Brooksource Elevate Program Reviews Jobs in Usa

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Educator Work and Play Program
Salary not disclosed
NORWALK, OH 5 days ago
Overview:

Teachers and School Employees - joining our Cedar Point team means you'll support our mission to make people happy! Join us with our NEW Work & Play Program and earn some extra cash and a whole season of FUN!

 

Positions available:

  • Food & Beverage
  • Housekeeping
  • Bus Driver
  • Merchandise Sales Associate
  • Admissions Associate
  • Custodian/Restroom Attendant

 

With Cedar Point's Work & Play Program, we are offering a FREE Gold Pass for you, and 4 discounted Gold Passes for your family and friends when you work 6 operating shifts during the month of May at Cedar Point! 

 

Some of our amazing perks and benefits: 

  • Paid training and FREE uniforms! 
  • FREE Admission to Cedar Point and our other properties! 
  • FREE tickets and discounts to local attractions! 
  • FREE tickets for family and friends! 
  • 20% discounts on food and merchandise! 
  • Employee-only ride nights, game nights, and FREE FOOD events

Responsibilities:

Come join our world class team at Cedar Point. Cedar Point provides premiere entertainment with 200+ acres of FUN and we want YOU to join us in making people happy. As a member of our team, you’ll… 

 

  • Make our guests happy by delivering amazing experiences and helping them create lifelong memories. 
  • Interact with different people of all ages and backgrounds. 
  • Gain skills, knowledge and experience that will benefit your future.

Qualifications:
  • You!   
  • People who love helping others and will support the needs of our guests and associates.   
  • Good judgement and a commitment to safety.  
  • Ability to work and interact with people from diverse backgrounds.  
  • Individuals with a passion and excitement about Cedar Point.   
  • Availability to include some weekdays, weekends, evenings, and holidays.   
permanent
Registered Nurse (RN) Fellowship Program, Emergency, Full time, 7pm - 7am
Salary not disclosed
DOWNEY, California 3 days ago

The Registered Nurse Fellowship Program at PIH Health offers a structure, evidence-based training program designed to support experienced nurses seeking to move into high-acuity specialties.

 

  • One-on-one clinical preceptorship
  • Support from unit-based clinical nurse educators
  • Regular check-ins with nursing leadership
  • Peer support throughout your fellowship journey


PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit or follow us on Facebook, Twitter, or Instagram.


Required Skills
  • Written and verbal communications, interpersonal skills.
  • Basic organizational skills.
  • Basic computer skills.
  • Demonstrated leadership abilities.
  • Patient assessment.
  • Clinical education related to specialty.
  • Principles of patient/family teaching.

Required Experience
  • Active RN license
  • Minimum of 1 year RN experience in acute care settings
  • BLS and ACLS
  • PALS for Emergency Department

 

**Open to internal and external applicants


Address
11500 Brookshire Ave.

Salary
5

Shift
Nights

Shift Differential
7.00

Zip Code
90241
permanent
Registered Nurse (RN) Fellowship Program, Emergency, Full time, 7am - 7pm
🏢 PIH Health Careers
Salary not disclosed
DOWNEY, California 3 days ago

The Registered Nurse Fellowship Program at PIH Health offers a structure, evidence-based training program designed to support experienced nurses seeking to move into high-acuity specialties.

 

  • One-on-one clinical preceptorship
  • Support from unit-based clinical nurse educators
  • Regular check-ins with nursing leadership
  • Peer support throughout your fellowship journey


PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit or follow us on Facebook, Twitter, or Instagram.


Required Skills
  • Written and verbal communications, interpersonal skills.
  • Basic organizational skills.
  • Basic computer skills.
  • Demonstrated leadership abilities.
  • Patient assessment.
  • Clinical education related to specialty.
  • Principles of patient/family teaching.

Required Experience
  • Active RN license
  • Minimum of 1 year RN experience in acute care settings
  • BLS and ACLS
  • PALS for Emergency Department

 

**Open to internal and external applicants


Address
11500 Brookshire Ave.

Salary
5

Shift
Days

Zip Code
90241
permanent
RN Clinical Review Nurse {167271}
Salary not disclosed
Alameda 6 days ago
Clinical Review Nurse Schedule for Clinical Review Nurse Monday – Friday | 8:00 AM – 5:00 PM Interview Process for Clinical Review Nurse One virtual interview Job Overview for Clinical Review Nurse We are seeking an experienced Clinical Review Nurse to support the investigation and resolution of complex member and provider grievances, appeals, and disputes .

This role is responsible for conducting detailed clinical reviews, evaluating medical necessity, and ensuring compliance with applicable regulatory requirements and organizational policies.

