Applied Cloud Computing Review Jobs in Usa
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JOB DESCRIPTION
Our client is looking for an Engineering Designer to join the team! This is an onsite position in Greenville, SC. Will be fully in the office to design a variety of work orders focused on Power and Electrical Distribution projects. The role utilizes client-specific software and offers full training! This company offers room for growth with exposure to different projects and teams! This is a long term, stable opportunity.
REQUIRED SKILLS AND EXPERIENCE
- Associates or bachelor’s in engineering-related field, example degrees: Engineering Technology, Applied Sciences, Mathematics, Geography, Construction Management, etc OR 1+ years of experience within CAD design or utilities
- Ability to sit onsite
- Great customer service skills
- Adaptability to changing client priorities
NICE TO HAVE SKILLS AND EXPERIENCE
- Utilities, Electrical, or Power Distribution experience CAD design experience
Summary:
The Utilization Review Nurse is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This nurse is responsible for performing a variety of pre-admission, concurrent, and retrospective UM related reviews and functions. They must competently and accurately utilize approved screening criteria (InterQual/MCG/Centers for Medicare and Medicaid Services “CMS” Inpatient List). They effectively and efficiently manage a diverse workload in a fast-paced, rapidly changing regulatory environment and are responsible for maintaining current and accurate knowledge regarding commercial and government payors and guidelines related to UM. This nurse effectively communicates with internal and external clinical professionals, efficiently organizes the financial insurance care of the patients, and relays clinical data to insurance providers and vendors to obtain approved certification for services. The Utilization Review Nurse collaborates as necessary with other members of the health care team to ensure the above according to the mission of CHRISTUS.
Responsibilities:
- Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
- The prior authorization role completes an assessment of a proposed service to determine if the beneficiary has eligible coverage for the service and if it is medically necessary.
- Promote quality, cost-effective outcomes through prior authorization and concurrent review of requested services for medical necessity based upon evidence-based clinical guidelines.
- Identify and present cases of possible quality of care deviations, questionable admissions, and prolonged lengths of stay to the Medical Director for further determination.
- Appropriately refer beneficiaries who have complex or chronic conditions, a need for transition of care, disease management support, or other identifiable needs for coordination of the beneficiary’s member’s health care for behavioral health care management.
- Follow CHRISTUS Health Guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent, or detect unauthorized disclosure of Protected Health Information (PHI).
- Protect the confidentiality of data and intellectual property; assures compliance with national health information guidelines.
- Analyze clinical information submitted by medical providers to evaluate the medical necessity, appropriateness, and efficiency of the use of medical services, procedures, and facilities.
- Perform provider outreach to address post-hospital discharge services, redirection to in-network providers for appropriate steerage, durable equipment usage, and utilization of other medical services and/or procedures and other necessary telephonic follow-up.
- Utilize the nursing process and critical thinking skills to provide oversight of services and evaluation of service options.
- Ability to work in a variety of settings with culturally diverse communities with the ability to be culturally sensitive and appropriate.
- Must have excellent communication skills (written and verbal), clinical judgment, initiative, critical thinking, and problem-solving abilities.
- Must be able to take after hour calls to meet business requirements as needed.
Job Requirements:
Education/Skills
- Graduate of an accredited school of vocational nursing or equivalent required
- Associate’s (ADN) or Bachelor’s (BSN) in Nursing preferred
Experience
- 3 – 5 years of nursing experience preferred
- Experience in Microsoft software (e.g., Outlook, Teams, Word, and Excel) required
- General computer knowledge and capability to use computers required
Licenses, Registrations, or Certifications
- LVN license in the state of employment or compact required
- RN license in state of employment or compact preferred
Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time
This role supports interdisciplinary care teams serving individuals with complex medical, behavioral health, and social needs, including people experiencing homelessness, serious mental illness, substance use disorders, chronic disease, and socioeconomic instability.
