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6,810 positions found

TMS - Lead Configurator
Salary not disclosed
Atlanta, GA 3 days ago

Purpose


This position is responsible for Designing, Configuring, Testing, Implementing and Supporting capabilities for Transportation Management and Supply-Chain management related applications.


Minimum Eligibility Requirements


  • Bachelor’s degree (relevant experience can be substituted for the required education on the basis of one calendar year of experience for one academic year of education)
  • 10+ years System configuration & implementation experience required to perform the essential functions of the job with at least 3+ years of experience in solution designing
  • Experience with any TMS Supply Chain industry applications with configuration knowledge
  • Knowledge in Manhattan Associates TM Active software product is an added advantage
  • Experience with SQL (mysql/postgres), JSON, Postman tool
  • Experience with Excel (vlookup/xloopup, Marcos)
  • Experience in any test management and change management software such as qTest (Test Case management tool) and Service Now (Help Desk Software).
  • Experience with Agile development methodology to support Product Manager / Product Owner is identifying User Stories, write user stories, backlog refinement, sprint planning etc.
  • Understand technology limited to the database tables, integration architecture
  • Excellent communication, problem solving and data analysis skills
  • Excellent decision-making skills
  • High level of customer service


Essential Functions


  • The individual who fills this position should have solid TMS knowledge. The required skills/experience includes:
  • Customer focused approach to ensure application availability for day-to-day business operations
  • Identifies risks and issues and escalates as necessary. Research and document recommendations or solutions for upgrades, improvements, issue resolution to ensure a stable, available and protected technical infrastructure
  • Understand system integrations and performing system configurations and testing based on end-to-end system data flow and functional flows.
  • Ability to work with end users to define business requirements for new projects as well as supporting existing processes.
  • Validate that the application requirements meet overall business process needs, are within the project scope, and are internally consistent.
  • Ability to create high-level and low-level design to help the team build the solutions.
  • Collaboratively work with team and lead the projects
  • Ability to work concurrently on multiple projects and tasks across different business units.
  • Analyze data and solve new and existing business issues.


Minimum Eligibility Requirements


  • Bachelor’s degree (relevant experience can be substituted for the required education on the basis of one calendar year of experience for one academic year of education)
  • 10+ years System configuration & implementation experience required to perform the essential functions of the job with at least 3+ years of experience in solution designing
  • Experience with any TMS Supply Chain industry applications with configuration knowledge
  • Knowledge in Manhattan Associates TM Active software product is an added advantage
  • Experience with SQL (mysql/postgres), JSON, Postman tool
  • Experience with Excel (vlookup/xloopup, Marcos)
  • Experience in any test management and change management software such as qTest (Test Case management tool) and Service Now (Help Desk Software).
  • Experience with Agile development methodology to support Product Manager / Product Owner is identifying User Stories, write user stories, backlog refinement, sprint planning etc.
  • Understand technology limited to the database tables, integration architecture
  • Excellent communication, problem solving and data analysis skills
  • Excellent decision-making skills
  • High level of customer service




Working Conditions (travel, hours, environment)

The noise level in the work environment is typically quiet to moderate


Physical/Sensory Requirements

Sedentary Work – Ability to exert 10 - 20 pounds of force occasionally, and/or negligible amount of force frequently to lift, carry, push, pull or otherwise move objects. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time.



Benefits & Rewards


  • Bonus opportunities at every level
  • Non-traditional retail hours (we close at 7p!)
  • Career advancement opportunities
  • Relocation opportunities across the country
  • 401k with discretionary company match
  • Employee Stock Purchase Plan
  • Referral Bonus Program
  • 80 hrs. annualized paid vacation (full-time associates)
  • 4 paid holidays per year (full-time hourly store associates only)
  • 1 paid personal holiday of associate’s choice and Volunteer Time Off program
  • Medical, Dental, Vision, Life and other Insurance Plans (subject to eligibility criteria)


Equal Employment Opportunity



Floor & Decor provides equal employment opportunities to all associates and applicants without regard to age, race, color, religion or creed, national origin or ancestry, sex (including pregnancy), sexual orientation, gender, gender identity, disability, veteran status, genetic information, ethnicity, citizenship, or any other category protected by law.


This policy applies to all areas of employment, including recruitment, testing, screening, hiring, selection for training, upgrading, transfer, demotion, layoff, discipline, termination, compensation, benefits and all other privileges, terms and conditions of employment. This policy and the law prohibit employment discrimination against any associate or applicant on the basis of any legally protected status outlined above.

Not Specified
Medical Necessity Reviewer (HONDO)
Salary not disclosed
Hondo, Texas 4 days ago

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.

Not Specified
Clinical Case Review Nurse (BOERNE)
🏢 University Health
Salary not disclosed
BOERNE, Texas 5 days ago
POSITION SUMMARY AND RESPONSIBILITIES

Conducts comprehensive clinical reviews of adverse determinations related to medical necessity. Initiates outreach to providers to obtain clarification or additional documentation in alignment with established clinical criteria and organizational policies, to support Medical Director decision making. Provides support for claim appeals in relation to medical necessity. Ensures the timely and accurate resolution of appeal cases and supports organizational adherence to all state, federal, and accreditation standards. Facilitates member second level appeal process.

EDUCATION/EXPERIENCE

Graduate from an accredited school of professional nursing is required. BSN preferred. Minimum 2 years acute care experience or managed care experience is required. Basic knowledge of Medicaid, Medicare preferred. Knowledge of InterQual screening criteria, ICD-10, CPT coding preferred.