The Clinical Review Nurse will collaborate with internal teams and medical leadership to ensure timely and accurate resolution of cases while maintaining high standards of care and service.

Key Responsibilities for Clinical Review Nurse Conduct investigations and clinical reviews of member and provider grievances and appeals related to medical necessity .

Review prospective, inpatient, and retrospective medical records associated with denied services.

Summarize and present medical findings for Medical Directors, consultants, and external reviewers .

Apply clinical guidelines, policies, and benefit plan documentation when evaluating cases.

Prepare recommendations to uphold or overturn determinations and submit to the Medical Director for final approval.

Ensure appeals, grievances, and disputes are resolved within required regulatory timelines .

Evaluate requests for expedited review and determine urgency criteria.

Document case details and maintain accurate records within relevant tracking systems.

Draft written correspondence for members, providers, and regulatory entities .

Communicate with members, providers, and internal staff to support resolution of clinical concerns.

Identify potential quality-of-care concerns and escalate appropriately.

Serve as a clinical resource and subject matter expert to assist team members with appeals and grievance resolution.

Participate in additional projects and duties as assigned.

Essential Functions for Clinical Review Nurse Conduct thorough investigations of appeals, grievances, and provider disputes .

Evaluate the appropriateness of care within contractual, regulatory, and accreditation standards.

Identify system or process issues that may impact member care or service expectations and recommend improvements.

Perform documentation, reporting, and analytical tasks related to case reviews.

Maintain compliance with organizational policies, regulatory requirements, and professional standards .

Minimum Qualifications for Clinical Review Nurse Education / Licensing Active and unrestricted California Registered Nurse (RN) license Bachelor’s degree preferred Experience for Clinical Review Nurse Minimum 3 years of acute care clinical experience Minimum 2 years of appeals and grievances casework Preferred Experience for Clinical Review Nurse Utilization Management or Quality Management Experience applying standardized clinical guidelines Familiarity with Milliman Care Guidelines (MCG) , Managed Care, and NCQA standards Additional Details for Clinical Review Nurse No direct supervisory responsibilities Collaborative role working with clinical, operational, and leadership teams If you are an experienced nurse with strong clinical review and case evaluation skills and are looking to contribute to a team focused on quality care and regulatory excellence, we encourage you to apply.
*
Not Specified
Director of Renal Program Operations, Dialysis Services (PLEASANTON)
Salary not disclosed
PLEASANTON, Texas 4 days ago
About University Health:

At University Health, we are dedicated to improving the health of our community through exceptional patient care, education, and innovation. Our team embodies a strong commitment to excellence, and we are seeking a dynamic and compassionate leader to guide our Dialysis Services team.

Position Overview:

As the Executive Director of Dialysis Services, you will oversee the administration and clinical direction of all dialysis services within our health system. This includes the renal clinic, inpatient dialysis programs, outpatient hemodialysis clinics, home dialysis modalities, and jail dialysis services. You will work closely with our Medical Directors to plan, organize, and lead the growth and efficiency of our dialysis services, ensuring compliance with regulatory standards and best practices in patient care.

Key Responsibilities:

- Patient Care: Oversee the clinical services across multiple dialysis sites to ensure high-quality care in compliance with regulatory standards.

- Human Resources: Supervise and mentor a team of clinical and support staff. You will play a key role in staff development, recruitment, and fostering a positive work environment.

- Budget and Planning: Manage operational and capital budgets, ensuring efficient use of resources while meeting organizational goals.

- Policy and Procedures: Develop and update clinical and administrative policies to ensure ongoing compliance with healthcare regulations.

- Community Relations: Act as a liaison between University Health and the community, representing our dialysis services in various professional and public forums.

Qualifications:

- Education: Bachelor's degree in Nursing (required); Master’s degree (preferred)

- Experience: At least 3 years of experience as a clinical nurse supervisor or director in dialysis services; leadership experience in managing multi-system dialysis operations is highly preferred.

- Certifications: Current RN license in Texas; AHA BLS Healthcare Provider or Instructor card required.

- Skills: Strong leadership abilities, excellent communication skills (Spanish/English bilingual a plus), and a dedication to patient-centered care.

Why University Health:

- Impactful Work: Contribute to the health of our diverse community by leading one of the most critical healthcare services in the region.

- Comprehensive Benefits: Competitive salary, comprehensive health plans, retirement options, and generous paid time off.

- Relocation Assistance: Moving to San Antonio? We offer relocation support to help you settle into your new role and home.

