Mcg Utilization Management Certification Jobs in Usa

• The ability to perform the duties and responsibility of the position, with or without reasonable accommodations for disabilities.
• The ability to consistently lift, push or pull loads of up to fifty (50) pounds. (Unless nursing 50)
• Sufficient strength, mobility and stamina to make frequent location and position changes, assist with patient care, and perform other physical activities of average difficulty.
• Candidates whose disabilities make them unable to meet the requirements will still be considered fully qualified if they can perform the essential functions of the job with reasonable accommodations.
• May be exposed to infectious or contagious disease.
• May have to handle emergency situations.
• May be subject to irregular hours.
• May be required to wear protective equipment such as eye protection, face protection, masks, sterile/nonsterile gloves, isolation gowns.
• May be exposed to toxic/caustic/chemicals/detergents.
• Physical activities include continuous sitting, and occasional walking, standing, bending, squatting, climbing, kneeling and twisting.
• Activity Conditions (Occasionally, Frequently, Continuously):
  • Sitting- Frequently
  • Walking- Frequently
  • Standing- Occasionally
  • Bending-Occasionally
  • Squatting - Occasionally
  • Climbing-Occasionally
  • Kneeling-Occasionally
  • Twisting-Occasionally

• Must be able to see with corrective eye wear.
• Must be able to hear clearly with assistance.

• Proactively assesses patients and establishes Discharge Care (DC) Plan. consults with and keeps unit/Interdisciplinary Team informed of DC plan. Documentation is completed in a timely manner.
• Performs Utilization Review accurately and refers cases appropriately for secondary review. Performs initial utilization review and continued stay reviews. Ensures status orders are in place and keeps insurance company informed for certification of days. Documentation is completed in a timely manner.
• Assesses the patient by collecting information about the patient's home situation and health care needs through direct client contact and other relevant sources to include family, caregivers, etc.
• Utilizes established criteria to determine appropriateness of Inpatient admission/status to ensure the appropriate level of care and assists staff with interpretation of the criteria, as indicated.
• Attends department meetings and participates in unit activities to stay informed.
• Provides "Choice Letter" and assists the patient with selecting a DME company, Nursing Home, Assisted Living facility, Home Health agency, Hospice, etc.; obtains signature on the choice Letter by the patient/family and ensures placement in the chart and documents.
• Provides adequate communication of relevant issues to the interdisciplinary healthcare team and initiates referrals to service providers as identified in the discharge plan. Coordinates discharge teaching.
• Ensures that the interdisciplinary care/discharge plan is consistent with the patients clinical course, continuing care needs and covered services and modifies, as indicated.
• Reports and discusses with attending physicians and or physician advisors the appropriateness of resource utilization, consultations, and treatment plan.
• Assists with establishing Advance Directives, Medical power of Attorney, etc. as indicated. Identifies and establishes legal guardian/decision maker.
• Utilizes the Patient/Visitor Safety Learning Report to document patient safety issues and complaints related to care.
• Engages patients to actively participate in meeting short and long-term healthcare goals and identifies appropriate community resources and support services to assist the patient.
• Tracks and ensures that the Important Message from Medicare has been provided to the Medicare patient on admission and that a follow-up copy has been provided, initialed and placed in the chart.
• Review's the patient's progress as described by the various disciplines involved on an ongoing basis to ensure an effective plan is in place.
• Ensures discharge prescriptions, orders, and appointments are made, DME, OP services, Nursing Home care, etc. have been arranged and discharge, transfer, and referral forms are as complete as possible prior to patient departure.
• Develops a discharge/care management plan in collaboration with other members of the healthcare team, the physician and 3rd party payers, as indicated.
• Communicates the plan with the patient and family/significant other and adjusts the plan based on the patient's progress, input, and needs.
• Performs other duties as assigned.