The Clinical Consultant – RN partners with Care Managers, Behavioral Health clinicians, Primary Care Providers, hospitals, Managed Care Plans, and community-based organizations to ensure high-quality, whole-person, and evidence-based care.
This position plays a critical role in care planning, clinical decision-making, transitions of care, medication management, quality improvement, and staff development while addressing social determinants of health and system barriers to care.
Essential Duties and Responsibilities Clinical Oversight & Consultation Provide clinical support and consultation to Care Managers, and interdisciplinary care teams across care management programs.
Serve as a clinical resource for chronic disease management, medication monitoring, and complex case review.
Guide staff in ensuring member safety and provide immediate consultation and escalation support for high-risk clinical situations.
Ensure clinical services align with evidence-based practices, regulatory standards, and program contracts, including requirements with Managed Care Plans (MCPs).
Care Planning & Coordination Provide clinical oversight and tracking of comprehensive intake assessments.
Participate in the development, review, and approval of patient-centered care plans, including initial plans and required updates.
Monitor progress toward care plan goals and recommend adjustments based on clinical findings and data.
Collaborate with Primary Care Providers, Behavioral Health clinicians, specialists, ACOs, MCOs, hospitals, and community partners to ensure services outlined in care plans are delivered.
Coordinate hospital admissions, discharges, and transitions of care to promote continuity, safety, and prevent avoidable readmissions.
Perform timely medication reconciliation following transitions of care and support medication adherence.
Data, Quality Improvement & Compliance Use data to evaluate outcomes of targeted interventions and assist in modifying care plans and care strategies accordingly.
Participate in quality improvement initiatives, audits, peer reviews, and program evaluations conducted by internal leadership, health plans, or external administrators.
Monitor continuous quality improvement measures through documentation review, clinical consultation, and chart audits.
Oversee charting and documentation standards to ensure compliance with contracts, program requirements, and organizational policies.
Documentation & Systems Complete and review care plans, assessments, and case notes using required systems (e.g., Salesforce, EHRs, or health plan platforms).
Maintain accurate, timely, and compliant documentation using SMART format where applicable.
Ensure confidentiality and compliance with HIPAA and all applicable federal and state regulations.
Staff Development & Team Collaboration Provide staff development training, coaching, and clinical guidance for care management staff.
Participate in weekly, bi-weekly, and monthly interdisciplinary care team meetings to review client progress, evaluate program effectiveness, and develop strategies to enhance care delivery.
Present cases and clinical insights during scheduled case conferences.
Attend required trainings, webinars, meetings, and conferences to maintain clinical excellence and program knowledge.
Support and expand programming that addresses social determinants of health and strengthens connections to community-based organizations.
Promote monthly health promotion topics and materials aligned with program priorities.
Expectations & Professional Standards Prioritize client health, safety, dignity, and self-determination.
Communicate with professionalism, tact, and cultural humility.
Demonstrate the ability to work under pressure and manage multiple complex priorities.
Maintain strict confidentiality and ethical standards.
Adapt effectively to change and support continuous improvement.
Model openness, honesty, accountability, and teamwork.
Demonstrate sensitivity to cultural, linguistic, and socioeconomic diversity.
Adhere to organizational safety policies, compliance standards, and guiding principles.
Required Qualifications Active and unrestricted Registered Nurse (RN) license in the State of California, in good standing.
Experience working with vulnerable populations, including individuals with histories of trauma, homelessness, substance use disorders, serious mental illness, or socioeconomic stress.
Strong clinical assessment, critical thinking, and problem-solving skills.
Comfort working autonomously in community-based and outreach settings.
Experience using data to track outcomes and measure performance.
Basic computer proficiency, including email, spreadsheets, and electronic documentation.
Valid California Driver’s License and proof of auto liability insurance meeting state of California minimum requirements.
Knowledge and applied practice of HIPAA compliance and healthcare regulations.
Preferred Qualifications Bilingual in English and Spanish.
