Deckorators Composite Decking Reviews Jobs in Usa
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We're committed to fostering an environment for every teammate that's welcoming, respectful and inclusive, with great opportunity for professional growth.
Find your future with us.Boeing Commercial Airplanes (BCA) is hiring for Senior Product Review Engineers (Liaison Engineers) to join the 787 Production Engineering team located in North Charleston, SC.This position includes a 9-to-12-month Boeing Training Rotation Program and will require a flexible schedule, which may involve assignments on 1st, 2nd, or 3rd shift, as well as occasional overtime, weekends, or holidays based on business needs.The Product Review Engineers will perform/support troubleshooting, Root Cause Corrective Action (RCCA) technical analysis, and provide solutions to non-conforming products.
They will work directly with cross functional and production engineering teams to meet production program objectives.This position involves daily exposure to a factory environment which includes stairs, trip hazards, high noise areas, chemical hazards (breathing and handling), and entering airplanes during their many stages of building.Position Responsibilities:Applies knowledge of Boeing design principles to assess and resolve product/process issues through the product lifecycleLeads research of technical, operational and quality issues that cannot be resolved by customer and designs interim and final engineering solutionsLeads others to analyze, conduct root cause analysis and develop dispositions for design non-conformancesUses innovative approaches and unique applications to address complex nonconforming conditions and to detect deviationsAnalyzes reported problems for potential safety issues; recommends and manages complex resolutions.
Leads development of interim and final solutions.Provides design phase subject matter expertise by supporting Integrated Product Teams (IPT) and participating in design reviewsRepresents the engineering community in the build through post-production environmentDevelops customer correspondence for continued safe operation and maintenance of equipmentLeads activities for on-site disabled product repair teams and accident investigation or support teamsDesigns appropriate jacking and shoring schemesLeads the design of interim structural repairs and conducts static strength analysisDevelops and leads non-destructive test procedures, tools and standardsBasic Qualifications (Required Skills/Experience):Bachelor of Science degree in Engineering, Engineering Technology (including Manufacturing Technology), Computer Science, Data Science, Mathematics, Physics or Chemistry.
Applicants must have completed all degree requirements by the application date.10+ years of Engineering experience5+ years of experience in one or more of the following engineering fields: (airplane systems, aerodynamics, structures, propulsion, systems engineering, certification, or safety)5+ years of experience in reading, interpreting, and generating electrical schematics and technical specifications Experience with or knowledge of structural design principles for aircraft primary structure (e.g., fatigue, damage tolerance, corrosion, stress analysis, statics, materials strength, material characteristics, and repair techniques)Must be willing to work variable shifts, including weekends, holidays, and overtimePreferred Qualifications (Desired Skills/Experience): ABET accredited degree5+ years of experience working in a cross-functional environmentCurrent or Previous Member of the Materials Review Board (MRB)Previous Aerospace or Marine repair, overhaul, maintenance, and/or engineering experienceExperience troubleshooting complex integrated systemsExperience interpreting and creating strength analyses for metals and composite materialsMaterial Review Board Certification experience or similar Liaison Engineering experience.Aerospace experience, fabrications, manufacturing, and/or additive manufacturing experience.Experience working with Notice of Escapements (NOE) and Request for Customer Notifications (RCN)Production engineering experienceRelevant technological knowledgeExcellent problem-solving skillsAbility to lead, work independently and in a team environmentConflict of Interest: Successful candidates for this job must satisfy the Company's Conflict of Interest (COI) assessment process.Drug Free Workplace: Boeing is a Drug Free Workplace where post offer applicants and employees are subject to testing for marijuana, cocaine, opioids, amphetamines, PCP, and alcohol when criteria is met as outlined in our policies.Pay & Benefits:At Boeing, we strive to deliver a Total Rewards package that will attract, engage and retain the top talent.Elements of the Total Rewards package include competitive base pay and variable compensation opportunities.The Boeing Company also provides eligible employees with an opportunity to enroll in a variety of benefit programs, generally including health insurance, flexible spending accounts, health savings accounts, retirement savings plans, life and disability insurance programs, and several programs that provide for both paid and unpaid time away from work.The specific programs and options available to any given employee may vary depending on eligibility factors such as geographic location, date of hire, and the applicability of collective bargaining agreements.Pay is based upon candidate experience and qualifications, as well as market and business considerations.Summary Pay Range: $126,650
- $171,350Applications for this position will be accepted until Mar.