• Required
  
  • High School Diploma, GED, or equivalent
  • Associate's degree in Nursing
• Preferred
  
  • Bachelor's degree in Nursing

• Required
  
  • 3-5 years Clinical Experience as a Registered Nurse in a Healthcare/Medical setting
• Preferred
  
  • 2-3 years in a Supervisor Role

• Required
  
  • Registered Nurse (RN), with authorization to practice in the State of Texas
  • Basic Life Support (BLS) Certification
    
    • Must obtain within ninety (90) days of start date
• Preferred
  
  • Relevant national certification

At PNC, our people are our greatest differentiator and competitive advantage in the markets we serve. We are all united in delivering the best experience for our customers. As a Regional Treasury Management Officer I within PNC's Treasury Management Commercial Sales organization, you will be based in Cincinnati OH. PNC is an in-office company that fosters a supportive culture where employees can thrive and achieve balance. We encourage candidates to connect with their recruiter and hiring manager to understand workplace expectations and ensure the role aligns with their goals. PNC will not provide sponsorship for employment visas or participate in STEM OPT for this position.

The Virtual Treasury Manager is a regional sales position working within multiple markets. This individual utilizes strong virtual communication skills in lieu of in-person meetings to manage new and existing clients. This role works with clients with basic levels of risk and complexity of needs. This role is responsible for new client acquisition as well as growing share of wallet with existing clients.

Identifies customer needs to help them succeed financially by presenting the full range of PNC's products and services. Provides ideas and insights based on understanding of the clients needs and their financial well-being while focusing on increasing client engagement and loyalty. Remotely develops and manages clients across multiple markets, aimed at growing sales, increasing revenue and deepening share of wallet in an effort to transition them to primary clients. Coordinates the implementation and documentation of non-credit products and services.

Actively call on internally generated lists of targeted prospective clients. Leverages knowledge of the industry and market to prioritize efforts. Manages the origination, financial analysis, negotiation and documentation of non-credit products and services. Leverages reporting and sales tools to proactively identify and successfully convert sales opportunities.

Collaborates with Virtual TM team to share best practices and opportunities. Leverages corporate sales development partners to engage in effective client and prospect outreach. Coordinates with market Relationship Managers and Market Leaders to transition larger relationships or more complex clients, as appropriate. Utilizes technology to enhance client engagement and loyalty through multiple channels of communication.

Effectively manages risk/return in accordance with PNC's risk profile and drives quality for new and/or existing clients. Actively identifies and mitigates different types of risk, such as regulatory, reputational, and operational risks.

PNC Employees take pride in our reputation and to continue building upon that we expect our employees to be:

• Customer Focused - Knowledgeable of the values and practices that align customer needs and satisfaction as primary considerations in all business decisions and able to leverage that information in creating customized customer solutions.
• Managing Risk - Assessing and effectively managing all of the risks associated with their business objectives and activities to ensure they adhere to and support PNC's Enterprise Risk Management Framework.

Successful candidates must demonstrate appropriate knowledge, skills, and abilities for a role. Listed below are skills, competencies, work experience, education, and required certifications/licensures needed to be successful in this position.

Client Outreach, Content Development, Credit Products, Customer Engagement, Customer Loyalty, Customer Solutions, Identifying Sales Opportunities, Small Businesses

Business Acumen, Client Relationship Management, Customer Experience Management., Decision Making and Critical Thinking, Effective Communications, Managing Multiple Priorities, Prospecting., Sales Negotiating, Selling., Tech Savvy

Roles at this level typically require a university / college degree, with 3+ years of relevant / direct industry experience. Certifications are often desired. In lieu of a degree, a comparable combination of education, job specific certification(s), and experience (including military service) may be considered.

Bachelors

No Required Certification(s)

No Required License(s)

Base Salary: $55,000.00 $109,500.00Salaries may vary based on geographic location, market data and on individual skills, experience, and education. This role is incentive eligible with the payment based upon company, business and/or individual performance.

Generally, this opening is expected to be posted for two business days from 01/21/2026, although it may be longer with business discretion.

PNC offers a comprehensive range of benefits to help meet your needs now and in the future. Depending on your eligibility, options for full-time employees include: medical/prescription drug coverage (with a Health Savings Account feature), dental and vision options; employee and spouse/child life insurance; short and long-term disability protection; 401(k) with PNC match, pension and stock purchase plans; dependent care reimbursement account; back-up child/elder care; adoption, surrogacy, and doula reimbursement; educational assistance, including select programs fully paid; a robust wellness program with financial incentives. In addition, PNC generally provides the following paid time off, depending on your eligibility: maternity and/or parental leave; up to 11 paid holidays each year; 9 occasional absence days each year, unless otherwise required by law; between 15 to 25 vacation days each year, depending on career level; and years of service.

