Solid Surface Reviews Jobs in Usa
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Surface Mount Technology Technician (Day Shift) (RICHARDSON)
Salary not disclosed
Job Summary
The SMT Engineering Tech will be responsible for supporting the surface mount technology (SMT) production lines, ensuring efficient operation, high-quality output, and continuous improvement through troubleshooting, maintenance, and process optimization.
Job Responsibilities
- Perform set-up, operation, and troubleshooting of SMT equipment including pick-and-place machines, reflow ovens, screen printers, and automated optical inspection (AOI) systems.
- Monitor SMT production processes to identify and resolve issues related to component placement, solder paste application, and reflow profiles.
- Conduct preventative maintenance and calibration on SMT machinery to ensure optimal performance and minimize downtime.
- Assist engineers in the development and implementation of new SMT processes, equipment, and materials.
- Interpret and analyze SMT process data to identify trends, root causes of defects, and areas for improvement.
- Provide technical support to production operators, offering guidance on best practices and troubleshooting techniques.
- Participate in continuous improvement initiatives, including lean manufacturing and Six Sigma methodologies, to enhance SMT line efficiency and product quality.
- Maintain accurate records of equipment maintenance, process parameters, and production issues.
- Adhere to all safety protocols and quality standards within the SMT department.
Job Qualifications
- Associate's degree in Electrical Engineering Technology, Electronics, or a related field; or equivalent practical experience.
- Minimum of 2-4 years of experience working with SMT production lines and equipment.
- Strong understanding of SMT processes, including solder paste deposition, component placement, reflow soldering, and AOI.
- Proficiency in operating and troubleshooting various SMT equipment (e.g., Fuji, MyData, Universal, MPM, DEK, Koh Young, Mirtec).
- Ability to read and interpret technical drawings, schematics, and process specifications.
- Excellent problem-solving skills and a methodical approach to troubleshooting.
- Strong communication and interpersonal skills to effectively collaborate with engineers and production teams.
- Ability to work independently and as part of a team in a fast-paced manufacturing environment.
- Familiarity with IPC standards (e.g., IPC-A-610) is a plus.
The SMT Engineering Tech will be responsible for supporting the surface mount technology (SMT) production lines, ensuring efficient operation, high-quality output, and continuous improvement through troubleshooting, maintenance, and process optimization.
Job Responsibilities
- Perform set-up, operation, and troubleshooting of SMT equipment including pick-and-place machines, reflow ovens, screen printers, and automated optical inspection (AOI) systems.
- Monitor SMT production processes to identify and resolve issues related to component placement, solder paste application, and reflow profiles.
- Conduct preventative maintenance and calibration on SMT machinery to ensure optimal performance and minimize downtime.
- Assist engineers in the development and implementation of new SMT processes, equipment, and materials.
- Interpret and analyze SMT process data to identify trends, root causes of defects, and areas for improvement.
- Provide technical support to production operators, offering guidance on best practices and troubleshooting techniques.
- Participate in continuous improvement initiatives, including lean manufacturing and Six Sigma methodologies, to enhance SMT line efficiency and product quality.
- Maintain accurate records of equipment maintenance, process parameters, and production issues.
- Adhere to all safety protocols and quality standards within the SMT department.
Job Qualifications
- Associate's degree in Electrical Engineering Technology, Electronics, or a related field; or equivalent practical experience.
- Minimum of 2-4 years of experience working with SMT production lines and equipment.
- Strong understanding of SMT processes, including solder paste deposition, component placement, reflow soldering, and AOI.
- Proficiency in operating and troubleshooting various SMT equipment (e.g., Fuji, MyData, Universal, MPM, DEK, Koh Young, Mirtec).
- Ability to read and interpret technical drawings, schematics, and process specifications.
- Excellent problem-solving skills and a methodical approach to troubleshooting.
- Strong communication and interpersonal skills to effectively collaborate with engineers and production teams.
- Ability to work independently and as part of a team in a fast-paced manufacturing environment.
- Familiarity with IPC standards (e.g., IPC-A-610) is a plus.
temporary
Surface Mount Technology Support Engineer (Night Shift) (RICHARDSON)
🏢 JABIL CIRCUIT, INC
Salary not disclosed
Job Summary
The SMT Engineering Technician Night Shift will support the manufacturing process by maintaining Surface Mount Technology (SMT) equipment, troubleshooting production issues, and ensuring optimal machine performance during night operations to meet production targets.