23, 2026Export Control Requirements: This position must meet U.S.
export control compliance requirements.
To meet U.S.
export control compliance requirements, a "U.S.
Person" as defined by 22 C.F.R.
§120.62 is required."U.S.
Person" includes U.S.
Citizen, U.S.
National, lawful permanent resident, refugee, or asylee.Export Control Details: US based job, US Person requiredEducation Bachelor's Degree or Equivalent RequiredRelocation This position offers relocation based on candidate eligibility.Visa Sponsorship Employer will not sponsor applicants for employment visa status.Shift This position is for variable shiftEqual Opportunity Employer:Boeing is an Equal Opportunity Employer.
Employment decisions are made without regard to race, color, religion, national origin, gender, sexual orientation, gender identity, age, physical or mental disability, genetic factors, military/veteran status or other characteristics protected by law.
Hiring CDL-A Truck Drivers
Tucker Freight Lines is hiring experienced CDL A truck drivers to join our fleet. We offer generous pay packages with comprehensive benefits and bonus opportunities. No flatbed experience required - talk to a recruiter today about growing your career and driving skills with Tucker!
Fill out a short form to get in touch with our team.
OTR Open Deck Company Drivers
- Drivers earn up to $105,000 per year*
- Average weekly pay: $1,700 - $2,200
- Mileage pay: 81 CPM including bonuses*
- Bonus opportunities and stop pay available
- Home every 3 weeks
- Equipment: 2024 Freightliners & Kenworths equipped with APUs & upgraded trim packages
- Hauling Flatbed, Step deck, & RGN trailers
Company Driver Benefits
- Medical, dental, & vision insurance
- 401(k) with company match
- Health savings account
- Paid time off
- Paid orientation
- Up to $7,500 driver referral bonus
- Pet & rider policies
- Quarterly bonuses
OTR Open Deck - Specialized Drivers
- Drivers average $1,720 per week including bonuses* - pay based off of experience
- Must be willing to stay out 2+ weeks - home time will vary by location
- All trucks are 2024 and newer Western Star models
- Drivers must be able to obtain a TWIC card and be comfortable with self-loading and unloading at ports
*Pay varies by experience level and production. There is no deadline to apply. Applications are accepted on an ongoing basis.
Driver Requirements
- Valid Class A CDL
- 2+ years tractor-trailer experience
- No DUIs in the last 5 years
- Must be 23 years of age or older
Why Drive for Tucker?
When you're driving with us, you're part of the Tucker Freight Lines team. The owners, Sauny and AJ Tucker, have grown up around trucking and AJ drove on the road himself. They want those at Tucker Freight Lines to have a good experience, be successful, and be a part of something bigger - the Tucker team.
Join us today and experience the difference at Tucker Freight Lines!
Job Type: Full-time
Work Location: On the road
Reference Number: 45
Come and join the magic with Aulani, A Disney Resort and Spa! Perks and benefits may include: 100% full coverage of healthcare for you and your eligible dependents Tuition paid upfront at network schools Free lunch Free parking Free theme park admission and much more! Pool Deck & Beach Guest Service Host/Hostess cast members will maintain poolside cabanas for all Guests while providing exemplary Guest Service at various pool locations.
They will also staff the Dive Shop, slide dispatch and pool gates.