Location:

San Antonio is a vibrant and growing city with a rich cultural history, a lower cost of living, and a high quality of life. With access to excellent schools, outdoor activities, and a strong sense of community, San Antonio is the perfect place to call home.
permanent
Chief Administrator, Renal Care Programs (HONDO)
🏢 University Health
Salary not disclosed
HONDO, Texas 4 days ago
About University Health:

At University Health, we are dedicated to improving the health of our community through exceptional patient care, education, and innovation. Our team embodies a strong commitment to excellence, and we are seeking a dynamic and compassionate leader to guide our Dialysis Services team.

Position Overview:

As the Executive Director of Dialysis Services, you will oversee the administration and clinical direction of all dialysis services within our health system. This includes the renal clinic, inpatient dialysis programs, outpatient hemodialysis clinics, home dialysis modalities, and jail dialysis services. You will work closely with our Medical Directors to plan, organize, and lead the growth and efficiency of our dialysis services, ensuring compliance with regulatory standards and best practices in patient care.

Key Responsibilities:

- Patient Care: Oversee the clinical services across multiple dialysis sites to ensure high-quality care in compliance with regulatory standards.

- Human Resources: Supervise and mentor a team of clinical and support staff. You will play a key role in staff development, recruitment, and fostering a positive work environment.

- Budget and Planning: Manage operational and capital budgets, ensuring efficient use of resources while meeting organizational goals.

- Policy and Procedures: Develop and update clinical and administrative policies to ensure ongoing compliance with healthcare regulations.

- Community Relations: Act as a liaison between University Health and the community, representing our dialysis services in various professional and public forums.

Qualifications:

- Education: Bachelor's degree in Nursing (required); Master’s degree (preferred)

- Experience: At least 3 years of experience as a clinical nurse supervisor or director in dialysis services; leadership experience in managing multi-system dialysis operations is highly preferred.

- Certifications: Current RN license in Texas; AHA BLS Healthcare Provider or Instructor card required.

- Skills: Strong leadership abilities, excellent communication skills (Spanish/English bilingual a plus), and a dedication to patient-centered care.

Why University Health:

- Impactful Work: Contribute to the health of our diverse community by leading one of the most critical healthcare services in the region.

- Comprehensive Benefits: Competitive salary, comprehensive health plans, retirement options, and generous paid time off.

- Relocation Assistance: Moving to San Antonio? We offer relocation support to help you settle into your new role and home.

Location:

San Antonio is a vibrant and growing city with a rich cultural history, a lower cost of living, and a high quality of life. With access to excellent schools, outdoor activities, and a strong sense of community, San Antonio is the perfect place to call home.
permanent
Vice President of Clinical Dialysis Programs (PLEASANTON)
🏢 University Health
Salary not disclosed
PLEASANTON, Texas 4 days ago
About University Health:

At University Health, we are dedicated to improving the health of our community through exceptional patient care, education, and innovation. Our team embodies a strong commitment to excellence, and we are seeking a dynamic and compassionate leader to guide our Dialysis Services team.

Position Overview:

As the Executive Director of Dialysis Services, you will oversee the administration and clinical direction of all dialysis services within our health system. This includes the renal clinic, inpatient dialysis programs, outpatient hemodialysis clinics, home dialysis modalities, and jail dialysis services. You will work closely with our Medical Directors to plan, organize, and lead the growth and efficiency of our dialysis services, ensuring compliance with regulatory standards and best practices in patient care.

Key Responsibilities:

- Patient Care: Oversee the clinical services across multiple dialysis sites to ensure high-quality care in compliance with regulatory standards.

- Human Resources: Supervise and mentor a team of clinical and support staff. You will play a key role in staff development, recruitment, and fostering a positive work environment.

- Budget and Planning: Manage operational and capital budgets, ensuring efficient use of resources while meeting organizational goals.

- Policy and Procedures: Develop and update clinical and administrative policies to ensure ongoing compliance with healthcare regulations.

- Community Relations: Act as a liaison between University Health and the community, representing our dialysis services in various professional and public forums.

Qualifications:

- Education: Bachelor's degree in Nursing (required); Master’s degree (preferred)

- Experience: At least 3 years of experience as a clinical nurse supervisor or director in dialysis services; leadership experience in managing multi-system dialysis operations is highly preferred.

- Certifications: Current RN license in Texas; AHA BLS Healthcare Provider or Instructor card required.

- Skills: Strong leadership abilities, excellent communication skills (Spanish/English bilingual a plus), and a dedication to patient-centered care.

Why University Health:

- Impactful Work: Contribute to the health of our diverse community by leading one of the most critical healthcare services in the region.

- Comprehensive Benefits: Competitive salary, comprehensive health plans, retirement options, and generous paid time off.

