Utilization Review Specialist
3 weeks ago
CodeForce is seeking a skilled Utilization Review Specialist to join our team. As a key member of our Nursing department, you will be responsible for reviewing patient care plans and ensuring they meet the necessary criteria for admission and continued stay.
Responsibilities:
- Review medical records for clear admission orders and documentation of medical necessity
- Perform utilization review activities for Medicare, Medicaid, Private insurance, and self-pay patients
- Communicate with Patient Accounts on patient's level of care and insurance coverage
- Enter insurance authorizations obtained into Paragon UR or Patient Management 'Notes' tab
Requirements:
- Minimum 5 years of experience in direct patient care
- Minimum 3 years in a Utilization Review role
- Strong communication and organizational skills
We offer a competitive salary and benefits package. If you are a motivated and detail-oriented individual with a passion for healthcare, please submit your application.
-
Spencer, Iowa, United States ECI Contracting Full timeJob OverviewAt ECI Contracting, we are seeking a skilled Hard and Soft Surface Utility Restoration Specialist to join our team. The successful candidate will be responsible for assisting in all functions of the crew, following safety regulations, and maintaining a high level of productivity.Key ResponsibilitiesAssist in the restoration of hard and soft...
-
Emergency Medicine Specialist
4 weeks ago
Spencer, Iowa, United States DocCafe Full timeDocCafe is seeking a skilled Physician - Emergency Medicine to join our team in Iowa.We offer a competitive salary of 185.As the premier physician and advanced practice job board, DocCafe helps you advance your healthcare career.Our platform provides a free job search, professional profile, and confidentiality options.We also offer career matching support...
-
Utilization Review RN
4 weeks ago
Spencer, United States Norman Regional Health System Full timeOverview: The Utilization Review team is comprised of highly skilled Registered Nurses who ensure Norman Regional Health System follows a compliant review process to determine appropriateness of admission. Responsibilities: Job SummaryUtilization Review, Utilization Management, Advocacy and EducationClinical Analysis and Data ManagementClinical Care...
-
IA Utilization Review
3 weeks ago
Spencer, United States CodeForce Full timePlease only submit qualified candidates with a minimum of 5 years of experience in direct patient care along with a minimum of 3 years in a Utilization Review role. POTENTIAL REMOTE POSITION.Schedule: Standard business hoursM-F 8a-4:30pmWill discuss schedule expectations based on candidate and facility needsESSENTIAL FUNCTIONS1. Responsibility Statement:...
-
Utilization Review Nurse
4 weeks ago
Spencer, United States HexaQuEST Health, Inc. Full timeJob Description:As a Utilization Review Nurse with HexaQuEST Health, Inc., you will play a critical role in ensuring the quality and efficiency of patient care. Your primary responsibility will be to review medical records for clear admission orders, documentation of medical necessity for admission and continued stay criteria, using the appropriate Milliman...
-
Conservation Planning Specialist
1 month ago
Spencer, United States National Experienced Workforce Solutions Full timeJob SummaryWe are seeking a highly skilled Conservation Planning Specialist to join our team at National Experienced Workforce Solutions. As a key member of our team, you will provide technical assistance support for the delivery of NRCS Farm Bill conservation programs at the Field Office and Area level.Key ResponsibilitiesUnder the direction of the NRCS...
-
Store Manager in Training
6 days ago
Spencer, United States O'Reilly Auto Parts Full timeCompensation Pay Range: $15.00 - $23.00 The actual hourly rate will equal or exceed the required minimum wage applicable to the job location. Additional compensation includes annual, quarterly performance, or premiums may be paid in amounts ranging per hour in specific circumstances. Premiums may be based on schedule, facility, season, or specific work...
-
For Travel a Nurse
3 weeks ago
spencer, United States TravelNurseSource Full timeTravelNurseSource is working with QS Nurses to find a qualified OR RN in Spencer, Iowa, 51301!Pay Information$2,146 per weekAbout The PositionQS Nurses is looking for the best of the best! We're here to help you accomplish your goals and your dreams. Our Recruiters provide personalized hands-on support throughout the process. They'll provide an experience...
-
Nurse Care Specialist
4 weeks ago
Spencer, United States Avera Full timeAvera is seeking skilled Registered Nurses (RN) to deliver exceptional patient care in our patient-focused settings.Key Responsibilities:Utilize the nursing process to provide professional nursing care under the supervision of the physician.Travel to satellite clinics as assigned.Requirements:Graduate from a CCNE or NLN accredited nursing program is strongly...
-
Commercial Loan Servicer
4 days ago
Spencer, United States Cornerstone Bank Full timeCornerstone Bank was formed in 2017, born of a long history of supporting the community, and providing a strong foundation to help people and businesses thrive. Serving Worcester County, Cornerstone Bank's local presence and community-based banking model enables a unique ability to deliver outstanding service, with a personal touch. Cornerstone provides the...