To learn more about these and other programs, including benefits for full time and part-time employees, visit .

If an accommodation is required to participate in the application process, please contact us via email at . Please include \"accommodation request\" in the subject line title and be sure to include your name, the job ID, and your preferred method of contact in the body of the email. Emails not related to accommodation requests will not receive responses. Applicants may also call 877-968-7762 and say \"Workday\" for accommodation assistance. All information provided will be kept confidential and will be used only to the extent required to provide needed reasonable accommodations.

At PNC we foster an inclusive and accessible workplace. We provide reasonable accommodations to employment applicants and qualified individuals with a disability who need an accommodation to perform the essential functions of their positions.

PNC provides equal employment opportunity to qualified persons regardless of race, color, sex, religion, national origin, age, sexual orientation, gender identity, disability, veteran status, or other categories protected by law.

This position is subject to the requirements of Section 19 of the Federal Deposit Insurance Act (FDIA) and, for any registered role, the Secure and Fair Enforcement for Mortgage Licensing Act of 2008 (SAFE Act) and/or the Financial Industry Regulatory Authority (FINRA), which prohibit the hiring of individuals with certain criminal history.

Refer to the California Consumer Privacy Act Privacy Notice to gain understanding of how PNC may use or disclose your personal information in our hiring practices.

This role directly supervises three staff and provides indirect leadership and coordination with three Area Directors responsible for program implementation and contract deliverables. The Senior Director leads the development and implementation of standardized grant management systems, compliance protocols, reporting processes, and contract performance monitoring frameworks. The role partners closely with Area Directors, Project Managers, Finance, and Executive Leadership to ensure effective resource allocation, timely delivery of contract deliverables, and strong funder relationships.

This is work from home role; however, candidates must reside in one of the follow states: AL, AR, LA, OK, MS, TN or TX.

Education/Certification Requirements

Option A: Bachelor’s degree in public administration, business administration, finance, accounting, nonprofit management, or related field and 8+ years of progressively responsible experience.

Option B: Bachelor’s degree and 5+ years of progressively responsible experience within Communities Unlimited or a similar multi-state community development organization.

Option C: High school degree or equivalent is required and 12+ years of relevant experience.

Experience/Skills Requirements

Summary of Essential Job Duties 

Grant & Contract Portfolio Leadership

Compliance Systems & Quality Assurance

Reporting & Performance Management

Staff Leadership & Coordination

Funding Support

Other Projects 

Special projects and other duties may be assigned from time to time by the supervisor.

Tools Used in Job

Proficient use of a computer, internet, smart phone (texting, email, photos, videos, social media, and calls), web-based databases for data-entry, Microsoft Office suite including Outlook, Word, Excel and PowerPoint are required.  Use of additional software for project-related activities may be required, and training will be provided.

Work Environment

The work environment characteristics described above are representative of those an employee encounters while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform essential job functions.

Compensation details: 9 Yearly Salary

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Location: CHA Everett Hospital 
Work Days: Mon - Friday and Rotating Weekends/Holiday
Category: Registered Nurse
Department: Inpatient Case Management Everett  
Job Type: Part Time
Work Shift: Day 
Hours/Week: 24.00 
Union Name: MNA Everett

Department Description

Inpatient Case Management provides psychosocial assessments, evaluations, and referrals for adults, and/or families with psychiatric illness, substance abuse, and medical illness. Casework or therapy takes place in the hospital setting. Cross Training to all areas of Care Management.

Under the general supervision of the Director of Care Management, the RN Case Manager provides clinically-based case management to support the delivery of effective and efficient patient care consistent with the Centers for Medicaid and Medicare Conditions of Participation. The RN Case Manager will collaborate with other members of the health care team to identify appropriate utilization of resources and to ensure reimbursement. Utilize criteria to confirm medical necessity for admission and continued stay. With the patient, family and health care team, create a post-acute care plan appropriate to the patient's needs and resources and facilitate this transition in concert with that patient's inpatient and post-acute care teams. 