Responsibilities : Ensure the safety of Guests, may be a first responder to emergency situations Welcoming cabana Guests and providing a sense of arrival Maintain overall upkeep of all cabanas Assist with clearing pool deck of used towels, lifejackets, and trash Politely ensure adherence to rules and safety guidelines in the Recreation locations Greet Guests with positive, friendly and helpful attitude Proactively address guest needs by answering questions, giving directions and other information regarding the hotel/resort or surrounding areas Frequent walking/standing/pushing/pulling Frequent bending/twisting and kneeling Frequent use of hands Strong observational skills to proactively identify Guest needs and ensure safety guidelines are being followed Works indoors and outdoors in all kinds of weather including extreme temperatures and high humidity Basic Qualifications : Strong verbal communication skills able to positively engage with guests, team members and management Enthusiastic about interacting with, assisting, and receptive to all guests Proactive in anticipating guest needs Must be able to complete repetitive tasks while maintaining quality Responsible and mature Energetic and comfortable giving and taking feedback Must know how to swim Prolonged standing for two to three hours at a time and heavy lifting may be required You must be at least 18 years of age to be considered for this role Preferred Qualifications: Previous experience in a Hotel/Resort environment Previous cabana or pool service experience Knowledgeable about Resort and surrounding areas Knowledge of Hawaiian/Japanese language preferred Previous experience in hospitality or tourism related role on the Hawaiian Islands preferred Full availability for any shift, seven (7) days per week, including nights, weekends, and holidays is preferred Additional Information : SCHEDULE AVAILABILTY Full Time
- Full availability is required seven (7) days per week, including early mornings, late nights, weekends, and holidays.
SUBMITTING YOUR APPLICATION After clicking "Apply for this job" below, the employment application will open in a new window.
Please complete ALL pages of the application by clicking "Next" on each page, then "Submit" on the final page.
Keyword: AULANI CASTING The pay rate for this role in Hawaii is $29.10 per hour.
Select benefits may be provided as part of the compensation package, such as medical, financial, and/or other benefits, dependent on the level and position offered.
To learn more about our benefits visit:
Composite Assembly Technician
6 Months - Contract
Mountain View, CA - Onsite
Job Description:
We’re looking for a Composite Assembly Technician to join us in producing an exciting new class of all electric personal aircraft. You will be responsible for following current processes and specifications to support the bonding, mechanical assembly, modification and repairs of composite airframe structures. You will use fixtures, molds and other industry specific tools to ensure the assembly is done properly. You have the ability to work from digital work instructions and engineering drawings as well as assisting cross functional teams to resolve problems and develop techniques for special projects or programs. Your mission is to keep safety at the forefront of everything you do while fabricating top level assemblies. The successful candidate is a highly knowledgeable and experienced technical person who has direct hands-on experience developing and building composite aircraft, from initial concept articles through delivery of complete aircraft assemblies to flight test. In this role, the candidate must be proactive, forward thinking and self motivated with the ability to inspire and lead by influence a team of like-minded personnel.
What you will do
• Learn the build process through on the job training and digital procedures.
• You will set up composite parts for fabrication by reading and interpreting drawings, planning, understanding tooling and materials, sequence of operations, and techniques required for fabrication.
• You will perform part-fitting operations that require trimming, filing, drilling, sanding, and reaming.
• Perform adhesive bonding and mechanical assembly of flight composite structures or R&D projects.
• Perform simple to complex repairs in composite parts.
• Identify issues in the manufacturing process and propose/implement solutions for improvement.
• Record your work in the current work order/traveler format.
• Work with responsible engineers and quality control to properly document any non-conformance or deviations from the established work instructions.
• May provide leadership with the ability to demonstrate and explain production operations, lead the team on assignments and provide reliable peer quality review.
What you have done
• Minimum of 4 years of relevant composite bonding experience with a variety of adhesive systems and surface preparation techniques.
• You have worked on various projects and are familiar with a variety of composite and metallic materials, surface coatings, adhesives, sealants, fasteners, and methods.
• You have experience designing and fabricating assembly fixtures and shop aids from raw materials.
• Able to read and understand composite engineering drawings including notes and tolerances.
• Strong craftsmanship skills and experience with various types of hand-held power tools and machine equipment.
• Able to assemble/disassemble precision fixtures to aid in bonding of the airframe main structure.
• Excellent communication skills including collaborating in a diverse and dynamic team environment that may be working remotely.
• You have a strong and applied knowledge of manufacturing documentation processes, such as as-built records, quality systems, and manufacturing execution systems.
• Extreme attention to detail.
Desired
• Experience operating a laser tracker for part or fixture validation.
• Experience with additive manufacturing processes including build preparation, software, and post processing.