Job Responsibilities
- Perform preventative maintenance and calibration on SMT equipment (e.g., screen printers, pick-and-place machines, reflow ovens, AOI) according to established schedules and procedures.
- Diagnose and repair complex SMT equipment malfunctions, including mechanical, electrical, and software issues, in a timely manner to minimize downtime.
- Assist engineers in process optimization, equipment setup, and the development of new manufacturing processes and procedures.
- Monitor SMT line performance, identify potential issues, and implement corrective actions to improve efficiency, quality, and yield.
- Provide technical support to production operators, offering guidance and training on SMT equipment operation and basic troubleshooting.
- Document all maintenance activities, repairs, and process changes accurately and thoroughly.
- Participate in root cause analysis for production defects and implement effective solutions.
- Adhere to all safety regulations and company policies, maintaining a clean and organized work environment.
- Collaborate effectively with cross-functional teams, including production, quality, and engineering, to resolve issues and achieve production goals.
- Flexibility to work night shifts, including weekends and holidays as required.
Job Qualifications
- Associate's degree in Electronics, Mechatronics, or a related technical field, or equivalent practical experience.
- Minimum of 3-5 years of experience as an SMT Technician or similar role in a high-volume manufacturing environment.
- Strong understanding of SMT processes, equipment operation, and common defects.
- Proficiency in troubleshooting and repairing complex SMT machinery, including electrical, mechanical, and pneumatic systems.
- Ability to read and interpret schematics, technical drawings, and equipment manuals.
- Experience with various SMT equipment manufacturers (e.g., Fuji, Panasonic, Mycronic, Juki, DEK, MPM, BTU, Koh Young, Mirtec) is highly desirable.
- Familiarity with IPC standards and quality control principles.
- Excellent problem-solving skills and attention to detail.
- Strong communication and interpersonal skills, with the ability to work independently and as part of a team.
- Proficient in using standard hand tools, diagnostic equipment, and computers.
- Ability to lift up to 35 lbs and stand for extended periods.
The SMT Engineering Technician Night Shift will support the manufacturing process by maintaining Surface Mount Technology (SMT) equipment, troubleshooting production issues, and ensuring optimal machine performance during night operations to meet production targets.
Job Responsibilities
- Perform preventative maintenance and calibration on SMT equipment (e.g., screen printers, pick-and-place machines, reflow ovens, AOI) according to established schedules and procedures.
- Diagnose and repair complex SMT equipment malfunctions, including mechanical, electrical, and software issues, in a timely manner to minimize downtime.
- Assist engineers in process optimization, equipment setup, and the development of new manufacturing processes and procedures.
- Monitor SMT line performance, identify potential issues, and implement corrective actions to improve efficiency, quality, and yield.
- Provide technical support to production operators, offering guidance and training on SMT equipment operation and basic troubleshooting.
- Document all maintenance activities, repairs, and process changes accurately and thoroughly.
- Participate in root cause analysis for production defects and implement effective solutions.
- Adhere to all safety regulations and company policies, maintaining a clean and organized work environment.
- Collaborate effectively with cross-functional teams, including production, quality, and engineering, to resolve issues and achieve production goals.
- Flexibility to work night shifts, including weekends and holidays as required.
Job Qualifications
- Associate's degree in Electronics, Mechatronics, or a related technical field, or equivalent practical experience.
- Minimum of 3-5 years of experience as an SMT Technician or similar role in a high-volume manufacturing environment.
- Strong understanding of SMT processes, equipment operation, and common defects.
- Proficiency in troubleshooting and repairing complex SMT machinery, including electrical, mechanical, and pneumatic systems.
- Ability to read and interpret schematics, technical drawings, and equipment manuals.
- Experience with various SMT equipment manufacturers (e.g., Fuji, Panasonic, Mycronic, Juki, DEK, MPM, BTU, Koh Young, Mirtec) is highly desirable.
- Familiarity with IPC standards and quality control principles.
- Excellent problem-solving skills and attention to detail.
- Strong communication and interpersonal skills, with the ability to work independently and as part of a team.