-
Nurse Care Specialist
4 weeks ago
Spencer, United States Avera Full timeAvera McKennan Hospital & University Health Center is seeking a Registered Nurse (RN) to join our multidisciplinary team. As a RN, you will be responsible for delivering professional nursing care under the supervision of the physician. Your duties will include utilizing the nursing process to provide direct patient care, traveling to satellite clinics as...
-
Nurse Care Specialist
4 weeks ago
Spencer, United States Avera Full timeAvera Nursing TeamAt Avera, we are seeking a skilled Registered Nurse to join our multidisciplinary team. As a Registered Nurse, you will be responsible for delivering high-quality patient care in our patient-focused settings.Key Responsibilities: Provide direct patient care and utilize the nursing process to ensure the best possible outcomes. Collaborate...
-
Senior Quality Manager
2 days ago
Spencer, United States Flexcon Full timeCompany SummaryBlueshift's bleeding edge thermal protection systems are used by some of the biggest OEM brands in the eVTOL, rocket, spacecraft and other aerospace, defense industries with challenging temperature or RF requirements. These products are based on AeroZero®, a thin, polyimide aerogel film that is used as the primary insulator in AeroZero Flame...
-
Senior Quality Manager
2 days ago
Spencer, United States Flexcon Full timeCompany SummaryBlueshift's bleeding edge thermal protection systems are used by some of the biggest OEM brands in the eVTOL, rocket, spacecraft and other aerospace, defense industries with challenging temperature or RF requirements. These products are based on AeroZero®, a thin, polyimide aerogel film that is used as the primary insulator in AeroZero Flame...
-
Floor Maintenance Specialist
1 month ago
Spencer, Massachusetts, United States Healthcare Services Group Full timeAbout UsHealthcare Services Group (HCSG) is a leading provider of housekeeping, laundry, dining, and nutritional services to the healthcare industry. With over 45 years of experience, we have established ourselves as a trusted partner to thousands of healthcare communities across the country.Our Purpose and ValuesOur purpose is to foster fulfillment in...
-
Pharmacist - Clinical Services Specialist
4 weeks ago
Spencer, United States Thrifty White Full timeJob SummaryThrifty White Pharmacy is seeking a Relief Pharmacist to join our team. As a Relief Pharmacist, you will be responsible for providing excellent customer service to customers by building loyalty and repeat business.Key ResponsibilitiesChampion Thrifty White programs to patients such as Ready Refill, Medication Synchronization and HealthyPackRx and...
-
Behavior Support Specialist
4 weeks ago
Spencer, United States PRAIRIE LAKES AEA Full timeJob SummaryWe are seeking a highly motivated and dedicated individual to join our team as a Behavior Technician at Prairie Lakes AEA. The successful candidate will be responsible for assisting with screenings and assessments of students, data collection and documentation, and modeling treatment plans developed by the Behavior Team.Key ResponsibilitiesAssist...
-
Senior Sustaining Engineering Manager
1 month ago
Spencer, United States Cook Medical Full timeJob SummaryThe Sustaining Engineering Team Lead at Cook Medical is responsible for the effectiveness and efficiency of a sustaining engineering team and their ability to complete their projects/tasks. This position teaches and mentors team members about processes/systems in addition to Cook policy, culture, and history. This position also communicates with...
-
Certified Nursing Assistant
4 weeks ago
Spencer, United States Castle Healthcare Full timeJob Summary:The Certified Nursing Assistant (CNA) at Castle Healthcare is responsible for providing high-quality resident care and support in all activities of daily living. This role ensures the health, welfare, and safety of all residents, promoting a positive and respectful environment.Key Responsibilities: Provide assistance with serving meals and...
-
Communication Center Specialist I
3 months ago
Spencer, United States Northwest Bank Full timeEssential Functions & Responsibilities Include, but are not limited to: Responds to external customer inquiries through a variety of media. Develops customer relationships that provide the opportunity to share product knowledge and services in a professional manner resulting in product delivery or referral. Assists with troubleshooting and recommending...
-
Float RN Specialist-IA, MN, WI
4 weeks ago
Spencer, United States Jaybird Senior Living Full timeAbout the Company: There are jobs – and then there are careers. At Jaybird Senior Living, we offer team members the chance to do the kind of work that is meaningful and makes a difference every day. We are looking for people who live our mission of demonstrating exemplary red carpet service in all we do. The opportunity to grow, challenge yourself, and...
-
Team Lead, Sustaining Engineering
2 months ago
Spencer, United States Cook Medical Full timeOverview The Post Market Sustaining Engineering Team Lead at Cook Incorporated is responsible for the effectiveness and efficiency of a sustaining engineering team and their ability to complete their projects/tasks. This position teaches and mentors team members about processes/systems in addition to Cook policy, culture, and history. This position...