• Experience shaping bodies by fabricating, aligning, filling, sanding, grinding, smoothing and feather edging surfaces.
Who you are:
• You are a highly motivated, self starting individual with a broad set of skills and never afraid of facing complex technical challenges
• You are a solution oriented individual with a strong analytical mindset.
• You have strong communication skills and can easily tailor your communications to suit the audience.
• You can adapt quickly or propose changes needed to achieve early results in a timely fashion.
• You embrace challenges and take commitments and deliver results within reasonable expectations.
• You are a positive team player.
Who YOU are and what YOU can become Are you someone who thrives on precision, craftsmanship, and the challenge of working with advanced materials? We're looking for a meticulous and mechanically minded individual who enjoys fabricating and repairing complex composite and metal bonded assemblies.
If you take pride in building things that truly fit together and enjoy the satisfaction of clean, accurate work, this is the kind of challenge you’ll love.
At ST Engineering MRAS, our employees have amazing opportunities to work on advanced technologies and systems that support thousands of customers and millions of people worldwide every day.
From the first flight across the Pacific Ocean to developing highly complex structures for the most popular aircraft in the world, we have come a long way always with a can-do approach to problem solving while delighting customers with our high say-do ratio.
We are looking for people with innovative ideas and the drive to help us grow into the future.
A pioneer in the production and assembly of complex aerostructures including aircraft and rocket components, engine nacelle systems, thrust reversers and advanced composite products, we apply the latest digital technologies and automation in composite design and manufacturing that are second to none.
At ST Engineering MRAS, we are also rapidly augmenting our maintenance, repair and overhaul (MRO) capabilities leveraging the company’s expanded aircraft nacelle portfolio as well as it’s materials and processing expertise.
What YOU will do: To fabricate and repair complex composite and metal bonded assemblies.
Includes the teardown of assemblies post cure and the cleaning of bond tools.
Bonded assemblies are complex due to the quantity of interrelated components requiring precision alignment in fixtures not completely equipped with stops, locators, etc., and/or close tolerances critical to accurate assembly.
Uses works from engineering and tool design drawings, specifications, sketches and/or verbal information to fabricate and repair composite and metal bonded assemblies • Studies information, tools and details to plan fabrication of assignment • Prepares materials, molds, patterns, adhesives, etc., for molding and bonding processes • Makes and uses templates to cut materials to desired shape • Lays-out resin impregnated sheets against molds where complex contours and angles are usually encountered in inaccessible areas, requiring manipulative skill to fit and smooth laminates to eliminate wrinkles and remove air pockets • Works laminate layers to desired smoothness to eliminate voids, delamination, crazing, blistering and wrinkles • Locates all parts and assemblies which involves precision alignment and location of components to close tolerances and fitting and adjusting assemblies and components in and out of fixtures to meet specifications • Determines location, position, accuracy of fit, conformity to contour, etc., of bonded assemblies by comparison with drawings and sketches • Fabricates initial bonded assemblies, proving tools and component parts used in their fabrication, ascertains location, fit, clearance, etc., of components and usability and practicability of tools • Determines method and sequence of work operations for use in assembling subsequent units • Removes parts post-cure from associated molds and tools • Cleans molds and / or tools as part of teardown process • Repairs any damage to composite and metal bonded assemblies where the repair requires the utilization of uncured or prefabricated repair details on areas requiring intricate precision layouts • Grinds, shaves, countersinks and inserts as specified in MPP’s • Adheres to company safety procedures and regulations • Operation of cranes, fork trucks, people lifts, upenders, lift tables, and rotating devices is required • Duties involve working at heights, working around cured and pre-cured graphite, and use of lasers, hand and power tools • Participates and actively engages in Collaborative Work Group to meet business goals What YOU must bring to Succeed: • Must be 18 years of age or older.
• Ability to read and interpret complex assembly drawings, lofts, and specifications, use shop mathematics and work with all types of precision measuring instruments.
AT ST Engineering MRAS, we offer great rewards , competitive pay , career advancement and growth opportunities .
Salary for this role: $20.00 per hour.
ST Engineering considers several factors with extending job offers, including but not limited to candidates’ key skills, relevant work experience, education/training/certification, job level, and work location.
