Mark Dodge Reviews Jobs in Usa

8,184 positions found

Physician / Gastroenterology / Iowa / Permanent / Fort Dodge, Iowa - Gastroenterology - Nonprofit Sy
✦ New
Salary not disclosed
Fort Dodge, Iowa 1 day ago
Enterprise Medical Recruiting is assisting a nonprofit system in Iowa to recruit a new Gastroenterologist to join their team! The practice is fully equipped for in-office testing and procedures are done at the hospital.

Practice Details Seeking board-certified or eligible Gastroenterologists Monday-Friday, 8 am-5 pm schedule, with 10 days of call per month Nonprofit system Visa Eligible Open to bread and butter, or advanced ERCP skills Fully integrated EPIC EMR Remuneration based on experience plus bonus About Fort Dodge, Iowa Fort Dodge, known for its Midwest charm and family values, is a great place to live, work and raise a family.

From the spectacular farmers market to the nationally known museums, the opportunities for fun before, during, and after work are endless.

Whether exploring museums and public art pieces or riding mountain bikes and off-highway vehicles, Fort Dodge willDodge the Ordinary.

DO-6
permanent
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CDL-A Flatbed Lease Purchase Driver in Fort Dodge, IA
$256,000
Fort Dodge, Iowa 2 days ago
Company Driver | Flatbed

Location:

Fort Dodge, IA

Company:

CRST, The Transportation Solution

Pay:

Competitive weekly pay (inquire for details)

Route Type:

otr

Start Date:

ASAP

About the Position
CDL-A Flatbed Independent Contractor Truck Drivers – Owner Operators and Lease Purchase Program!
CRST The Transportation Solution Inc. is offering experienced flatbed CDL-A truck drivers the opportunity to take control of their career and income. Whether you own your truck or are looking to lease, we have a path for you!
CDL-A Flatbed Owner Operator Truck Driver Earnings & Bonuses:
$2,500 Sign-On Bonus for new and existing Owner Operators
Annual Earnings: $256,000 – $272,000
Earn up to 73% of Revenue + 100% Fuel Surcharge
Choose Your Own Loads – Full access to a load board for complete control
Weekly Payroll – Consistent and dependable pay schedule
Flatbed Securement Training Available
CDL-A Flatbed Lease Purchase Program Details
$0 Money Down
No Credit Check Required
Walk-Away Lease – Flexibility if your plans change
Late Model Freightliner Cascadia Trucks Available
No Truck Payments for the First 4 Weeks
Bumper-to-Bumper Maintenance Program Included
Truck Ownership Made Easy
CDL-A Flatbed Owner Operator Benefits:
Benefits are offered through a 3rd Party
Optional health insurance offered thru True Choices Personal Insurance. Questions about what they have to offer? Please call 8
CDL-A Flatbed Owner Operator Truck Driver Requirements:
21 years or older
CDL A, 12 Months of CDL A Truck Driving Experience required
Qualified applicants with arrest and conviction records will be considered for employment pursuant to applicable federal, state, and local laws.
Take the next step toward independence and financial freedom.
Join CRST’s network of successful independent contractors and flatbed professionals.
Benefits are offered through a 3rd Party
Optional health insurance offered thru True Choices Personal Insurance. Questions about what they have to offer? Please call 8

Requirements
21 years or older
CDL A, 12 Months of CDL A Truck Driving Experience required
Securement Training Programs Available
Qualified applicants with arrest and conviction records will be considered for employment pursuant to applicable federal, state, and local laws.
Not Specified
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CDL-A Flatbed Lease Purchase Driver in Dodge City, KS
🏒 CRST, The Transportation Solution
$256,000
Dodge City, Kansas 2 days ago
Company Driver | Flatbed

Location:

Dodge City, KS

Company:

CRST, The Transportation Solution

Pay:

Competitive weekly pay (inquire for details)

Route Type:

otr

Start Date:

ASAP

About the Position
CDL-A Flatbed Independent Contractor Truck Drivers – Owner Operators and Lease Purchase Program!
CRST The Transportation Solution Inc. is offering experienced flatbed CDL-A truck drivers the opportunity to take control of their career and income. Whether you own your truck or are looking to lease, we have a path for you!
CDL-A Flatbed Owner Operator Truck Driver Earnings & Bonuses:
$2,500 Sign-On Bonus for new and existing Owner Operators
Annual Earnings: $256,000 – $272,000
Earn up to 73% of Revenue + 100% Fuel Surcharge
Choose Your Own Loads – Full access to a load board for complete control
Weekly Payroll – Consistent and dependable pay schedule
Flatbed Securement Training Available
CDL-A Flatbed Lease Purchase Program Details
$0 Money Down
No Credit Check Required
Walk-Away Lease – Flexibility if your plans change
Late Model Freightliner Cascadia Trucks Available
No Truck Payments for the First 4 Weeks
Bumper-to-Bumper Maintenance Program Included
Truck Ownership Made Easy
CDL-A Flatbed Owner Operator Benefits:
Benefits are offered through a 3rd Party
Optional health insurance offered thru True Choices Personal Insurance. Questions about what they have to offer? Please call 8
CDL-A Flatbed Owner Operator Truck Driver Requirements:
21 years or older
CDL A, 12 Months of CDL A Truck Driving Experience required
Qualified applicants with arrest and conviction records will be considered for employment pursuant to applicable federal, state, and local laws.
Take the next step toward independence and financial freedom.
Join CRST’s network of successful independent contractors and flatbed professionals.
Benefits are offered through a 3rd Party
Optional health insurance offered thru True Choices Personal Insurance. Questions about what they have to offer? Please call 8

Requirements
21 years or older
CDL A, 12 Months of CDL A Truck Driving Experience required
Securement Training Programs Available
Qualified applicants with arrest and conviction records will be considered for employment pursuant to applicable federal, state, and local laws.
Not Specified
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Class A Delivery Driver - Miami - Core-Mark
🏒 Core-Mark
$1,346
Miami, FL 3 days ago

Job Description:

We Deliver the Goods:
  • Competitive pay and benefits, including Day 1 Health & Wellness Benefits, Employee Stock Purchase Plan, 401K Employer Matching, Education Assistance, Paid Time Off, and much more.
  • Growth opportunities performing essential work to support America’s food distribution system.
  • Safe and inclusive working environment, including culture of rewards, recognition, and respect.
Position Details:Β 
  • Off Wednesdays & Weekends
  • Start time 5 AM
  • Drivers can earn $1346.00Β Β average weekly pay(Must meet minimum weekly requirements, will be discussed during interview)
Position Purpose:

Food and food service delivery Drivers fulfill a critical role in the country’s food supply chain. Our delivery drivers make sure the customers’ products arrive at their destination at the arranged times and in good condition and are the face of our company – building lasting relationships with our customers!

The Driver is responsible for driving a tractor-trailer or straight truck on intrastate and interstate local, over-the-road (OTR), shuttle, and overnight and drive and drop routes for the purpose of delivering and/or unloading food and food-related products to customers in a safe and timely manner and in accordance with Department of Transportation (DOT) regulations. Communicates and interacts with customers, vendors, and co-workers professionally, ensuring questions are answered accurately and promptly. Functions as a team member within the department and organization, as required, and performs any duty assigned to best serve the company.