Partners in Care Foundation is an equal opportunity employer.
We are committed to complying with all federal, state, and local laws providing equal employment opportunities, and all other employment laws and regulations.
It is our intent to maintain a work environment which is free of harassment, discrimination, or retaliation because of age, race (including hair texture and protective hairstyles, such as braids, locks, and twists), color, national origin, ancestry, religion, sex, sexual orientation, pregnancy (including childbirth, lactation/breastfeeding, and related medical conditions), physical or mental disability, genetic information (including testing and characteristics, as well as those of family members), veteran status, uniformed service member status, gender, gender identity, gender expression, transgender status, arrest or conviction record, domestic violence victim status, credit history, unemployment status, caregiver status, sexual and reproductive health decisions, salary history or any other status protected by federal, state, or local laws.
All qualified applicants will receive consideration for employment and reasonable accommodations may be made to enable qualified individuals to perform the essential functions of the position.
Remote working/work at home options are available for this role.
At MVP Health Care, we're on a mission to create a healthier future for everyone. That means embracing innovation, championing equity, and continuously improving how we serve our communities. Our team is powered by people who are curious, humble, and committed to making a difference-every interaction, every day. We've been putting people first for over 40 years, offering high-quality health plans across New York and Vermont and partnering with forward-thinking organizations to deliver more personalized, equitable, and accessible care. As a not-for-profit, we invest in what matters most: our customers, our communities, and our team.
What's in it for you:
- Growth opportunities to uplevel your career
- A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
- Competitive compensation and comprehensive benefits focused on well-being
- An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work For in the NY Capital District, one of the Best Companies to Work For in New York, and an Inclusive Workplace.
You'll contribute to our humble pursuit of excellence by bringing curiosity to spark innovation, humility to collaborate as a team, and a deep commitment to being the difference for our customers. Your role will reflect our shared goal of enhancing health care delivery and building healthier, more vibrant communities.
About the Opportunity
As a Professional, Prospective Review in Health Management - UM Prospective Review, you will play a crucial role in ensuring the quality and efficiency of our prospective review process. You will work closely with the healthcare team to review and assess the appropriateness of medical services, treatments and high dollar medical equipment. This is an exciting opportunity to contribute to the improvement of patient care and outcomes.
What You'll Do
- Conduct comprehensive reviews of medical records and treatment plans to determine if the requested services are appropriate based on established guidelines and medical criteria across multiple lines of business.
- Utilize your clinical expertise to evaluate medical necessity and collaborate with MVP Medical Directors to determine the effectiveness of proposed treatments/equipment.
- Document clinical summations, recommendations and send appropriate correspondences accurately and within regulatory timeframes.
- Communicate with healthcare providers and members to collect pertinent information, discuss review outcomes and provide appropriate referrals within MVP.
- Remain up to date with industry standards and guidelines, complete required competency training and proficiency examinations to ensure compliance and best practice.
- Participate in team meetings and training sessions to enhance your knowledge and skills.
- Contribute to process improvement initiatives to streamline the prospective review process.
- Other duties as assigned by leadership.
Skills and Experience
- Education, Licensures, & Certifications
- Current RN (NY or VT)
- Years of Experience (Required & Preferred)
- Minimum of 3-5 years clinical experience required
- Case management certification preferred
- Required Job Skills
- Able to manage multiple tasks in a fast-paced environment.
- Strong clinical knowledge, critical thinking skills and understanding of medical terminology, procedures, concepts.
- Ability to work independently to analyze complex medical information.
- Effective communication skills, both written and verbal.
- Ability to work independently and collaboratively in a team environment.
- Proficiency in using computer systems and software for documentation, data entry and day-to-day work functions.
- Preferred Job Skills
- Prior Utilization review experience
- Knowledge of Government Insurance Programs (Medicare, Medicaid)
Working Conditions
Secure, Quiet area for Desk/Computer to maintain HIPPA compliance
Travel Requirements
Potential for travel to regional offices
Worksite Designation
- Virtual based out of Schenectady NY
Pay Transparency
MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role.