- Relocation Assistance: Moving to San Antonio? We offer relocation support to help you settle into your new role and home.

Location:

San Antonio is a vibrant and growing city with a rich cultural history, a lower cost of living, and a high quality of life. With access to excellent schools, outdoor activities, and a strong sense of community, San Antonio is the perfect place to call home.
permanent
RN Instructor - Allied Health Program, PRN (Augusta)
Salary not disclosed
Augusta, Georgia 3 days ago

Overview: Provides direct clinical instruction, supervision and evaluation for 8 to 10 nursing students engaged in direct patient care on a nursing unit. Clinical experiences are typically 8 to12 hours shifts and can include days, nights and weekends. Nurses working as clinical instructors also meet criteria for employment with the respective College or University for which they are assigned students. Nursing clinical instructors will be teaching and are investing in the development of the next generation of nurses, and may serve as adjunct professors for nursing schools that are placing students on nursing units. Responsibilities: Provides direct clinical instruction, supervision and evaluation for 8 to 10 nursing students engaged in direct patient care on a nursing unit. Clinical experiences are typically 8 to12 hours shifts and can include days, nights and weekends. Nurses working as clinical instructors also meet criteria for employment with the respective College or University for which they are assigned students. Nursing clinical instructors will be teaching and are investing in the development of the next generation of nurses, and may serve as adjunct professors for nursing schools that are placing students on nursing units. Qualifications: Education

  • Bachelor's Degree in Nursing Required
  • Master's degree in Nursing Preferred
Work Experience
  • 3 years of full-time work experience as a registered nurse within the last seven years Required
  • Prior experience serving as a lab and/or clinical instructor in an associate or baccalaureate degree nursing program leading to initial licensure as a registered nurse Preferred
Licenses and Certifications
  • RN - Registered Nurse - Georgia State Licensure and/or NLC/eNCL Multistate Licensure Required
  • BCLS - Basic Life Support Required
  • Specialty certification Preferred

Business Unit : Company Name: Piedmont Augusta Hospital

permanent
Care Review Clinician I
✦ New
Salary not disclosed
Long Beach 1 day ago
Job Title: Care Review Clinician I Location: 100% Remote Duration: 3 Months+ (temp to hire) Schedule: Wednesday
- Sunday 8 – 5 pm PST Pay Range: $43
- $44/hr.

on W2 Description: · The Care Review Clinician is responsible for performing utilization management (UM) reviews, including prior authorization of outpatient services, to ensure medical necessity, appropriate level of care, and compliance with regulatory and organizational guidelines.

· The clinician will review clinical documentation, apply evidence-based criteria, and collaborate with providers to facilitate timely and appropriate care for members.

· This role supports Client’s commitment to quality, cost-effective care and regulatory compliance within the California health plan.

Must Have Skills: · Knowledge of California delegation requirements · Strong understanding of utilization management processes · Experience with prior authorization review (outpatient preferred) · Ability to apply clinical guidelines (e.g.

MEDICAID, MCG) Day to Day Responsibilities: · Process outpatient prior authorization referrals · Review clinical documentation for medical necessity · Apply established UM criteria and guidelines · Communicate with providers for additional clinical information · Ensure compliance with state, federal, and Client policies · Document determinations accurately and timely Required Years of Experience: · Active, unrestricted California RN or LVN license required · Minimum of 3 years of clinical experience in utilization management
Not Specified
Supervisor, Concurrent Review (New York)
🏢 MJHS
Salary not disclosed
New York 2 days ago

The challenges of affordable healthcare continue to create new opportunities.

Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs.

These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.

Provides quality, cost-effective care to all members through the direct supervision of staff responsible for the management and coordination of the member's care through the incorporation of interdisciplinary strategies, medicare regulations, and medically accepted standards of care.

Supervises the assessment of all acute and sub-acute inpatient care for appropriateness of setting and services, according to pre-established criteria and guidelines and ensure a 95% compliance or greater.

Supervises the assessment and coordination of the members physical, psychosocial and discharge planning needs through communication with appropriate hospital staff including treating physician, PCP, utilization managers, social workers, discharge planners.

Assures appropriate staffing to support departmental/agency services.

Ensures all employees are oriented to their department/agency and job and provided with appropriate training, development and continuing education.

Correctly interprets and applies all Human Resources policies and procedures relative to discipline, recruitment and selection, performance appraisals, salary reviews and staffing.

Bachelor's Degree in Nursing.

Minimum one to three years previous management experience preferred.

Previous managed care experience in the areas of utilization management and/or case management required.

Working knowledge of Windows, Word, Excel.

Knowledge of Federal and State regulations, managed care regulations and concepts, and CQI methodologies.
permanent
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