Responsibilities may include, but are not limited to:
  • Performs all required safety checks (i.e., pre/post trip), including tractor/truck and trailer inspections according to Department of Transportation (DOT) regulations; inspects tractor/truck and trailer to ensure they meet company safety standards and takes appropriate action as needed. Reports all safety issues and/or repairs required.
  • Follows all DOT regulations and company safe driving guidelines and policies.
  • Immediately reports all safety hazards. Inspects trailer for properly loaded and secured freight.
  • Performs a count check of items and checks customer invoices of products that have been loaded. Checks and completes in an accurate and in legible fashion all required paperwork associated with freight.
  • Moves the tractor to the loading dock and attach the preloaded trailer as needed.
  • Drives to and delivers customer orders according to the predetermined route delivery schedule. Unloads products from the trailer, transports items into designated customer storage areas.
  • Performs damage control checks on items, scans, and contacts the supervisor about removing orders according to company policy. Verifies delivery of items with the customer and obtains proper signatures. Collects money (cash or checks) where required.
  • Loads customer returns on to trailer and secures trailer doors. Ensures that tractor, trailer, and freight are appropriately locked and/or always secured.
  • Unloads damaged goods and customer returns and bring to the driver check-in and complete necessary paperwork. Unloads all equipment, material,s and remove trash from trailers as required.
  • Completes daily record of hours of service and enter in log in accordance with Federal DOT, state, and company requirements.
  • Performs general housekeeping duties in the tractor, loading dock area and keep trailers clear and clean as required. At the end of the shift secure all equipment and complete all necessary paperwork.
  • Performs other related duties as assigned.

Qualifications:

β€’High School Diploma/GED or Equivalent

β€’1+ years Tractor/Trailer driving experience

β€’Valid CDL-A

β€’Meet all State licensing and/or certification requirements (where applicable)

β€’Clean Motor Vehicle Report (MVR) for past 3 years

β€’Pass road test

β€’Attains or has valid current DOT Health Card and/or able to secure new DOT Health Card

β€’Able to hand-lift and utilize two-wheeler, lift gate and/or other equipment to move and/or stack product cases/freight of varying size and weight throughout shift; product generally ranges from between 10-35 pounds and up to between approximately 60 and 90 pounds, depending on the location

Company description



Core-Mark continues to grow as the industry leader in fresh and broadline solutions for the convenience retail industry. With a reputation for empowering customers, employees, and communities, Core-Mark has become the largest, most comprehensive marketer of consumer goods in North America β€” offering a full range of products, programs, and solutions to convenience operators across the U.S. and Canada.

Awards and Accolades

Performance Food Group and/or its subsidiaries (individually or collectively, the "Company") provides equal employment opportunity (EEO) to all applicants and employees, regardless of race, color, national origin, sex, marital status, pregnancy, sexual orientation, gender identity, religion, age, disability, genetic information, veteran status, and any other characteristic protected by applicable local, state and federal laws and regulations. Please click on the following links to review: (1) our EEO Policy; (2) the "EEO is the Law" poster and supplement; and (3) the Pay Transparency Policy Statement.
permanent
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Licensed Behavioral Health Advocate SED Waiver - Dodge City, KS
🏒 Optum
Salary not disclosed
Dodge City, Kansas 3 days ago
$5,000 sign-on bonus for external candidates

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start

Caring. Connecting. Growing together.
As a Behavioral Health Care Advocate, you will be responsible for case management / care coordination of members on the SED and Autism Waivers. You'll have a direct impact on the lives of our members as you recommend and manage the appropriate level of care throughout the entire treatment plan.
Primary Responsibilities:
Make patient assessments and determining appropriate levels of care
Obtain information from providers on outpatient requests for treatment
Determine if additional clinical treatment sessions are needed
Manage inpatient and outpatient mental health cases throughout the entire treatment plan
Administer benefits and review treatment plans
Coordinate benefits and transitions between various areas of care
Identify ways to add value to treatment plans and consulting with facility staff or outpatient care providers on those ideas
Develop and monitor implementation of Person-Centered Service Plans
Collaborate with Community Mental Health Centers to ensure member's are receiving services and supports