We do not request current or historical salary information from candidates.
$69,383.00-$92,279.00
MVP's Inclusion Statement
At MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger, and our unique perspectives are catalysts for creativity and collaboration.
MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications.
To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team at .
Essential Functions of the job:
- Review and validate QC data and test records.
- Support investigations related to Out of Specification (OOS), Out of Trend (OOT), and Out of Expectation (OOE) results.
- Ensure compliance with current Good Manufacturing Practices (cGMP) in the laboratory.
- Assist in the technical documentation of investigations and change control assessments to evaluate the impact on product quality, in alignment with FDA/EU regulations, international standards
- Undertake other duties as required.
This position is ideal for candidates who are detail-oriented and committed to quality assurance in the pharmaceutical industry.
Education/Experience Required:
- Bachelor’s Degree or above in Chemistry, Biochemistry, or Biotechnology related scientific discipline. Scientific degree (ideally chemistry, biochemistry, biotechnology or related).
- Minimum 4 years working experience in an FDA-regulated biotechnology or pharmaceutical company is required.
- Working knowledge and experience with chemistry analytical methods such as HPLC, GC, TOC, Capillary Electrophoresis (CGE-Reduced, CGE-Non-Reduced, and Capillary Zone Electrophoresis), etc.
- Strong working knowledge with USP/EP and cGMP/EU GMP.
- Technical writing experience.
- Familiar with instrument and equipment validation.
- Impressive, demonstrable track record and skills/experience gained within a similar position(s), at a similar level.
- Credible and confident communicator (written and verbal) at all levels.
- Strong analytical and problem-solving ability.
- Hands-on approach, with a ‘can do’ attitude.
- Ability to prioritize, demonstrating good time management skills.
- Excellent attention to detail, with the ability to work accurately in a busy and demanding environment.
- Self-motivated, with the ability to work proactively using own initiative.
- Committed to learning and development
- Self-motivated, with the ability to work proactively using own initiative.
Computer Skills:
- Strong PC literacy required; MS Office skills (Outlook, Word, Excel, PowerPoint).
Travel:
- Must be willing to travel approximately 10%.
- Ability to work on a computer for extended periods of time.
We’re seeking an experienced CT Tech for a permanent role with an area healthcare client where you’ll be responsible for accurately interpreting a physician’s scanning instructions, skillfully administering contrast materials, and expertly operating CT scan equipment.
Minimum Requirements:
- 1 year experience preferred as a CT Tech
- Completion of a Joint Review Committee on Education in Radiologic Technology (JRCERT) accredited program in Radiology
- Current American Registry of Radiologic Technologists (ARRT) certification
- BLS certification
- Ability to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients’ service
- Ability to assess data reflective of the patient’s status and interpret appropriate information needed to identify each patient’s needs
Benefits:
- $25K Sign On Bonus for qualified hire
- $10K Relocation Assistance for qualified hire
Location Highlights:
Wrangell, Alaska offers a unique blend of natural beauty and cultural experiences. Enjoy outdoor activities such as hiking, fishing, and wildlife viewing. The area is known for its stunning landscapes, including the nearby Tongass National Forest and the scenic Wrangell-St. Elias National Park. Local attractions include historical sites, art galleries, and community events that celebrate the rich heritage of Southeast Alaska.
Apply now and you will be contacted by a recruiter who’ll give you more information.
Impacting the Quality of Care for Patients and Students Nationwide
Jackson HealthPros offers a variety of career options for healthcare and education professionals including direct hire positions, temp-to-hire, and travel contracts. Thanks to our nationwide partnerships, we help healthcare and education pros find jobs with great pay, awesome benefits, relocation assistance, and even sign-on bonuses, all at no cost to you! Discover your perfect match with ProVenture, our AI enhanced career app designed just for you.
