Minimax Coding Plan Jobs in Usa

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Inventory Planning Coordinator
Salary not disclosed
Ashland, OR 2 days ago

At Blue Marble, our mission is to create purposeful products that inspire a love of learning in children and empower parents to raise thoughtful, confident kids. If you envision working for an award-winning company with a mission you can believe in, a playful and energetic culture, a talented team of coworkers, and a bright future, look to Blue Marble!


Position Title: Inventory Planning Coordinator

Reports to

Inventory Planning Manager


Summary/Objective

The inventory planning coordinator is primarily responsible for maintaining accurate data within the software and planning tools. This role will also communicate with our 3PL locations, shipping partners, our facility in China and support the inventory planning team as needed.


Essential Functions

  • Work with 3PL warehouses to coordinate inventory movements and ensure data integrity.
  • Data entry of purchase orders, shipments, and item detail into Netsuite ERP system.
  • Manage customs documentation for import shipments.
  • Manage new product customs classification review.
  • Assist in the updating of complex material requirements planning spreadsheets.
  • Work with cross-functional departments in relation to inventory and supplier activities.
  • Assist members of the inventory planning team.
  • Other duties as necessary.


Skills and Competencies

  • Proficiency in Microsoft Excel and Office platforms required.
  • Communication Proficiency
  • Organization Skills
  • Time Management


Supervisory Responsibility

This position has no supervisory responsibilities.


Required Education and Experience

  1. High school diploma or equivalent
  2. Commitment to excellence and high standards.
  3. Excellent written and oral communication skills.
  4. Strong organizational, problem-solving, and analytical skills.
  5. Ability to manage priorities and workflow.
  6. Versatility, flexibility, and a willingness to work within constantly changing priorities.
  7. Acute attention to detail.


Preferred Education and Experience

  1. 2+ years in supply chain role.
  2. Knowledge of basic inventory and accounting concepts.
  3. Experience using Netsuite.
  4. Advanced Excel.
  5. Experience with importing goods.


Additional Eligibility Qualifications

  • All requirements are subject to possible modification to reasonably accommodate individuals with disabilities.
  • This job description in no way states or implies that these are the only duties to be performed by the employee occupying this position. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by their supervisor.
  • This document does not create an employment contract, implied or otherwise, other than an “at will” employment relationship.


Note: This job description is not intended to be all-inclusive. Employees may perform other related duties to meet the organization's needs.


Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.


Workplace Arrangement

In-person collaboration is a key aspect of Blue Marble's work culture. This role is designated as a hybrid role, with four days a week expected at corporate headquarters in Ashland, Oregon. This arrangement allows for a balance between in-person collaboration and remote work flexibility.


Blue Marble is an equal-opportunity employer. All applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.

Not Specified
High School and College Admission Prep Planning Counselor
✦ New
Salary not disclosed
McKinney, TX 1 day ago

About GenNext Learning Center


GenNext Learning Center provides high-quality academic and college preparatory support to students from Kindergarten through Grade 12. Our mission is to help students excel academically, build strong foundations in core subjects, and achieve their long-term academic and career goals. Through personalized instruction, test preparation, and admissions planning, we support students in gaining admission to colleges and universities that best match their aspirations and potential.


Position Overview


The College Admission Prep Planning Counselor plays a key role in guiding high school students and their families through the U.S. college admissions process. This position focuses on academic planning, college selection, application strategy, essay development, standardized testing guidance, and financial aid advising. The ideal candidate brings deep admissions expertise, strong mentorship skills, and a student-centered approach.