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
Licensed Master's degree in Psychology, Social Work, Counseling, or Marriage and Family Counseling; Licensed Ph.D., or Registered Nurse (with at least a Bachelor's degree) with 2+ years of experience in behavioral health
Active, unrestricted license in Kansas: LP, LPC, LCP, LCPC, LMSW, LSCSW, LMFT, LCMFT, or RN (with a Bachelor's Degree) in the state of Kansas
2+ years of post-license experience in a related mental health environment
Proven intermediate Microsoft skills including Microsoft Word, Excel, Outlook, and Teams
Access to secure, high-speed internet (Broadband Cable, DSL, or Fiber) and a dedicated, distraction-free workspace at home
Access to reliable transportation and ability to travel within the service delivery area as needed (up to 50%)

Preferred Qualifications:
Dual diagnosis experience with mental health and substance abuse
Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients
Experience working with the Medicaid population
Experience working with children, adolescents, and their families

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
permanent
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Part Time Parts Shipping/Receiving Clerk (Chrysler Dodge)
Salary not disclosed
Concord 2 days ago
Hendrick Chrysler Dodge Jeep Ram FIAT of Concord Location: 7630 Hendrick Auto Plaza NW, Concord, North Carolina 28027 Summary: To process the shipping and receiving of parts through the Parts Department.

Pay Range: $18.50 per hour.

Part-Time Schedule Requirements: Flexible weekly schedule Monday-Saturday between 6:00AM-5:00PM.

Average 25 hours per week, candidates must be able to work the Part-Time schedule requirements on a regular basis.

Supervisory Responsibilities: This job has no direct supervisory responsibilities.

Essential Duties and Responsibilitiesinclude the following: Controls receipt of inventory Receives incoming shipments, checking the packing slip with actual shipment for completeness and accuracy before placement in appropriate warehouse location Identifies and reports all overages and shortages Stocks parts and accessories in correct bin locations Notifies appropriate personnel of receipt of all special orders Performs inventory test counts as directed by management Loads and unloads trucks May operate a forklift to move materials and unload vehicles Maintains an organized, clean and safe work area Maintains CSI at or above company standards Participates in required training Records all hours worked accurately in company timekeeping system Follows Safeguards rules and regulations.

Demonstrates the Company’s Core Values Complies with Company policies and procedures Observes all Federal, State, Local and Company safety rules and regulations in the performance of duties.

Other duties as assigned Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.

The requirements listed below are representative of the knowledge, skill, and/or ability required.

Reasonable accommodations may be made to enable individuals with medical conditions to perform the essential functions.

Desired Education: o GED √ High School Diploma o Associate Degree o Bachelor Degree o Master Degree o Doctorate Degree Field of Study/Work Experience: o Accounting o Automotive o Business o Human Resources o Information Technology Desired Work Experience: √ up to 3 years o 3-5 years o 5+ years Education/Experience: Previous warehouse experience desired.

Certificates and Licenses: √ Valid Driver’s License o Automobile Salesperson License Computer Skills: Basic computer skills needed to utilize the company timekeeping system.

Communication Skills: Ability to understand and follow instructions.

Ability to communicate effectively with customers and company personnel.

Attendance Expectations: The position requires regular and predictable attendance.

Scheduled shifts may include evening hours, weekends, and holidays.

Physical Demands: While performing the duties of this job, the employee is regularly required to talk or hear.

The employee is frequently required to stand; walk; and sit.

Must be able to lift up to 50 pounds.

Work includes frequent movement around the dealership facilities and the outdoor car lot and movement in and out of cars.

Environment Demands: Duties are performed primarily in the Parts Department.

Work includes moving throughout the Parts Department and frequent moving and shelving of parts.

Verbal and Writing Ability: Ability to read and comprehend instructions, correspondence, and memos.

Math Ability: Ability to add, subtract, multiply and divide.

Reasoning Ability: Ability to apply common sense understanding to carry out instructions.

Ability to deal with standardized situations.

Core Values: To perform the job successfully, an individual should demonstrate the following Core Values: Servant Leadership Servant Leaders consciously put the needs of others before their own, because to serve people is to value them.