- Proficient in using standard hand tools, diagnostic equipment, and computers.
- Ability to lift up to 35 lbs and stand for extended periods.
temporary
Lead Surface Mount Technology Engineer (RICHARDSON)
🏢 JABIL CIRCUIT, INC
Salary not disclosed
Job Summary
The SMT Process Engineer IV is a senior-level technical expert responsible for optimizing and maintaining surface mount technology (SMT) processes to ensure high-quality, efficient, and cost-effective electronic assembly. This role involves advanced troubleshooting, process development, and continuous improvement initiatives across multiple SMT lines, often acting as a lead or mentor within the engineering team.
Job Responsibilities
- Lead the development, implementation, and optimization of complex SMT processes, including stencil printing, pick-and-place FUJI, reflow soldering, and automated optical inspection (AOI).
- Conduct advanced root cause analysis and implement corrective actions for SMT process defects (e.g., shorts, opens, voids, component placement issues) using statistical process control (SPC) and other analytical tools.
- Design and execute experiments (DOE) to improve SMT process robustness, yield, and throughput, focusing on new product introduction (NPI) and existing product enhancements.
- Collaborate with design engineering, manufacturing, and quality teams to ensure manufacturability (DFM) and resolve complex technical issues related to SMT assembly.
- Develop and maintain comprehensive process documentation, work instructions, and training materials for SMT operators and technicians.
- Evaluate and recommend new SMT equipment, materials, and technologies to enhance capabilities and improve manufacturing efficiency.
- Provide technical mentorship and guidance to junior engineers and manufacturing personnel on SMT best practices and problem-solving techniques.
- Drive continuous improvement projects using Lean manufacturing and Six Sigma methodologies to reduce waste and increase productivity within SMT operations.
- Monitor key performance indicators (KPIs) for SMT processes and present findings and recommendations to management.
- Ensure compliance with all relevant industry standards, safety regulations, and quality management systems (e.g., ISO, IPC).
Job Qualifications
- Bachelor's degree in Electrical Engineering, Mechanical Engineering, Materials Science, or a related technical field. Master's degree preferred.
- 8+ years of progressive experience in SMT process engineering within a high-volume electronics manufacturing environment.
- Expert-level knowledge of SMT equipment (e.g., printers, pick-and-place machines, reflow ovens, AOI/SPI) from various manufacturers (e.g., Fuji, Universal, Koh Young, Agilent).
- Deep understanding of IPC-A-610 and J-STD-001 standards.
- Proficiency in statistical process control (SPC), design of experiments (DOE), and advanced problem-solving methodologies (e.g., 8D, Six Sigma).
- Strong analytical skills with the ability to interpret complex data and make data-driven decisions.
- Demonstrated ability to lead technical projects and drive process improvements.
- Excellent communication, interpersonal, and presentation skills, with the ability to effectively collaborate with cross-functional teams and mentor others.
- Experience with CAD/CAM software for SMT programming and DFM analysis is a plus.
- Ability to work effectively in a fast-paced, dynamic manufacturing environment.
The SMT Process Engineer IV is a senior-level technical expert responsible for optimizing and maintaining surface mount technology (SMT) processes to ensure high-quality, efficient, and cost-effective electronic assembly. This role involves advanced troubleshooting, process development, and continuous improvement initiatives across multiple SMT lines, often acting as a lead or mentor within the engineering team.
Job Responsibilities
- Lead the development, implementation, and optimization of complex SMT processes, including stencil printing, pick-and-place FUJI, reflow soldering, and automated optical inspection (AOI).
- Conduct advanced root cause analysis and implement corrective actions for SMT process defects (e.g., shorts, opens, voids, component placement issues) using statistical process control (SPC) and other analytical tools.
- Design and execute experiments (DOE) to improve SMT process robustness, yield, and throughput, focusing on new product introduction (NPI) and existing product enhancements.
- Collaborate with design engineering, manufacturing, and quality teams to ensure manufacturability (DFM) and resolve complex technical issues related to SMT assembly.
- Develop and maintain comprehensive process documentation, work instructions, and training materials for SMT operators and technicians.
- Evaluate and recommend new SMT equipment, materials, and technologies to enhance capabilities and improve manufacturing efficiency.