Qualifications/Requirements:

• BSN preferred
• Current or Conditional MA RN Licensure 
• Current American Heart Association (AHA) for Healthcare Providers BLS (Basic Life Support) certification is required 
• Licensure and Certifications: 
• Certification in Case Management preferred

Please note that the final offer may vary within the listed Pay Range, based on a candidate's experience, skills, qualifications, and internal equity considerations.

In keeping with federal, state and local laws, Cambridge Health Alliance (CHA) policy forbids employees and associates to discriminate against anyone based on race, religion, color, gender, age, marital status, national origin, sexual orientation, gender identity, veteran status, disability or any other characteristic protected by law. We are committed to establishing and maintaining a workplace free of discrimination. We are fully committed to equal employment opportunity. We will not tolerate unlawful discrimination in the recruitment, hiring, termination, promotion, salary treatment or any other condition of employment or career development. Furthermore, we will not tolerate the use of discriminatory slurs, or other remarks, jokes or conduct, that in the judgment of CHA, encourage or permit an offensive or hostile work environment. 

Cambridge Health Alliance brings Care to the People - including your neighbors, friends and family. Our local hospitals and care centers serve our vibrant, diverse communities, and play an integral role in improving health. As passionate advocates for the underserved, we actively partner with our communities to take on challenging public health issues, and conduct important research to help reduce barriers to care. We believe that everyone deserves access to high quality, convenient health care. This is why our employees believe in where they work and why many build long, rewarding careers at CHA.

Healthcare is changing rapidly. CHA has a strategic plan that charts a proactive course for our future. It is built on a vision of equity and excellence for everyone, every time. It also recognizes that our workforce is our most valuable asset and prioritizes competitive salaries, benefits and professional development opportunities for employees. The strategic plan is changing the way we provide care and improving the health and experience of our patients; we are looking for smart, committed, compassionate people who want to be part of making our vision of better health and equity a reality.

At CHA, you can believe in where you work and go home every day knowing you made a difference. Join our team and help us bring Care to the People.

POSITION PURPOSE

Assists Clinical Engineering Manager in planning, developing, and implementing the medical equipment management program utilizing an equipment life cycle approach.  Coordinates planned and corrective maintenance of diagnostic and therapeutic medical equipment used throughout the hospital.  Ensures continuous improvement in quality, operational cost effectiveness, customer satisfaction and resource utilization.  Supports and fosters team building within the local and corporate clinical engineering team.  As needed, provides Planned Maintenance (PM) safety testing, repairs, calibration, installation, routine and emergency service, to general and various specialized diagnostic, therapeutic, and support medical equipment, such as anesthesia machines, sterilizers, ventilators, ultrasound, laser, laboratory, etc., as assigned by the Clinical Engineering (CE) Manager. 
 

ESSENTIAL FUNCTIONS

1.    Knows, understands, incorporates and demonstrates the mission, vision and core values of Trinity Health and the Ministry Organization in leadership behaviors, practices and decisions. 

2.    Maintains a working knowledge of applicable federal, state and local laws, regulations and industry standards.  Complies with Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects ethical and professional integrity. 

3.    Completes corrective and planned maintenance work order documentation.

4.    Analyzes and prepares reports on program effectiveness and operating cost.

5.    Assists in implementing the medical equipment management program utilizing an equipment life cycle approach.  Meets target objectives and standards for program timeliness and quality.

6.    Promotes teamwork by keeping others informed, participating effectively in group decision making, while working to accomplish team objectives and projects, and by soliciting feedback about one's effectiveness as a team member and leader.

7.    Performs PM procedures on multiple types of general and specialized clinical equipment. 

8.    Monitors CE Department PM completion rates during each monthly scheduled cycle and reports results to Clinical Engineering Manager.

9.    Performs corrective maintenance procedures including diagnosing problems using, thermodynamic, electronic/electrical, mechanical, pneumatic, hydraulic, and/or other sciences and document results of activities performed to comply with all regulatory and standard requirements. 

10.    Performs PM procedures using manufactures' recommendations, standards or code requirements, as well as industry acceptable processes and guidelines.