Key Responsibilities


  • Advise students on building competitive college applications, including college selection, application strategies (Early Action, Early Decision, Regular Decision), and completion of Common App, Coalition, UC, and other platforms
  • Guide students in selecting high school coursework aligned with college admission requirements and academic strengths
  • Coach students on brainstorming, drafting, and refining personal statements, supplemental essays, and extracurricular résumés
  • Provide guidance on SAT/ACT preparation strategies, testing timelines, and test-optional policies
  • Support families in navigating FAFSA, CSS Profile, and scholarship application processes
  • Deliver group workshops on college preparation topics such as application timelines, essay writing, interview skills, and financial aid
  • Track student progress and maintain detailed records using college counseling platforms such as Naviance or Scoir
  • Collaborate with parents, school counselors, and teachers to ensure consistent student support
  • Stay informed on admissions trends, policy updates, and changes in higher education

Required Qualifications

  • Master’s degree required in Counseling, Education, or a related field
  • 10 or more years of experience in college counseling, admissions, or education
  • Strong understanding of U.S. college admissions processes, including application development and essay coaching
  • Familiarity with admissions requirements for Texas universities and Ivy League institutions
  • Excellent communication, interpersonal, and organizational skills
  • Experience with Common App, FAFSA, and Google Workspace


Preferred Qualifications

  • Experience working in a U.S. high school or college admissions office
  • Professional certification (NACAC, HECA, IECA, or similar)
  • Experience supporting underrepresented or first-generation college-bound students
  • Doctoral degree in Counseling, Education, or a closely related field


Schedule and Location

  • Part-time role, weekends only
  • Hybrid work environment
  • Ability to commute to McKinney, TX 75071 required
  • Relocation to McKinney, TX preferred prior to start date


Additional Job Application Terms

This job is part of LinkedIn’s Full-Service Hiring beta program. Eligibility is limited to candidates located in and performing services in the United States, excluding those based in Alaska, Hawaii, Nevada, South Carolina, or West Virginia.


We’re committed to making our hiring process as smooth and timely as possible, and we understand that waiting to hear back can add to the anticipation. If you’re a potential fit, our team will reach out within two weeks to progress you to the next stage. If you don’t hear from us in that time, we encourage you to explore other opportunities with our team in the future, and we wish you the very best in your job search.

Not Specified
Senior Manager, Material Planning
✦ New
Salary not disclosed
New York, NY 1 day ago

Part of the Interparfums group founded in 1982, Interparfums USA develops, manufactures and distributes prestige perfumes and cosmetics as the exclusive worldwide licensee for Abercrombie & Fitch, Anna Sui, Donna Karan, DKNY, Graff, GUESS, Hollister, MCM, Oscar de la Renta, Roberto Cavalli, Salvatore Ferragamo and Ungaro. Through its global distribution network, the Company’s products are sold in over 120 countries.


The Senior Manager – Material Planning is a key role within the Planning Team, responsible for overseeing the planning of short- and long-term product requirements in support of the Master Production Schedule. This role evaluates inventory levels and demand across multiple domestic and international locations, balancing requirements and financial considerations to align with company objectives. The Senior Manager also partners closely with suppliers and cross-functional teams to ensure timely and accurate receipt of inventory, while effectively managing excess and obsolescent materials, and provides leadership and guidance to two direct reports.


This position is based in office from Mondays-Thursdays, and remote on Fridays.


Responsibilities:

  • Own purchasing of materials using the Material Replenishment Planning as needed for production and in accordance with supply parameters
  • Determine and maintain supply parameters such as lead times and Minimum Order Quantities to ensure efficient outputs
  • Management of component versions to ensure accurate work orders and stock usage
  • Confirm material availability to create production orders that support service objectives, inclusive of required stock transfers
  • Utilize capacity planning, economic order quantity evaluation to ensure a smoother supply chain
  • Review material shortages preventing order conversion and follow up with appropriate suppliers to expedite deliveries
  • Manage exceptions and deviations from the plan as needed by advancing or adjusting supplier orders
  • Track and maintain purchase orders to always ensure accuracy
  • Engage in efforts that support inventory reconciliation and evaluation of inventory health
  • Communicate material supply issues to Supply Planning
  • Participation in the coordination of engineering changes, product line extensions or new product launches to ensure timely transitions in material and production flow
  • Achieve in-stock and inventory goals
  • Approve supplier purchase orders in accordance with company targets and guidelines
  • Oversee movement of material within location network
  • Lead supply chain projects and initiatives that will enhance planning and inventory process and results
  • Supervise, mentor and coach direct reports (Coordinator, Planner or Manager-level)
  • Recognize opportunities and take initiative to develop or redevelop processes accordingly