EEO Statement
Jackson Healthcare and its family of companies are an EEO/AA Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender, gender identity and expression, national origin, age, disability or protected veteran status. We celebrate diversity and are committed to creating an inclusive environment for all of our associates.
Become a vital part of Jackson HealthPros’ team as an experienced CT Tech! You’ll accurately interpret a physician’s scanning instructions, administer contrast materials, and expertly operate CT scan equipment for an area healthcare facility.
Minimum Requirements:
- 2 years CT Tech experience
- Completion of a Joint Review Committee on Education in Radiologic Technology (JRCERT) accredited program in Radiology
- Current American Registry of Radiologic Technologists (ARRT) certification
- BLS certification
Apply now and you'll be contacted by a recruiter who’ll give you more information.
Assignment Details:
- Facility Type: Hospital
- Shift Name: Flex Shifts
- Shift Summary: Monday and Friday 0900-1730, Saturday and Sunday F, S, S, M), 40 hours per week
Location Highlights:
Davenport, WA offers a variety of recreational and cultural experiences. Enjoy outdoor activities such as hiking and biking in nearby parks, or explore local dining options and entertainment venues that reflect the vibrant community. The area's natural beauty and welcoming atmosphere make it an attractive destination for traveling clinicians.
Benefits Designed for Travelers
We deeply value your commitment to impacting others, that’s why we offer a comprehensive and competitive benefits package starting your first day.
- Weekly, On-Time Pay because that’s how it should be
- Full Medical Benefits & 401k Matching Plan
- 24/7 Recruiter: Your main point of contact available by text, phone or email
- Competitive Referral Bonuses
- 100% Paid Housing Available
- Travel & License Reimbursement
Impacting the Quality of Care for Patients and Students Nationwide
As a health or education professional with Jackson HealthPros, you get the flexibility, stability and growth you need with the satisfaction of impacting communities nationwide. Choose from a variety of career options including direct hire, temp-to-hire, and travel contracts in cities coast to coast. Get full-time pay, benefits, and relocation assistance (at no cost to you) in travel contracts that give you the freedom to explore, with the stability of a full-time job. Find your perfect match with ProVenture, our AI enhanced career app designed just for you.
EEO Statement
Jackson Healthcare and its family of companies are an EEO/AA Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender, gender identity and expression, national origin, age, disability or protected veteran status. We celebrate diversity and are committed to creating an inclusive environment for all of our associates.
Setting: Hospital
We’re seeking an experienced CT Tech for a permanent role with an area healthcare client where you’ll be responsible for accurately interpreting a physician’s scanning instructions, skillfully administering contrast materials, and expertly operating CT scan equipment.
Position Details:
- Dual Rad Tech / CT Role - open to candidates willing to obtain CT
- Flexibility on shifts
- Competitive compensation
- Up to $20K sign on options!
Minimum Requirements:
- 1 year experience preferred as a CT Tech
- Completion of a Joint Review Committee on Education in Radiologic Technology (JRCERT) accredited program in Radiology
- Current American Registry of Radiologic Technologists (ARRT) certification
- BLS certification
Apply now and you'll be contacted by a recruiter who’ll give you more information.
Impacting the Quality of Care for Patients and Students Nationwide
Jackson HealthPros offers a variety of career options for healthcare and education professionals including direct hire positions, temp-to-hire, and travel contracts. Thanks to our nationwide partnerships, we help healthcare and education pros find jobs with great pay, awesome benefits, relocation assistance, and even sign-on bonuses, all at no cost to you! Discover your perfect match with ProVenture, our AI enhanced career app designed just for you.
EEO Statement
Jackson Healthcare and its family of companies are an EEO/AA Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender, gender identity and expression, national origin, age, disability or protected veteran status. We celebrate diversity and are committed to creating an inclusive environment for all of our associates.