ST Engineering MRAS offers these incentives for hourly roles: • Competitive Healthcare Benefits Package • 401k Savings Plan • Annual Pay Increases and COLA pay • Shift Differential Pay for off shift schedules • Overtime Opportunities • Paid-Time Off/Vacation • Educational Assistance Reimbursement • Health & Safety Personal Protective Program • Free Onsite Gym with weekly fitness classes • On-the-Job Training Employment Notice: ST Engineering is deeply committed to building a workplace community where inclusion is valued, and everyone feels welcomed.
We’re proud to consider all qualified applicants for employment without regard to race, color, religion, sex, pregnancy, family status, marital status, sexual orientation, national origin, disability, age, or veteran status, or any other legally protected grounds.
So, bring us your personal experience, your perspectives, and your background.
ST Engineering is committed to providing reasonable accommodations to qualified individuals with disabilities in the employment application process.
20-20 Hourly Wage PI58d430713f6e-25448-39708635
Full-time
Description
Who We Are
Advanced Cooling Technologies, Inc. (ACT) is a leading provider of thermal management solutions and engineered structures serving Defense, Aerospace, HVAC, Power Electronics, and Medical markets. Recognized as a \"Best Place to Work,\" ACT supports customers including Lockheed Martin, Northrop Grumman, Boeing, NASA, DOD, and DOE.
Job Summary
The Lead Composite Assembly Technician is responsible for assembling, bonding, and finishing composite parts and subassemblies in accordance with engineering drawings, work instructions, and quality standards. In addition to hands-on post-cure operations-including bonding, hardware installation, and final assembly-this role provides daily leadership to assigned technicians to ensure safe, efficient, and high-quality production while supporting workflow coordination, training, and continuous improvement.
Key Responsibilities
Technical
- Assemble, bond, and finish composite parts and subassemblies
- Perform secondary bonding, hardware installation, drilling, trimming, and sanding
- Prepare bonding surfaces and mix/apply structural adhesives per specifications
- Align, fit, and inspect parts to meet dimensional and tolerance requirements
- Follow assembly drawings, travelers, and work instructions
- Complete required manufacturing and quality documentation
- Support rework, repair, and continuous improvement activities
- Adhere to safety, environmental, and quality system requirements
Leadership
- Provide daily direction and task assignments to composite assembly personnel
- Serve as the primary technical resource for troubleshooting bonding and assembly issues
- Train and mentor technicians on proper techniques, safety practices, and quality standards
- Monitor workflow to ensure schedule adherence and efficiency
- Coordinate with production supervisors, engineering, and quality to resolve issues
- Promote a safe, organized, and compliant work environment
- Provide input on performance feedback and serve as acting supervisor when required
Requirements
- Ability to read and interpret engineering and assembly drawings
- Familiarity with hand tools, measuring equipment, and bonding tools
- Understanding of adhesive bonding and surface preparation techniques preferred
- Strong mechanical aptitude and attention to detail
- Ability to work safely with chemicals and adhesives
- Effective communication and leadership skills
- Strong organizational and problem-solving abilities
Education and Experience
- High school diploma or equivalent required
- Prior experience in composite assembly, aerospace manufacturing, or mechanical assembly preferred
- On-the-job training may be provided for entry-level candidates
ACT offers competitive pay, excellent benefits (medical, dental, vision, paid time off, holidays, company-paid life & disability insurance, 401(k) match, and profit-sharing), and a supportive team environment.
ACT is an Equal Opportunity Employer. All qualified applicants will be considered without regard to race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, veteran status, or any other protected characteristic.
ACT participates in E-Verify.
California Applicants: ACT collects personal information for hiring purposes. California residents may have rights under the CCPA/CPRA. Contact HR at [email protected] .
Salary Description
$27-$35/hour
885522: NP / PA / Independent Reviewer UAS Contractors (New York State)
Med-Scribe, Inc. is a healthcare staffing service recruiting top-notch employees all throughout New York State for over 30 years! We are partnered with a large multi-national company dedicated to strengthening communities and improving the lives of those they serve by facilitating connections to government health and human services.