Education/Experience

  • Bachelor’s degree in Supply Chain Management, Business Administration, or related field
  • 5+ years of experience within material/component planning and supply chain
  • 1+ years of experience managing direct reports
  • Prior working experience within the Beauty or CPG industry required


Required Skills

  • Fundamental knowledge of Supply Chain (Plan, Source, Make, Deliver), the integration of organization, system, and process enterprise wide, and the importance of Master Data in the overall effectiveness and operation of the Supply Chain
  • Strong technical (MRP, Office, Outlook, etc.) and interpersonal communication skills
  • The ability to work independently with strong decision-making and problem-solving skills
  • Excellent communication skills, including written, verbal, and presentation; comfortable and credible with both internal and external partners
  • Self-starter who will thrive in fast-paced, dynamic environment
  • Possess a strong sense of urgency and ability to multi-task and pivot


We Offer:

  • The salary range for this position is $125,000 – $150,000 annually, commensurable with skills, experience, and qualifications
  • Bonus opportunity based on personal and business performance
  • Robust healthcare, insurance, and benefit options
  • Paid time off policies including vacation, personal, holiday, and sick days
  • 401K plus company match
  • Options to support development, including complimentary access to LinkedIn Learning
  • An entrepreneurial career with a dynamic environment where all voices are heard and appreciated
  • Low hierarchy with high visibility to C-Suite on a regular basis
  • A growing company with a proven track record of solid financial stability


Interparfums USA, LLC is an Equal Opportunity Employer and is committed to providing fair and equitable employment opportunities in compliance with all applicable federal, state, and local laws.

Not Specified
Sales & Operations Planning Manager
✦ New
Salary not disclosed
Houston, TX 1 day ago

Sales & Operations Planning Manager

Houston, TX


Our client, a global manufacturer of nutraceuticals, is hiring a Sales & Operations Planning Manager to lead the process ensuring a completely automated, aligned volume plan across the organization. As the central link with key stakeholders, this role balances demand and supply for in-house and contract manufacturing to enable operational excellence.


Responsibilities:

  • Build, analyze and maintain all plans in the entire S&OP process.
  • Ensure plans are cost efficient in parallel with securing sales and aligning with finance.
  • Together with stakeholders, define the policies for S&OP process.
  • Develop and own all finished goods, raw material and replenishment plans, ensuring product availability globally.
  • Lead Demand Review meetings and drive follow-up Supply Review meetings, including coordination with CMOs
  • Prepare and manage annual budget and five-year plan, working with sales and finance.
  • Maintain, develop and continuously improve the planning tool processes.
  • Own and define policies for S&OP Process, including supporting improvements.


Requirements:

  • Bachelor’s degree required, in supply chain or related field
  • Master’s degree preferred, in supply chain or related field
  • 8+ years in Supply Chain Management, preferably in manufacturing
  • 5+ years S&OP international experience
  • Strong analytical skills with ability to translate data into actions
  • Proficient working with large data sets
  • Advanced Microsoft Excel including complex formulas, data modeling, macros and what-if analyses
  • Experience with planning systems is plus
  • Experience working with Stakeholders
Not Specified
Planning Analyst
✦ New
🏢 Swoon
Salary not disclosed
Morton, IL 1 day ago

Swoon is hiring for our Global Manufacturing Client in Morton, IL and this will be a fully onsite position.


This is a 12-month contract opportunity with Benefits – Health, Dental & Vision (50% of premium covered for contractor).


Position Summary

We are seeking a Planning Analyst to support production planning and order management within a manufacturing environment. This role is responsible for reviewing production schedules, coordinating materials and staffing requirements, and ensuring orders are planned and executed according to operational timelines.

The analyst will work closely with internal teams to review orders, update production schedules, track inventory levels, and support continuous improvement initiatives related to planning and logistics operations.


Job Duties

• Review and update production schedules and customer orders to support manufacturing operations

• Coordinate materials, staffing requirements, and order priorities to meet production timelines

• Monitor work processes and documentation to ensure accuracy and compliance with operational standards

• Track production data including output levels, raw material usage, and quality metrics

• Maintain inventory levels and requisition materials needed to support production demands

• Communicate scheduling updates and operational changes with internal teams and stakeholders

• Support reporting and analysis related to production schedules, inventory levels, and operational performance

• Participate in continuous improvement initiatives related to logistics and production planning


If interested in more details, please apply!