- Provide technical mentorship and guidance to junior engineers and manufacturing personnel on SMT best practices and problem-solving techniques.
- Drive continuous improvement projects using Lean manufacturing and Six Sigma methodologies to reduce waste and increase productivity within SMT operations.
- Monitor key performance indicators (KPIs) for SMT processes and present findings and recommendations to management.
- Ensure compliance with all relevant industry standards, safety regulations, and quality management systems (e.g., ISO, IPC).
Job Qualifications
- Bachelor's degree in Electrical Engineering, Mechanical Engineering, Materials Science, or a related technical field. Master's degree preferred.
- 8+ years of progressive experience in SMT process engineering within a high-volume electronics manufacturing environment.
- Expert-level knowledge of SMT equipment (e.g., printers, pick-and-place machines, reflow ovens, AOI/SPI) from various manufacturers (e.g., Fuji, Universal, Koh Young, Agilent).
- Deep understanding of IPC-A-610 and J-STD-001 standards.
- Proficiency in statistical process control (SPC), design of experiments (DOE), and advanced problem-solving methodologies (e.g., 8D, Six Sigma).
- Strong analytical skills with the ability to interpret complex data and make data-driven decisions.
- Demonstrated ability to lead technical projects and drive process improvements.
- Excellent communication, interpersonal, and presentation skills, with the ability to effectively collaborate with cross-functional teams and mentor others.
- Experience with CAD/CAM software for SMT programming and DFM analysis is a plus.
- Ability to work effectively in a fast-paced, dynamic manufacturing environment.
temporary
Assistant Production Supervisor - Test Dept (403 Shift Days) - Expertise in Surface Mount Technologies (FLORENCE)
🏢 JABIL CIRCUIT, INC
Salary not disclosed
JOB SUMMARY
Oversee production processes and assists Supervisor in establishing production priorities for products in keeping with effective operations and cost factors.
***Hands-on experience and knowledge of Surface Mount Technologies (SMT) and Thru-hole equipment/gear.
ESSENTIAL DUTIES AND RESPONSIBILITIES
· Confers with management personnel to establish production and quality control standards. Also assists in obtaining data regarding types, quantities, specifications, and delivery dates of products ordered. Helps to minimize excessive material on production floor.
· Assists in the coordination of production activities with procurement, maintenance, and quality control activities to obtain optimum production and utilization of human resources, machines, and equipment.
· Reviews and discusses production, quality control, maintenance, and operational reports to determine causes of nonconformity with product specifications, and operating or production problems with production supervisors.
· Assists in the minimization of scrap and materials request order (MRO) usage. Ensures that each workstation has a clean operating area. Assists in the implementation of operating methods and procedures designed to eliminate operating problems and improve metrics.
· Monitors all production metrics and completes monthly “report card”. Seeks continued improvement in lowering line and plant defects per million (DPM).
· Ensures that line employees read, understand and adhere to appropriate policies and procedures. Ensures proper stocking and availability of operation supplies and equipment.
· Assists in monitoring the SPC system to fix repetitive and recognize problems immediately. Compiles, stores, and retrieves production data.
· May perform other duties and responsibilities as assigned.
JOB QUALIFICATIONS
KNOWLEDGE REQUIREMENTS
· Strong knowledge of global and regional logistics operations and industry.
· Strong proficiency in determining logistics requirements to enable company’s business goals and objectives with ability to devise and implement strategy to achieve targets.
· Strong financial and analytical ability. Proficiency in managing business analytics to determine optimum company footprint.
· Strong knowledge of international direct and indirect taxes as well as global customs regimes.
· Proven track record of successful change management accomplishments, implementing and management continuous productivity and cost reduction programs.
· Strong and convincing communication skills.
· Proficiency in use of personal computers, Microsoft Office products (Excel, Word and PowerPoint) and e-mail skills required.
EDUCATION & EXPERIENCE REQUIREMENTS
· Bachelor’s degree or equivalent preferred.
· At least 2 years experience.
· Or a combination of education, experience and/or training.
Oversee production processes and assists Supervisor in establishing production priorities for products in keeping with effective operations and cost factors.