11.    Notifies equipment users and CE Manager of repair status or delays as necessary. 

12.    Interacts with clinical staff to understand and resolve operational problems in scheduling and completing PM procedures while minimizing interference to the hospital departments.   

13.    Determines need for replacement parts and supplies, selects the most cost effective source, and submits properly completed parts request using established policies and guidelines. 

14.    Participates in various hospital committees as assigned, such as laser safety, risk management, and safety/EOC committees as assigned by CE Manager.

15.    Continually improves processes by seeking ways to eliminate and reduce waste.

16.    Has authority (based on department guidelines)  to order parts and supplies required for emergency service or repair  of medical equipment. Recommend test equipment and spare equipment parts to the CE Manager.

17.    Provide on-call service coverage after normal business hours on a rotating basis as assigned.

18.     Provide assistance and training to all Bio-Medical Equipment Techs as assigned.

19.     Functions as Clinical Engineering representative in the absence of the CE Manager.

20.    Performs other duties as assigned or requested by CE Manager.

MINIMUM QUALIFICATIONS

1.    Minimum of an Associates of Applied Sciences Degree in related field of medical electronics, electronic technology or equivalent military related training required.  CBET, CLET, or CRES certification preferred.

2.    Five or more years experience or equivalent performing corrective and planned  maintenance on medical  devices and/or clinical support equipment. 

3.    Must have a basic understanding of anatomy, physiology, and medical terminology.

4.    Working knowledge and ability to use basic hand tools and test equipment specific to the field.  Ability to train CE  associates on  use and application of test equipment.

5.    Must have knowledge and understanding of OSHA, NFPA, The Joint Commission, EOC, FDA and other specific regulations and standards pertaining to clinical equipment service and repairs.

6.    Must possess a personal presence that is characterized by a sense of honesty, integrity and caring with ability to inspire and motivate others to promote the philosophy, mission, vision, goals and values of Trinity Health, Ministry Organizations, and Clinical Engineering.

7.    Ability to operate complex test equipment, analyze and interpret information provided by equipment and clinical staff to determine equipment operational condition.

8.    Must have basic understanding of personal computer operation, applications and ability to input data using keyboard.  Technician must be able to  follow complex written instructions, perform tasks and document actions taken.

9.    Strong customer service and communications skills are required to interact with hospital  personnel and vendors to achieve positive outcomes. 

10.    Maintain up to date understanding of The Joint Commission and NFPA standards as well as state and federal regulations.

11.    Ability to provide or coordinate in-service training to clinical/professional staff on medical device  operations and safety functions.

PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS

1.    Must be physically able to balance, bend, climb, crawl, crouch, kneel, reach, sit, squat, stand, twist, and walk.

2.    Possess ability to mentally concentrate while being subject to stress, interruptions and changing work priorities.

3.    Must be able to work and follow OSHA guidelines while in a hazardous environment(s) such as electrocution potentials, mechanical energies, bloodborne/airborne pathogens, dust and inclement weather, marked changes in temperature and/or humidity, radiation, fumes/vapors, sharp instruments/tools, hazardous liquids, and operating devices.  

4.    Must be able to hear speech, distinguish sounds, and speak.

5.    Must have near vision, far vision, depth perception, and be able to distinguish colors.

6.    Must have sensory ability to distinguish hot, cold, range of temperature, surfaces, fine motor skills, manual dexterity, and detect/distinguish odors.

7.    Must be able to carry or lift up to 50 pounds routinely (50% of the time) and on occasion (5% of the time) up to 100 pounds. 

8.    Must be able to push or pull over 100 pounds frequently (20% of the time).

9.      Maintains  safe working environment for self, other associates, patients, visitors, and medical staff in accordance with applicable standards and procedures relevant to  job duties.

10.    Must be able to adapt to frequently changing work priorities.

11.    Must be able to travel to the various Trinity Health, Ministry Organizations, subsidiaries, and/or training facilities.

Compensation:

Pay Range: $36.34-54.51 per hour

Actual compensation will fall within the range but may vary based on factors such as experience, qualifications, education, location, licensure, certification requirements, and comparisons to colleagues in similar roles.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.