We're seeking an experienced CT Tech for a permanent role with an area healthcare client where you'll be responsible for accurately interpreting a physician's scanning instructions, skillfully administering contrast materials, and expertly operating CT scan equipment.
Minimum Requirements:
- 1 year experience preferred as a CT Tech
- Completion of a Joint Review Committee on Education in Radiologic Technology (JRCERT) accredited program in Radiology
- Current American Registry of Radiologic Technologists (ARRT) certification
- BLS certification
- Ability to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients' service
- Ability to assess data reflective of the patient's status and interpret appropriate information needed to identify each patient's needs
Benefits:
- $25K Sign On Bonus for qualified hire
- $10K Relocation Assistance for qualified hire
Location Highlights:
Wrangell, Alaska offers a unique blend of natural beauty and cultural experiences. Enjoy outdoor activities such as hiking, fishing, and wildlife viewing. The area is known for its stunning landscapes, including the nearby Tongass National Forest and the scenic Wrangell-St. Elias National Park. Local attractions include historical sites, art galleries, and community events that celebrate the rich heritage of Southeast Alaska.
Apply now and you will be contacted by a recruiter who'll give you more information.
Impacting the Quality of Care for Patients and Students Nationwide
Jackson HealthPros offers a variety of career options for healthcare and education professionals including direct hire positions, temp-to-hire, and travel contracts. Thanks to our nationwide partnerships, we help healthcare and education pros find jobs with great pay, awesome benefits, relocation assistance, and even sign-on bonuses, all at no cost to you! Discover your perfect match with ProVenture, our AI enhanced career app designed just for you.
EEO Statement
Jackson Healthcare and its family of companies are an EEO/AA Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender, gender identity and expression, national origin, age, disability or protected veteran status. We celebrate diversity and are committed to creating an inclusive environment for all of our associates.
Become a vital part of Jackson HealthPros' team as an experienced CT Tech! You'll accurately interpret a physician's scanning instructions, administer contrast materials, and expertly operate CT scan equipment for an area healthcare facility.
Minimum Requirements:
- 2 years CT Tech experience
- Completion of a Joint Review Committee on Education in Radiologic Technology (JRCERT) accredited program in Radiology
- Current American Registry of Radiologic Technologists (ARRT) certification
- BLS certification
Apply now and you'll be contacted by a recruiter who'll give you more information.
Assignment Details:
- Facility Type: Hospital
- Shift Name: Flex Shifts
Location Highlights:
Bethel, AK offers a unique blend of natural beauty and cultural experiences. Located near the Kuskokwim River, the city provides access to outdoor activities such as fishing and hiking. The nearby Yukon Delta National Wildlife Refuge, approximately 30 miles away, is a haven for wildlife enthusiasts and nature lovers alike.
Benefits Designed for Travelers:
We deeply value your commitment to impacting others, that's why we offer a comprehensive and competitive benefits package starting your first day.
- Weekly, On-Time Pay because that's how it should be
- Full Medical Benefits & 401k Matching Plan
- 24/7 Recruiter: Your main point of contact available by text, phone or email
- Competitive Referral Bonuses
- 100% Paid Housing Available
- Travel & License Reimbursement
Impacting the Quality of Care for Patients and Students Nationwide:
As a health or education professional with Jackson HealthPros, you get the flexibility, stability and growth you need with the satisfaction of impacting communities nationwide. Choose from a variety of career options including direct hire, temp-to-hire, and travel contracts in cities coast to coast. Get full-time pay, benefits, and relocation assistance (at no cost to you) in travel contracts that give you the freedom to explore, with the stability of a full-time job. Find your perfect match with ProVenture, our AI enhanced career app designed just for you.
EEO Statement
Jackson Healthcare and its family of companies are an EEO/AA Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender, gender identity and expression, national origin, age, disability or protected veteran status. We celebrate diversity and are committed to creating an inclusive environment for all of our associates.