Not Specified
Materials Planning Manager
✦ New
Salary not disclosed
Manitowoc, WI 1 day ago

*This role is On-site to local candidates*


Position Summary

The Materials Manager is responsible for planning, purchasing, inventory control, and material flow to support production in a heavy metal fabrication, generator enclosures and related components space. This role ensures the timely availability of raw materials, fabricated components and purchased parts while maintaining optimal inventory levels, controlling costs, formulating production schedules and supporting on-time delivery to customers.

The Materials Manager works closely with production, engineering, quality and suppliers to ensure materials meet specifications and are available to support fabrication, welding, machining, finishing and assembly operations.


Key Responsibilities:

Material Planning & Production Support

  • Develop and manage material requirements to support production schedules for generator enclosures and heavy fabricated assemblies.
  • Coordinate with production planning and scheduling to ensure material availability aligns with manufacturing demand.
  • Monitor material shortages and implement corrective actions to prevent production delays.
  • Manage systems to maintain accurate demand forecasts and inventory levels.

Procurement & Supplier Management

  • Oversee purchasing of raw materials including steel sheet, plate, structural components, hardware, electrical components and outsourced fabrication services.
  • Develop and maintain relationships with suppliers to ensure competitive pricing, reliable delivery and consistent quality.
  • Negotiate pricing, contracts, and delivery schedules with key suppliers.

Scheduling & Material Flow

  • Oversee warehouse operations including receiving, material handling, storage and internal distribution to production.
  • Ensure efficient movement of materials through fabrication, welding, finishing and assembly processes.
  • Implement best practices for material staging and kitting to support manufacturing efficiency.
  • Ensure compliance with safety and material handling standards.

Cross-Functional Coordination

  • Collaborate with engineering and quality teams on material specifications and supplier qualification.
  • Support new product introductions and engineering changes affecting material requirements.
  • Work with finance to manage inventory valuation and cost control initiatives.

Continuous Improvement

  • Identify and implement improvements in material flow, supplier performance, and inventory management.
  • Support lean manufacturing initiatives and waste reduction efforts.
  • Track and report key performance metrics such as inventory turns, supplier on-time delivery, and material availability.


Qualifications:

  • Bachelor’s degree in Supply Chain Management, Operations Management, Business or related experience.
  • 5+ years of experience in materials management, purchasing, or supply chain leadership in a manufacturing environment.
  • Experience in metal fabrication, heavy manufacturing, or industrial equipment manufacturing strongly preferred.
  • Strong knowledge of MRP/ERP systems, inventory control, and production planning.
  • Experience sourcing raw metals, fabricated components, and industrial parts.
  • Proven ability to manage supplier relationships and negotiate contracts.
  • Strong analytical, organizational, and problem-solving skills.
  • Excellent communication and leadership abilities.
  • Experience supporting fabrication processes such as laser cutting, forming, welding, machining, paint and assembly.
Not Specified
Director, Supply Chain & Demand Planning
✦ New
Salary not disclosed
Wilmington, MA 1 day ago

SUMMARY:

Director of Supply Chain and Demand Planning oversees all aspects of product demand, forecasting, and supply chain activities associated with LEDVANCE products in the United States; Manage the supply chain life cycle from the development and implementation of the strategic and tactical plans for the forecasting models through supply chain purchase planning with LEDVANCE China operations in Shenzhen (CORE) for all products sold by the LEDVANCE business segment incorporating business intelligence and forecast information gathered from sales, the market, distributors and other sources. Collaborate with LEDVANCE’s CORE planners to ensure proper supply chain planning that ensures the product is received on-time to fulfill customer demand and reduces stock outs/backorders.


Is responsible for strategic planning and the implementation of systems and processes to ensure smooth day-to-day operations of LEDVANCE’s demand and supply chain department. This position is the key focal point between the commercial (trade), retail and e-Commerce and operations functions. This position must oversee, advise and gain consensus on product launch planning, develop supply replenishment requirements, customer/channel fulfillment, and manage inventory planning. Internal partner stakeholders include sales, finance, CORE, sales operations, supply chain, and business segments.