***Hands-on experience and knowledge of Surface Mount Technologies (SMT) and Thru-hole equipment/gear.
ESSENTIAL DUTIES AND RESPONSIBILITIES
· Confers with management personnel to establish production and quality control standards. Also assists in obtaining data regarding types, quantities, specifications, and delivery dates of products ordered. Helps to minimize excessive material on production floor.
· Assists in the coordination of production activities with procurement, maintenance, and quality control activities to obtain optimum production and utilization of human resources, machines, and equipment.
· Reviews and discusses production, quality control, maintenance, and operational reports to determine causes of nonconformity with product specifications, and operating or production problems with production supervisors.
· Assists in the minimization of scrap and materials request order (MRO) usage. Ensures that each workstation has a clean operating area. Assists in the implementation of operating methods and procedures designed to eliminate operating problems and improve metrics.
· Monitors all production metrics and completes monthly “report card”. Seeks continued improvement in lowering line and plant defects per million (DPM).
· Ensures that line employees read, understand and adhere to appropriate policies and procedures. Ensures proper stocking and availability of operation supplies and equipment.
· Assists in monitoring the SPC system to fix repetitive and recognize problems immediately. Compiles, stores, and retrieves production data.
· May perform other duties and responsibilities as assigned.
JOB QUALIFICATIONS
KNOWLEDGE REQUIREMENTS
· Strong knowledge of global and regional logistics operations and industry.
· Strong proficiency in determining logistics requirements to enable company’s business goals and objectives with ability to devise and implement strategy to achieve targets.
· Strong financial and analytical ability. Proficiency in managing business analytics to determine optimum company footprint.
· Strong knowledge of international direct and indirect taxes as well as global customs regimes.
· Proven track record of successful change management accomplishments, implementing and management continuous productivity and cost reduction programs.
· Strong and convincing communication skills.
· Proficiency in use of personal computers, Microsoft Office products (Excel, Word and PowerPoint) and e-mail skills required.
EDUCATION & EXPERIENCE REQUIREMENTS
· Bachelor’s degree or equivalent preferred.
· At least 2 years experience.
· Or a combination of education, experience and/or training.
temporary
S
Medical Reviewer
Salary not disclosed
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.
Not Specified
M
Supervisor, Concurrent Review (New York)
🏢 MJHS
Salary not disclosed
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.
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
M
Quality Review & Staff Education Supervisor (New York)
🏢 MJHS
Salary not disclosed
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
Clinical Review Nurse Specialist (SEGUIN)
Salary not disclosed
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.
Conducts comprehensive clinical reviews of adverse determinations related to medical necessity. Initiates outreach to providers to obtain clarification or additional documentation in alignment with established clinical criteria and organizational policies, to support Medical Director decision making. Provides support for claim appeals in relation to medical necessity. Ensures the timely and accurate resolution of appeal cases and supports organizational adherence to all state, federal, and accreditation standards. Facilitates member second level appeal process.
EDUCATION/EXPERIENCE
Graduate from an accredited school of professional nursing is required. BSN preferred. Minimum 2 years acute care experience or managed care experience is required. Basic knowledge of Medicaid, Medicare preferred. Knowledge of InterQual screening criteria, ICD-10, CPT coding preferred.
LICENSURE
Current Registered Nurse (RN) license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required. Active Certification in Case Management (CCM) is preferred.
temporary
Clinical Review Nurse PRN (PLEASANTON)
🏢 University Health
Salary not disclosed
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.
Conducts comprehensive clinical reviews of adverse determinations related to medical necessity. Initiates outreach to providers to obtain clarification or additional documentation in alignment with established clinical criteria and organizational policies, to support Medical Director decision making. Provides support for claim appeals in relation to medical necessity. Ensures the timely and accurate resolution of appeal cases and supports organizational adherence to all state, federal, and accreditation standards. Facilitates member second level appeal process.
EDUCATION/EXPERIENCE
Graduate from an accredited school of professional nursing is required. BSN preferred. Minimum 2 years acute care experience or managed care experience is required. Basic knowledge of Medicaid, Medicare preferred. Knowledge of InterQual screening criteria, ICD-10, CPT coding preferred.
LICENSURE
Current Registered Nurse (RN) license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required. Active Certification in Case Management (CCM) is preferred.
temporary
Medical Necessity Reviewer (HONDO)
🏢 University Health
Salary not disclosed
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.
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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