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CDL A Truck Driver - Open Deck - $105k / yr
Salary not disclosed
Lansing, MI 2 days ago

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

Not Specified
Pool Deck & Beach Guest Service Host/Hostess-Full Time, $29.10/Hour
Salary not disclosed
Kapolei, Hawaii 2 days ago

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:

permanent
Utilization Review Nurse Health Plans-Hp Utilization Mgmt
Salary not disclosed
Irving, TX 2 days ago
Description

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 withnational 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

Not Specified
Medical Necessity Reviewer (HONDO)
Salary not disclosed
Hondo, Texas 4 days ago

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.

Not Specified
Clinical Data Review Pharmacist (onsite)
Salary not disclosed
West Jordan 4 days ago
A-Line Staffing is now hiring a Clinical Data Review Pharmacist in West Jordan, UT 84084.

The Clinical Data Review Pharmacist would be working for a Major Fortune 500 Company and has career growth potential.

Clinical Data Review Pharmacist Highlights: Schedule: ??? 6am to 2pm Monday to Friday ??? Sunday 3-11pm and Monday-Thursday 1-9pm OFF Friday/Saturday Pay Rate: $65/hr Clinical Data Review Pharmacist Responsibilities: Process prescription orders and perform clinical verification Consult with patients and providers as needed Support pharmacy programs that improve patient health outcomes, medication adherence, and prescription accuracy Clinical Data Review Pharmacist Qualifications: BS in Pharmacy or Doctor of Pharmacy (PharmD) Active Pharmacist License (RPh) Minimum 1 year of experience in a pharmacy environment If you are interested in this Clinical Data Review Pharmacist position, please apply to this posting with Luke H.

at A-Line!
Not Specified
Care Review Clinician I
Salary not disclosed
Long Beach 2 days 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
Clinical Case Review Nurse (BOERNE)
🏢 University Health
Salary not disclosed
BOERNE, Texas 5 days ago
POSITION SUMMARY AND RESPONSIBILITIES

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.
temporary
Clinical Review Nurse Specialist (SEGUIN)
🏢 University Health
Salary not disclosed
SEGUIN, Texas 5 days ago
POSITION SUMMARY AND RESPONSIBILITIES

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.
temporary
Clinical Review Nurse PRN (PLEASANTON)
🏢 University Health
Salary not disclosed
PLEASANTON, Texas 5 days ago
POSITION SUMMARY AND RESPONSIBILITIES

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.
temporary
Medical Review Specialist PRN (SAN ANTONIO)
🏢 University Health
Salary not disclosed
SAN ANTONIO, Texas 2 days ago
POSITION SUMMARY AND RESPONSIBILITIES

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.
temporary
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