Teamwork through Trust & Respect Diversity is strength, and when we trust and respect one another we can work as a team to achieve at a high level.

Integrity Being honest and transparent with people, in an effort to do the right thing within the letter and spirit of the law, drives every action we take and every decision we make.

Commitment to Customer Enthusiasm Every day we recommit ourselves to the customer experience, and we are empowered to exceed the expectations of our customers.

Passion for Winning Hendrick’s tradition of winning is based on the idea of striving to be the best, not the biggest, and is therefore defined by how we treat our people.

Accountability at All Levels Taking ownership of our actions and our decisions allows us to grow as individuals, and support each other as a team.

Commitment to Continuous Improvement Every day we soften our hearts as well as our egos, in order to seek out and improve upon areas of opportunity within ourselves and our team.

This job description in no way states or implies that these are the only duties and responsibilities to be performed by this employee.

The employee will be required to follow any other instructions and to perform any other duties and responsibilities upon the request of a supervisor.

This job description is subject to revision at the discretion of the company.

Hendrick is an Equal Opportunity employer.

Minorities, women, veterans, and individuals with disabilities are encouraged to apply.

For more information regarding the EEOC, please visit .
temporary
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Physician / Gastroenterology / Kansas / Permanent / Gastroenterologist needed near Dodge City Kansas
Salary not disclosed
Chicago, Illinois 3 days ago
Gastroenterologist needed near Dodge City Kansas . Job ID # 42673
Job Details

* BE/BC Gastroenterology
* Multi-specialty group with full support of need from the medical staff
* Join a thriving medical staff and community
* J1 visa and 2020 candidates welcome
* Currently General Surgeons only doing scopes for community
* Great need for specialized endoscopies and scopes
* Competitive salary along with benefits, sign-on bonus, student loan reimbursement, relocation, stipend for future graduates

All Star Recruiting Benefits

* Full-service agency
* 24/7 professional and reliable service
* Dedicated, specialty-specific consultant
permanent
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Physician / Psychiatry / Maryland / Permanent / Lead Psychiatrist needed in Baltimore, Maryland mark
🏒 All Star Healthcare Solutions
$250,000 - 300,000
Chicago, Illinois 3 days ago
Seeking a BE/BC Psychiatrist for a leadership position that includes mostly telepsychiatry and frequent travel to Philadelphia and Baltimore for administrative purposes. Job ID.
Job Details:

* BE/BC Psychiatry
* Remote with travel
* Philadelphia, PA / Baltimore, MD
* Telepsychiatry and Administrative Lead role
* Administrative include but are not limited to audits, case consultation, technical assistance, chart reviews, and assist in policy development
* Collaborative care model
* Must have leadership experience/training
* Compensation is between 250K-300K
* Comprehensive benefits package

All Star Recruiting Benefits

* Full-service agency
* 24/7 professional and reliable service
* Dedicated, specialty-specific consultants
permanent
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Remote Personal Finance Content Reviewer
🏒 Finance Buzz
$32 per hour - monthly

We are hiring remote contributors to review consumer finance content focused on budgeting and money-saving strategies.

Your role will involve reading short financial guidance pieces and providing feedback on their usefulness for people managing tight budgets. You may also identify which tips are the most practical for everyday situations.

This position is ideal for people interested in personal finance, budgeting, or improving financial literacy.

The work is flexible and completed online.


Remote working/work at home options are available for this role.
temporary
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Supervisor, Concurrent Review (New York)
✦ New
🏒 MJHS
Salary not disclosed
New York 1 day 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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Quality Review & Staff Education Supervisor (New York)
✦ New
🏒 MJHS
Salary not disclosed
New York 1 day 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.

