Navisync Gps Tracker Review Jobs in Usa
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Conducts comprehensive clinical reviews of adverse determinations related to medical necessity.
Initiates outreach to providers to obtain clarification or additional documentation in alignment with established clinical criteria and organizational policies, to support Medical Director decision making.
Provides support for claim appeals in relation to medical necessity.
Ensures the timely and accurate resolution of appeal cases and supports organizational adherence to all state, federal, and accreditation standards.
Facilitates member second level appeal process.
Graduate from an accredited school of professional nursing is required.
BSN preferred.
Minimum 2 years acute care experience or managed care experience is required.
Basic knowledge of Medicaid, Medicare preferred.
Knowledge of InterQual screening criteria, ICD-10, CPT coding preferred.
Current Registered Nurse (RN) license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required.
Active Certification in Case Management (CCM) is preferred.
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.
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.
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.
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.
$26.61 - $39.92 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.
Quality Review Sterile Processing Tech ? Sterile Processing -Mid shift
Position Highlights:
- Position: Quality Review Sterile Processing Tech
- Location: Elmhurst, IL
- Full Time/Part Time: Full time
- Hours: Monday-Friday, 12:00noon-8:30pm, must be flexible to travel to other Endeavor Health locations.
What you will do:
- Ensures daily operational compliance with the standards governing sterile processing activities from such agencies as The Joint Commission, OSHA, AORN, AAMI; as well as state and local ordinances
- Assists in coordination, facilitation and monitoring of new and existing sterile processing staff education, training and orientation via one-on-ones, huddles, staff meetings, in-services and formal orientation in collaboration with department leadership
- Assists with the maintenance, inventory, and implementation of newly acquired and existing instrument trays/sets, instruments, and supplies
- Collaboratively works with the appropriate staff to maintain accurate instrument count sheets and make revisions as necessary
- Provides analysis of reported data and recommendations for improvement
- Assists with identification of staff educational needs and development of programs
What you will need:
- Education: Highschool or GED required, Bachelors Degree Preferred
- Certification: Certified Sterile Processing and Distribution Technician (CSPDT) - Certification Board for Sterile Processing and Distribution (CBSPD) or Certified Registered Central Service Technician (CRCST) ? Healthcare Sterile Processing Association (HSPA), formerly IAHSCMM)
- Experience: 2 years? experience in health care sterile processing (or procedural area) and environment AND experience in project management and staff education
Benefits (For full time or part time positions):
- Career Pathways to Promote Professional Growth and Development
- Various Medical, Dental, Pet and Vision options
- Tuition Reimbursement
- Free Parking
- Wellness Program Savings Plan
- Health Savings Account Options
- Retirement Options with Company Match
- Paid Time Off and Holiday Pay
- Community Involvement Opportunities
Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals ? Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) ? all recognized as Magnet hospitals for nursing excellence. For more information, visit you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential.
Please explore our website ( ) to better understand how Endeavor Health delivers on its mission to ?help everyone in our communities be their best?.
Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.
Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.
EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.
Position Title: Medical Reviewer
Work Location: Remote
Assignment Duration: 12 Months
Job Description:
We are seeking a contract Medical Reviewer to support our international Botox Therapeutic Neurotoxin team. The ideal candidate will be responsible for the medical review of clinical and scientific data related to the use of Botox for various therapeutic indications.
Key responsibilities include ensuring the accuracy and compliance of content with regulatory and company standards, providing expert medical input on clinical documents and safety information, and collaborating with cross-functional teams globally.
Qualifications:
The candidate should have a medical degree (MD or equivalent), clinical experience in neurology, physical medicine, or related fields, and a solid understanding of regulatory requirements for therapeutic neurotoxins. Experience with Botox or neurotoxin therapies is strongly preferred. Excellent communication and detail-orientation are essential.
Must have experience as a Reviewer OUS, understanding regulatory complexities of international markets.
This position coordinates utilization review service for defined patient populations across the acute care continuum. This includes discharge planning, utilization management, care coordination collaboration, and support for resource utilization. This position works collaboratively with an interdisciplinary team to improve patient care through the effective utilization of the facility's resources.
1. Current licensure as a Registered Nurse (RN) in the state of California is required.
2. Current American Heart Association (AHA) Healthcare Provider CPR card is preferred.
3. Degree from an accredited baccalaureate nursing program (BSN) is preferred.
4. Certified Case Manager (CCM) national certification is preferred.
5. Interquel training must be obtained within six (6) months of hire into position.
6. Previous experience in at least two (2) areas of clinical specialty in an acute care setting is required.
7. Excellent communication skills, critical thinking, creative problem-solving skills, and competent organizational and planning skills are required.
8. The incumbent must be self-directed and able to tolerate frequent interruptions with a demanding workload.
9. Knowledge regarding hospital protocol and procedures, clinical standards and outcomes, funding options, familiarity with community resources and outside professional agencies, familiarity with federal and state regulations governing hospital and home care, as well as understanding of the financial structure of health plan and delivery system is preferred.
