Jobs in Nurse

Prior Authorization Nurse 25
Libsysinc    02-28-2019 Little Rock, AR, USA

Job Description:

Position Purpose:

  • Promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to prior authorization requests.
  • Perform telephonic review of prior authorization requests for appropriate care and setting, following guidelines and policies, and approve services or forward requests to the appropriate Physician or Medical Director with recommendations for other determinations
  • Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case findings
  • Collaborate with various staff within provider networks and case management team electronically or telephonically to coordinate member care
  • Educate providers on utilization and medical management processes
  • Provide clinical knowledge and act as a clinical resource to non-clinical team staff
  • Enter and maintain pertinent clinical information in various medical management systems

 

Qualifications:

Education/Experience:

  • Graduate from an Accredited School of Nursing. Bachelor’s degree in Nursing preferred. 2+ years of clinical nursing experience. Knowledge of healthcare and managed care preferred. RN highly perferred

 

Licenses/Certifications:

  • Current State LPN/LVN or RN license.

 

What are the 3-4 non-negotiable requirements on this position?

  • State of AR RN license preferred Medicaid exp highly desired Knowledge of healthcare and managed care
#Urgent Job #Opening for Certified Registered Nurse Anesthetist 24
irionline    02-28-2019 Detroit, MI, USA

Title - Certified Registered Nurse Anesthetist

Location: Detroit, MI

CRITICAL need for 8-CRNAs

Pay Rate: $90

Interview process: Initial Phone Interviews

We are open to candidates who are willing to relocate, certified within state of MI and support on part time basis.

HENRY FORD CREDENTIALING PROCESS WILL BE EXPEDITED to fill needs ASAP.

Qualifications:

8-CRNAs for main hospital (department of Anesthesiology) starting ASAP for 6 month contract. Full-time need for dayshift, primarily 7a-3:30p (also optional 7a-5:30p or 7a-7:30p). Must have at least 2-3 yrs of CRNA experience. Graduation from an accredited school of anesthesia. Master's Degree. Ability to work harmoniously in collaborative situations with anesthesiologists and other health care providers.

CERTIFICATIONS AND LICENSURES: Maintains currency of:

1) Clinical Privileges

2) State of Michigan RN License

3) State Specialty Certification

4) CRNA Recertification

5) ALS Certification

NOT required to take on-call.

Responsibilities:

Covering cases such as (Generals, EPI's, Vascular, etc.). Administers intravenous, inhalation, and regional anesthetics to render persons insensible to pain during surgical procedures, obstetrical deliveries, or other medical and dental procedures. Potentially administers anesthesia to all ages and A.S.A. classes of patients, including geriatrics and pediatrics. Provides airway management services as needed throughout the hospital.

Bigdata Developer 130
Urbane Systems    02-26-2019 Reston, VA, USA

Job Description

As an experienced Developer, your mission is to help lead our team of innovators and technologists toward creating next-level solutions that improve the way our business is run. Your deep knowledge of design, analytics, development, coding, testing and application programming will help your team raise their game, meeting your standards, as well as satisfying both business and functional requirements. Your expertise in various technology domains will be counted on to set strategic direction and solve complex and mission critical problems, internally and externally. Your quest to embracing leading-edge technologies and methodologies inspires your team to follow suit. And best of all, you’ll be able to harness massive amounts of brainpower through our global network of technologists from around the world.

  • Scala
  • Spark (Core, SQL, Streaming, graphx)
  • Hadoop - HDFS, Impala, Hive, H-Base, Pig
  • Experience with Java/Spring/Oracle/JPA is a plus
  • Experience in optimizing Spark performance
  • Experience working as part of Finance/Regulatory reporting team a plus
    Familiarity with Agile methodologies
  • Experience in end to end release of highly reliable applications including design, development and testingBachelor’s degree or equivalent in Computer Science/Software Engineering (or related fields)

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