens 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:
GL-9: You qualify for the GL-9 grade level if you possess one (1) year of specialized experience, equivalent to at least the next lower grade level, performing duties such as:
- Performing physical searches of detained individuals, their vehicles, and their immediate surroundings for weapons, contraband, currency, and other evidence.
- Apprehending, physically restraining, or working with law enforcement officials to identify or apprehend violators of state, federal, or immigration laws.
- Proficient in the use of firearms, preparing investigative reports, serving court orders (e.g., warrants, subpoenas, etc.), and gathering evidence for criminal cases prosecuted through the court system.
If you have previous or current law enforcement or military law enforcement experience, you may qualify at the GS-11 grade level.
GS-11: You qualify for the GS-11 grade level if you possess one year of specialized experience equivalent to at least the next lower grade level, with the authority granted by the state or government to enforce laws, make arrests, and investigate crimes, performing primary duties in an official law enforcement capacity such as:
- Utilizing intelligence information to track illegal operations, criminal activity, threats to our nation, and/or contraband while serving as a state, federal, or military law enforcement official.
- Leading investigations of fraud, contraband, criminal activity, threats to our nation, and/or illegal operations to determine sources and patterns while serving as a state, federal, or military law enforcement official.
- Apprehending violators of state, federal, or immigration laws by utilizing various forms of complex technology that include surveillance, detection, situation awareness systems, and/or communications equipment.
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.
There are no education substitutions for the GL-9 or GS-11 grade-level Border Patrol Agent opportunities.
Other Requirements:
Citizenship: You must be a U.S. Citizen to apply for this position.
Residency: You must have had primary U.S. residency (including 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 in 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, and 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.
NOTE: As a subscriber to the CBP Talent Network, you'll receive monthly emails with information about webinars, career expos, and future opportunities with CBP.
Are you a results-driven sales professional ready to take full control of your income, schedule, and success?At Wholesale Payments, we're empowering ambitious Outside B2B Sales Executives to own their territory, dominate their market, and build lasting wealth in the rapidly growing fintech and merchant services industry.
What You'll Do
- Engage and consult with small and mid-sized business owners, offering best-in-class payment processing, POS, and business technology solutions
- Execute a proven B2B sales process — prospect, present, and close new accounts face-to-face
- Manage your own pipeline with full autonomy, supported by elite tools and a winning culture
- Build a residual income stream that grows month after month — every account you sign keeps paying you
- Become a trusted advisor to your clients — delivering value, savings, and partnership
What You'll Get
- Uncapped Commission Structure — earn what you're worth
- Lifetime Residuals — ongoing passive income on every account
- $15,000+ Fast-Start Bonus potential in your first 90 days
- Daily Qualified Leads so you can focus on closing, not chasing
- Exclusive Fintech Tools & CRM — built to help you win faster
- 45X Portfolio Buyout Option — turn your book into real equity
- Comprehensive Training, Mentorship & Closer Support
- 3-6 preset appointments each day!
What We're Looking For
- Proven B2B or outside sales track record (merchant services or fintech experience preferred)
- A fearless hunter mentality — you love prospecting and closing deals
- A "CLOSER" - Hybrid role with appointments that need to be closed!
- Entrepreneurial spirit with discipline and self-motivation
- Confident communicator who builds instant trust with business owners
- A go-getter who thrives in a performance-based environment
Why Wholesale Payments?
This isn't your typical sales gig — it's a career path toward true financial freedom. You'll be backed by one of the most respected names in the industry, equipped with world-class tools, and surrounded by a winning culture that rewards performance.
Job Type: Full-time
Pay: $85,000.00 - $185,000.00 per year
Benefits:
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Experience:
- Outside sales: 2 years (Preferred)
- Direct sales: 1 year (Preferred)
- Sales: 4 years (Required)
- B2B sales: 2 years (Required)
Ability to Commute:
- Arizona (Required)
Work Location: Remote
Remote working/work at home options are available for this role.
Are you a results-driven sales professional ready to take full control of your income, schedule, and success?At Wholesale Payments, we're empowering ambitious Outside B2B Sales Executives to own their territory, dominate their market, and build lasting wealth in the rapidly growing fintech and merchant services industry.