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
permanent
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Clinical Review Nurse Specialist (SEGUIN)
Salary not disclosed
SEGUIN, Texas 3 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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Clinical Review Nurse PRN (PLEASANTON)
🏒 University Health
Salary not disclosed
PLEASANTON, Texas 3 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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Medical Necessity Reviewer (HONDO)
🏒 University Health
Salary not disclosed
HONDO, Texas 3 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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Product Review Engineer (Liaison Engineering) Consultant (Level 5)
🏒 Boeing
$165,750 - 224,250
Arlington, WA 3 days ago
At Boeing, we innovate and collaborate to make the world a better place. We’re committed to fostering an environment for every teammate that’s welcoming, respectful and inclusive, with great opportunity for professional growth. The Boeing Commercial Airplanes Liaison Engineering Organization is seeking Consultant (Level 5) Liaison Engineers to support operations in Everett, Seattle, Auburn, and or Renton Washington . We are looking for a proactive individual who can make prompt engineering decisions and who want to go beyond their desk and into the factory for hands on engineering.
This position requires excellent communication and collaboration skills as the candidate will be partnering closely with production personnel. The candidate will be the engineering representative on the factory floor transforming design into reality.

Analyzes, conducts root cause analysis and develops dispositions for production non-conformances.
Applies engineering principles to research technical, operational and quality issues in support of executing final engineering solutions.
Identifies documents, analyzes reported problems and communicates deviations that could impact design intent and safety; Develops and implements product/process improvements.
Represents the engineering community from initial build through the production and post-production environment.
Ensures supplier and build partner compliance with Boeing standards.
Develops customer correspondence for continued safe operation and maintenance of equipment.
Participates in on-site disabled product repair teams, accident investigation and support teams.
Designs interim structural repairs and conducts static strength analysis.
This position involves daily exposure to factory environment which includes stairs, trip hazards, high noise areas, chemical hazards (breathing and handling), and entering airplanes during their many stages of build.
This position participates in the approximately 9-month Boeing Company Training Rotation Program, which may involve assignments to the first, second, or third shift, as well as weekend or daily overtime. The specific requirements for shift assignments and overtime vary between sites and are typically covered on a rotation basis. Additionally, there may be travel involved between Boeing Puget Sound sites during the training rotation.

Bachelor's or Masters of Science Degree from an ABET OR ABET equivalent accredited course of study in Engineering
~14+ years of experience in structures, systems, design, or production engineering

Hands-on experience with materials and manufacturing processes.
Prior BCA Engineering Material Review Board (MRB) Certification

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.

Shift:
This position is for multiple shifts and may require off shift, weekend, and travel assignments.
The candidate may periodically be assigned to first, second, or third shift as well as weekend or daily overtime. This requirement varies from site to site and is typically covered on a rotation basis.

Union:
This is a union represented position.
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 a number of programs that provide for both paid and unpaid time away from work.
Pay is based upon candidate experience and qualifications, as well as market and business considerations.

~ Applications for this position will be accepted until Mar. S. export control compliance requirements. S. export control compliance requirements, a β€œU.Citizen, U.National, lawful permanent resident, refugee, or asylee.
Relocation
This position offers relocation based on candidate eligibility.
Visa Sponsorship
Employer will not sponsor applicants for employment visa status.
Shift
This position is for 1st shift
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.
permanent
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Data Reviewer, QC
✦ New
Salary not disclosed
Hopewell, NJ 1 day ago

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 β€˜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.
Not Specified
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Utilization Review Nurse Health Plans-HP Utilization Mgmt (Hiring Immediately)
🏒 Christus Health
Salary not disclosed
Irving, TX 5 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 β€œCMS” 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.Β 
  • 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

Β 

Work Schedule:

5 Days - 8 Hours

Work Type:

Full Time

permanent
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RN Clinical Review Nurse {167271}
Salary not disclosed
Alameda 5 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.
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Not Specified
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Registered Nurse Clinical Review-Hybrid-Los Angeles, California
Salary not disclosed
The Clinical Consultant – RN provides clinical leadership, consultation, and oversight across care management programs.

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.
Not Specified
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Clinical Data Review Pharmacist (onsite)
Salary not disclosed
West Jordan 2 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
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