LICENSURE

Current Registered Nurse (RN) license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required. Active Certification in Case Management (CCM) is preferred.
temporary
Clinical Review Nurse Specialist (SEGUIN)
🏢 University Health
Salary not disclosed
SEGUIN, Texas 5 days ago
POSITION SUMMARY AND RESPONSIBILITIES

Conducts comprehensive clinical reviews of adverse determinations related to medical necessity. Initiates outreach to providers to obtain clarification or additional documentation in alignment with established clinical criteria and organizational policies, to support Medical Director decision making. Provides support for claim appeals in relation to medical necessity. Ensures the timely and accurate resolution of appeal cases and supports organizational adherence to all state, federal, and accreditation standards. Facilitates member second level appeal process.

EDUCATION/EXPERIENCE

Graduate from an accredited school of professional nursing is required. BSN preferred. Minimum 2 years acute care experience or managed care experience is required. Basic knowledge of Medicaid, Medicare preferred. Knowledge of InterQual screening criteria, ICD-10, CPT coding preferred.

LICENSURE

Current Registered Nurse (RN) license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required. Active Certification in Case Management (CCM) is preferred.
temporary
Clinical Review Nurse PRN (PLEASANTON)
🏢 University Health
Salary not disclosed
PLEASANTON, Texas 5 days ago
POSITION SUMMARY AND RESPONSIBILITIES

Conducts comprehensive clinical reviews of adverse determinations related to medical necessity. Initiates outreach to providers to obtain clarification or additional documentation in alignment with established clinical criteria and organizational policies, to support Medical Director decision making. Provides support for claim appeals in relation to medical necessity. Ensures the timely and accurate resolution of appeal cases and supports organizational adherence to all state, federal, and accreditation standards. Facilitates member second level appeal process.

EDUCATION/EXPERIENCE

Graduate from an accredited school of professional nursing is required. BSN preferred. Minimum 2 years acute care experience or managed care experience is required. Basic knowledge of Medicaid, Medicare preferred. Knowledge of InterQual screening criteria, ICD-10, CPT coding preferred.

LICENSURE

Current Registered Nurse (RN) license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required. Active Certification in Case Management (CCM) is preferred.
temporary
Medical Review Specialist PRN (SAN ANTONIO)
🏢 University Health
Salary not disclosed
SAN ANTONIO, Texas 2 days ago
POSITION SUMMARY AND RESPONSIBILITIES

Conducts comprehensive clinical reviews of adverse determinations related to medical necessity. Initiates outreach to providers to obtain clarification or additional documentation in alignment with established clinical criteria and organizational policies, to support Medical Director decision making. Provides support for claim appeals in relation to medical necessity. Ensures the timely and accurate resolution of appeal cases and supports organizational adherence to all state, federal, and accreditation standards. Facilitates member second level appeal process.

EDUCATION/EXPERIENCE

Graduate from an accredited school of professional nursing is required. BSN preferred. Minimum 2 years acute care experience or managed care experience is required. Basic knowledge of Medicaid, Medicare preferred. Knowledge of InterQual screening criteria, ICD-10, CPT coding preferred.

LICENSURE

Current Registered Nurse (RN) license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required. Active Certification in Case Management (CCM) is preferred.
temporary
Sterile Processing Quality Review Tech Mid Shift
Salary not disclosed
Elmhurst, IL 4 days ago
Hourly Pay Range:

$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.
Not Specified
Medical Reviewer
Salary not disclosed
North Chicago, IL 4 days ago

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
Part-time Utilization Review Nurse Case Manager (Hiring Immediately)
✦ New
Salary not disclosed
Fresno, California 1 day ago
Employment Type:Part timeShift:Description:

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.

temporary
Remote Medical Record Reviewer (Hiring Immediately)
✦ New
Salary not disclosed
Employment Type:Full timeShift:Description:Utilizes clinical and coding expertise to direct efforts toward the integrity of clinical documentation through the roles of reviewer, educator and consultant. Facilitates the overall quality, completeness and accuracy of medical record documentation through extensive record review.

Essential Functions:

  • Knows, understands, incorporates and demonstrates the Trinity Mission, Vision and Values in behaviors, practices, standards policies procedures and decisions.
  • Demonstrates understanding of appropriate clinical documentation to ensure the severity of illness, risk of mortality, quality indicators and level of services provided are accurately reflected in the health record.
  • Communicates with and educates physicians and all other member of the healthcare team in clinical documentation and monitors provider engagement.
  • Conducts concurrent reviews of selected patient health records to address legibility, clarity, completeness, consistency and precision of clinical documentation.
  • Formulates compliant clarifications/queries following Trinity Health's documentation integrity procedures.

Minimum Qualifications:

  • Must possess an Associate/Diploma Degree in Health Information Technology (HIT) or Advanced degree in nursing (NP, APN) or Physician Assistant. In absence of college degree, must have three (3) years' experience as an inpatient code or documentation specialist.
  • Preferred Certifications: RN, RHIA, RHIT, CCS, CCDS or CDIP
  • Experienced in critical care, medical or surgical inpatient care nursing as an RN, PA, NP, APN or inpatient coder preferred
  • Excellent communication, interpersonal, collaboration and relationship building skills. Strong critical thinking skills, and ability integrate knowledge. Prioritization and organizations skills required.
  • Demonstrated ability to use standardized desktop and Windows based computer system. Data entry and typing skills at minimum 30 wph.

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.


Remote working/work at home options are available for this role.
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