Pay Range:
$49.47 - 71.74
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.
Join Our Team as a Website Tester at Little Wheel
Little Wheel is a gambling technology company focused on researching and building products that put players first. We are currently hiring Website Testers across Michigan, New Jersey, Pennsylvania, and West Virginia.
This is a great opportunity to earn extra income on a flexible schedule while helping us test online casinos. No prior experience is required, and all training is provided.
This is a short-term contract, with opportunities for ongoing work for high performers.
Role Overview
As a Website Tester, you will:
- Participate in user experience testing on various online casino platforms.
- Follow step-by-step instructions to complete assigned tasks.
- Record feedback and report bugs or usability issues.
- Provide detailed insights into your testing experience.
- Complete all testing assignments within set timelines.
Requirements
To be eligible, you must:
- Be at least 21 years old.
- Reside in one of the following states: Michigan, New Jersey, Pennsylvania, or West Virginia.
- Own a laptop or desktop computer.
- Be able to complete a short, paid online training and onboarding process.
No previous testing or gambling experience is needed. You will not be gambling with your own money, and there are no fees or out-of-pocket costs. All the interactions/game-play would be for testing purposes.
Compensation and Benefits
- Guaranteed earnings of at least $1,000 for approximately 20 hours of testing.
- Minimum of $25/hour, with higher pay for faster testers.
- $100 bonus upon completing the onboarding program.
- Flexible schedule – choose when you want to work.
- Work from home – test websites from the comfort of your own space.
- Fast payments – get paid after each of the 4 testing stages.
- Excellent support – coordinators available daily from 6 AM to 11 PM ET.
What Our Testers Say
"Great side gig for some extra cash. The team is very communicative and will answer any questions/concerns!" – Maria, Trustpilot (2021)
"Tasks are clearly explained with step-by-step instructions. You can work when it's convenient. Support is very helpful and responsive." – Anonymous, Glassdoor (2025)
Read more reviews on Glassdoor, Trustpilot, and Google.
Equal Opportunity Statement
Little Wheel LLC is proud to be an Equal Opportunity Employer. We are committed to creating an inclusive environment for all applicants and employees, regardless of race, religion, color, national origin, gender identity, sexual orientation, age, disability, or veteran status. We celebrate diversity and strive to create a workplace where everyone feels valued.
Company Info
Website: Address: Little Wheel LLC, 250 Pehle Ave, Suite 200, Saddle Brook, NJ 07663 Phone: (833) 313-7490
Join Our Team as a Website Tester at Little Wheel
Little Wheel is a gambling technology company focused on researching and building products that put players first. We are currently hiring Website Testers across Michigan, New Jersey, Pennsylvania, and West Virginia.
This is a great opportunity to earn extra income on a flexible schedule while helping us test online casinos. No prior experience is required, and all training is provided.
This is a short-term contract, with opportunities for ongoing work for high performers.
Role Overview
As a Website Tester, you will:
- Participate in user experience testing on various online casino platforms.
- Follow step-by-step instructions to complete assigned tasks.
- Record feedback and report bugs or usability issues.
- Provide detailed insights into your testing experience.
- Complete all testing assignments within set timelines.
Requirements
To be eligible, you must:
- Be at least 21 years old.
- Reside in one of the following states: Michigan, New Jersey, Pennsylvania, or West Virginia.
- Own a laptop or desktop computer.
- Be able to complete a short, paid online training and onboarding process.
No previous testing or gambling experience is needed. You will not be gambling with your own money, and there are no fees or out-of-pocket costs. All the interactions/game-play would be for testing purposes.
Compensation and Benefits
- Guaranteed earnings of at least $1,000 for approximately 20 hours of testing.
- Minimum of $25/hour, with higher pay for faster testers.
- $100 bonus upon completing the onboarding program.
- Flexible schedule – choose when you want to work.
- Work from home – test websites from the comfort of your own space.
- Fast payments – get paid after each of the 4 testing stages.
- Excellent support – coordinators available daily from 6 AM to 11 PM ET.
What Our Testers Say
"Great side gig for some extra cash. The team is very communicative and will answer any questions/concerns!" – Maria, Trustpilot (2021)
"Tasks are clearly explained with step-by-step instructions. You can work when it's convenient. Support is very helpful and responsive." – Anonymous, Glassdoor (2025)
Read more reviews on Glassdoor, Trustpilot, and Google.
Equal Opportunity Statement
Little Wheel LLC is proud to be an Equal Opportunity Employer. We are committed to creating an inclusive environment for all applicants and employees, regardless of race, religion, color, national origin, gender identity, sexual orientation, age, disability, or veteran status. We celebrate diversity and strive to create a workplace where everyone feels valued.
Company Info
Website: Address: Little Wheel LLC, 250 Pehle Ave, Suite 200, Saddle Brook, NJ 07663 Phone: (833) 313-7490