ESSENTIAL DUTIES:

  • Manage the entire demand/forecasting and supply chain planning process to ensure the quality of the process and accuracy of results.
  • Lead and inspire a high-performing team of demand supply chain and process improvement professionals who are responsible for day-to-day execution and delivering organization goals
  • Direct demand and supply chain planning/forecasting and product fulfillment activities associated with base demand, major events, transitions, new product launches, and discontinued products, with special emphasis on product life cycle management and associated phase-in/phase-out requirements.
  • Lead the collaboration and relationships with our planning team in Shenzhen, China and recognize and provide solutions for expedited shipping requests
  • Achieve forecast accuracy goals in total and by sales channel.
  • Develop and streamline departmental KPI’s
  • Facilitate monthly reviews of forecast accuracy results and utilize feedback from Sales to adjust forward estimates.
  • Lead cross-functional special projects to improve operation efficiency and reduce costs.
  • Drive and facilitate the success of the Sales & Operations Planning Process.
  • Analyze and design the right mix of transactional and optimization IT solutions/ Process management across the supply chain.
  • Accountable for order planning to achieve target inventory turnover while minimizing negative customer impacts due to material shortage or delays.
  • Responsible for Inventory Control oversight, ensuring appropriate controls and practices are established to maximize inventory accuracy (quantity and value) to meet customer expectations.
  • Responsible for achieving delivery and quality standards on locally sourced, globally supplied materials.
  • Experience working with Enterprise Resource Planning (ERP) systems, preferably SAP, including data analytics within supply chain functions.
  • Lead cross-functional collaboration with product managers, sales personnel, marketing and others to optimize sell in and sell down inventory levels throughout product life cycles and seize on short term opportunities.
  • Lead catalyst for continuous improvement.
  • Actively communicate important changes to the supply plan with a wide-range of parties, including Production, Planning, Procurement, Marketing and Project Management.


EDUCATION AND EXPERIENCE:

  • Bachelors degree in Supply Chain Management, Business or similar. MBA preferred.
  • 10+ years of experience in a demand planning/forecasting or similar Supply Chain role within a medium/large corporate environment required.
  • Demonstrated global supply chain planning experience
  • Must be a strategic thinker, team leader, self-confident and capable of managing organizational dynamics in a positive manner.
  • Experience in customer demand planning, supply chain planning, sales & operations planning, marketing/product analysis and/or inventory management.
  • Ability to demonstrate experience in market or distribution channel interpretation and product forecasting with strong track record of documented success.
  • Experience analyzing and interpreting large sets of data and drawing conclusions in order to make recommendations to internal and/or external customers.
  • Demonstrable advanced/expert proficiency in Excel techniques and statistical analysis. Proficient with MS Office as well as most current specialized software products pertaining to marketing analysis, data analysis, and reporting
  • Experience applying AI technologies to demand planning and supply chain optimization is a plus.


OTHER:

  • Travel approximately 20%, inclusive of domestic and international travel
  • Ability to speak, read, write Chinese is a plus
  • Working knowledge of lighting is a plus
  • Strong working knowledge of SAP
  • Ability to participate in meetings outside of business hours
  • Preferred location is Wilmington, MA, alternately Versailles, KY
  • Position is eligible for LEDVANCE employee referral bonus
Not Specified
Enterprise Resources Planning Consultant
✦ New
Salary not disclosed
Blue Ash, OH 1 day ago

ERP Functional Specialist – Supply Chain Management

Scope of Job: The ERP Functional Application Specialist – Supply Chain is a functional resource that oversees process analysis, solution design, configuration and advanced support for the global ERP solution. The role works with IT and business stakeholders alike to ensure following the industry’s best practice and maximization of investment in the ERP. This is a highly collaborative individual with vast ERP functional and practical expertise in (in particular) Supply Chain and other manufacturing disciplines as well as basic technical aptitude to design and implement complex solutions that solve business problems in scalable and secure ways. This individual looks for opportunities to improve performance and save costs as related to the ERP and functional processes and presents data to back decisions for pursuing improvements and proof of improved utilization.