What You'll Do
- Engage and consult with small and mid-sized business owners, offering best-in-class payment processing, POS, and business technology solutions
- Execute a proven B2B sales process — prospect, present, and close new accounts face-to-face
- Manage your own pipeline with full autonomy, supported by elite tools and a winning culture
- Build a residual income stream that grows month after month — every account you sign keeps paying you
- Become a trusted advisor to your clients — delivering value, savings, and partnership
What You'll Get
- Uncapped Commission Structure — earn what you're worth
- Lifetime Residuals — ongoing passive income on every account
- $15,000+ Fast-Start Bonus potential in your first 90 days
- Daily Qualified Leads so you can focus on closing, not chasing
- Exclusive Fintech Tools & CRM — built to help you win faster
- 45X Portfolio Buyout Option — turn your book into real equity
- Comprehensive Training, Mentorship & Closer Support
- 3-6 preset appointments each day!
What We're Looking For
- Proven B2B or outside sales track record (merchant services or fintech experience preferred)
- A fearless hunter mentality — you love prospecting and closing deals
- A "CLOSER" - Hybrid role with appointments that need to be closed!
- Entrepreneurial spirit with discipline and self-motivation
- Confident communicator who builds instant trust with business owners
- A go-getter who thrives in a performance-based environment
Why Wholesale Payments?
This isn't your typical sales gig — it's a career path toward true financial freedom. You'll be backed by one of the most respected names in the industry, equipped with world-class tools, and surrounded by a winning culture that rewards performance.
Job Type: Full-time
Pay: $85,000.00 - $185,000.00 per year
Benefits:
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Experience:
- Outside sales: 2 years (Preferred)
- Direct sales: 1 year (Preferred)
- Sales: 4 years (Required)
- B2B sales: 2 years (Required)
Ability to Commute:
- Arizona (Required)
Work Location: Remote
Remote working/work at home options are available for this role.
Are you a results-driven sales professional ready to take full control of your income, schedule, and success?At Wholesale Payments, we're empowering ambitious Outside B2B Sales Executives to own their territory, dominate their market, and build lasting wealth in the rapidly growing fintech and merchant services industry.
What You'll Do
- Engage and consult with small and mid-sized business owners, offering best-in-class payment processing, POS, and business technology solutions
- Execute a proven B2B sales process — prospect, present, and close new accounts face-to-face
- Manage your own pipeline with full autonomy, supported by elite tools and a winning culture
- Build a residual income stream that grows month after month — every account you sign keeps paying you
- Become a trusted advisor to your clients — delivering value, savings, and partnership
What You'll Get
- Uncapped Commission Structure — earn what you're worth
- Lifetime Residuals — ongoing passive income on every account
- $15,000+ Fast-Start Bonus potential in your first 90 days
- Daily Qualified Leads so you can focus on closing, not chasing
- Exclusive Fintech Tools & CRM — built to help you win faster
- 45X Portfolio Buyout Option — turn your book into real equity
- Comprehensive Training, Mentorship & Closer Support
- 3-6 preset appointments each day!
What We're Looking For
- Proven B2B or outside sales track record (merchant services or fintech experience preferred)
- A fearless hunter mentality — you love prospecting and closing deals
- A "CLOSER" - Hybrid role with appointments that need to be closed!
- Entrepreneurial spirit with discipline and self-motivation
- Confident communicator who builds instant trust with business owners
- A go-getter who thrives in a performance-based environment
Why Wholesale Payments?
This isn't your typical sales gig — it's a career path toward true financial freedom. You'll be backed by one of the most respected names in the industry, equipped with world-class tools, and surrounded by a winning culture that rewards performance.
Job Type: Full-time
Pay: $85,000.00 - $185,000.00 per year
Benefits:
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Experience:
- Outside sales: 2 years (Preferred)
- Direct sales: 1 year (Preferred)
- Sales: 4 years (Required)
- B2B sales: 2 years (Required)
Ability to Commute:
- Arizona (Required)
Work Location: Remote
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.