We are in search of experienced clinicians to join a UAS Home Care Project. In this role, you will be responsible for independent review and evaluation of completed UAS reassessments for appropriateness of long-term care services for consumers, in accordance with Medicare and Medicaid guidelines.
These are contractor positions ? which allow for flexibility in scheduling, at your own pace training, and pay at $100/hr.
In this role, you will be scheduled for in person appointments with members of the long term care population, who are applying for Managed Long Term Care services (MLTC). Your clients will have already completed a UAS evaluation with a Registered Nurse, and your role will be to determine whether MLTC and home care services are adequate for the patient?s care, or if they should instead be admitted to a supportive facility. Each appointment will last approximately 1.5 hours ? 30 minutes of preparation time, 30 minutes meeting with the member, and 30 minutes completing and submitting your determination. Additional compensation is offered for longer appointments.
Schedules are arranged according to your availability; however hours are not guaranteed. You must be willing to work at least 9 hours weekly, within operation hours which run Monday ? Friday 8AM ? 7PM, and Saturday between 10AM-6PM. Candidates who are unable to work during these operation hours, or who cannot commit to 9 hours weekly will not be considered.
Expect to travel! Appointments will be scheduled anywhere within the county or counties of your choice, based on your availability. Candidates covering multiple counties will receive more hours. Please note, you must choose one full county to be considered!
Current openings include:
- Albany County
- Schenectady County
Minimum Qualifications:
- NYS Certified Nurse Practitioner License plus 3600 hours of experience OR
- NYS Certified Physician Assistant License
- An active NYS Medicaid number
- 2 years of prior experience within home care, geriatrics, or community health populations
- Willing to travel for in person appointments, with reliable transportation
Contractors will be compensated for each completed assessment, and will receive partial compensation for interrupted assessments.
These roles are 1099 contractor positions, and do not include benefits.
Follow us on Facebook for automatic updates to our listings!
To be considered, please visit our website at and reference job number 885522.
Med-Scribe is an equal opportunity employer. In accordance with anti-discrimination law, it is the purpose of this policy to effectuate these principles and mandates. Med-Scribe prohibits discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law. Med-Scribe conforms to the spirit as well as to the letter of all applicable laws and regulations.
#ESJ123
Job Type: Contract
Pay: $100.00 per hour
People with a criminal record are encouraged to apply
Application Question(s):
- Do you currently have an active NYS Medicaid Provider Number?
Experience:
- geriatric, community health, or home care: 1 year (Required)
License/Certification:
- NYS Nurse Practitioner or Physician Assistance License (Required)
Work Location: Hybrid remote in Albany, NY 12202
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.
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.
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.
Care Management Supervisor of Quality Review & Staff Education is responsible for quality assurance, accuracy, and overall integrity of the care management records completed by Care Management staff. This role is to ensure compliance with NYS DOH and CMS regulations through development of auditing tools and data validation. This Supervisor will analyze collected audit data, identify trends for staff re-training, and implement corrective action plans in collaboration with Clinical Management and Staff Education. They will oversee and conduct orientation, training, and education to all members of the Care Management team. Provides support to Director and Managers of Coordinated Care to ensure that all reporting requirements are prepared, submitted, and maintained in a professional and well-coordinated manner.
- Baccalaureate Nursing Degree from an NLN-Accredited School of Nursing
- Experience and knowledge of Managed Care: A minimum of two years nursing experience in Community Health or related field and/or minimum of two years of progressive job-related experience, including care management and coordination, education and supervision
- Demonstrates strong critical-thinking, problem-solving skills, and knowledge of Medicare and Medicaid
- Effective communication skills both written and oral
- Possesses strong critical thinking skills and knowledge of Medicare and Medicaid regulations
- Excellent analytical skills, interpretation of data
- Ability to set priorities and to handle multiple assignments
- Working knowledge of audit techniques and methodologies
- Secures relevant information to identify potential problems and makes recommendations for appropriate solutions
- Work effectively within interdisciplinary team environment
- Computer literate, Windows, Excel, Word, Visio and data base programs required. PowerPoint preferred
- Working knowledge of State and Federal regulations
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.
EDUCATION/EXPERIENCE
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.
LICENSURE
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.