Essential Job Functions and Responsibilities:

Additional Oracle E-Business Suite (EBS) Requirements

  • Oracle Process Manufacturing (OPM) – Collection of Modules
  • Advanced Supply Chain Planning (ASCP) – Module
  • Master Planning
  • Demand Forecasting
  • Demand Planning
  • Material Requirements Planning (MRP)
  • Capacity Planning
  • Distribution Planning
  • Global Multi-Org Planning

Preferred / Nice-to-Have Skills

  • Sales & Operations Planning (S&OP)
  • Promotion Planning
  • Statistical Forecasting
  • Consensus Planning
Not Specified
Supply Planning Manager
✦ New
Salary not disclosed
Durham, NC 1 day ago

Hybrid - 4 days in office


About Our Client

Our client is a global, operations-driven organization operating in a complex manufacturing and supply network environment. They are investing in strengthening supply planning, inventory strategy, and SIOP capabilities to better balance service, cost, and risk across regions. This role sits at the center of those efforts and will have meaningful visibility and influence across the business.


The Opportunity

This is a highly impactful supply planning leadership role for someone who enjoys both running the planning engine and fixing what’s not working. The Supply Chain Manager will own finished goods (FG) and FF&P supply planning, ensuring demand signals, constraints, and inventory policies translate into executable, accurate plans. This person will partner closely with regional and global stakeholders, drive continuous improvement, and play a key role in scenario planning and decision support.

  • Key ResponsibilitiesLead FG and FF&P supply planning, ensuring alignment with demand priorities, business rules, and operational constraints
  • Own dependent requirements planning from FG to FF&P, generating netted AI demand signals and completing constrained supply plans
  • Execute MRP with defined freeze periods to generate accurate planned orders; own demand netting within the supply region
  • Manage MRP exception handling, validating and resolving issues sequentially and ensuring completeness and accuracy of MRP outputs
  • Own FG and bulk inventory planning in partnership with Inventory Management, including lead times, safety stock, and inventory targets
  • Implement and refine safety stock policies to balance service levels and working capital
  • Prepare supply plans by reviewing planning data, netting policies, BoMs, capacity alignment, and data accuracy (including data cleaning and validation)
  • Support the SIOP process by preparing inputs for regional supply reviews and incorporating allocation decisions and global constraints
  • Perform scenario modeling to evaluate trade-offs, assess risks, and support data-driven decision-making
  • Coordinate execution feasibility across key stakeholders, including Tollers, Material Planners, AI Planners, and Schedulers
  • Validate intercompany transfer orders generated by MRP and ensure alignment with supply priorities and stock availability
  • Proactively communicate supply risks and escalate critical shortages when resolution paths are not available
  • Continuously improve planning processes, tools, and standards by challenging inefficiencies and implementing best practices


  • What We’re Looking For5–10 years of experience in supply planning within a complex manufacturing or distribution environment
  • CPIM certification strongly preferred
  • Deep expertise in MRP and dependent requirements planning, including demand netting and exception management
  • Strong experience working within ERP and advanced planning systems, with the ability to interpret outputs and optimize planning parameters
  • Proven ability to manage cross-functional stakeholders and operate effectively in matrixed organizations
  • Analytical, data-driven mindset with experience in scenario modeling, root-cause analysis, and continuous improvement
  • Sound judgment and decision-making skills, balancing short-term constraints with long-term strategy and risk mitigation
  • Strong communication skills, with the ability to present supply scenarios, trade-offs, and recommendations to senior leaders
  • Detail-oriented planner who also maintains a strong big-picture perspective


Why This Role

This is an excellent opportunity for a supply planning professional who wants to move beyond pure execution and play a strategic role in improving how supply decisions are made. The right person will have the chance to influence systems, processes, and outcomes — not just maintain the status quo.

Not Specified
Utilization Review Nurse Health Plans-HP Utilization Mgmt (Hiring Immediately)
Salary not disclosed
Irving, TX 6 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 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. 
  • 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

permanent
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