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Physical Health Registered Nurse (Remote) at Vaya Health
, North Carolina, United States - Full Time
Skills Needed
Clinical Reviews, Medical Necessity, Service Authorization, Documentation, Communication, Technology Utilization, Discharge Planning, Inter Rater Reliability, Problem Solving, Decision Making, Conflict Resolution, Critical Thinking, Mentoring, Coaching, Project Management, Healthcare Systems
Specialization
An Associate Degree in Nursing is required, with a preference for a Bachelor's Degree. Candidates should have five years of clinical experience, including two years of acute care experience and experience in utilization management.
Experience Required
Minimum 5 year(s)
Dental Treatment Coordinator - Full Time at DOCS Health
Campbell, Kentucky, United States - Full Time
Skills Needed
Organizational Skills, Communication Skills, Customer Service, Dental Software, Microsoft Office, Multi Line Phone System, Appointment Scheduling, Workflow Management
Specialization
Candidates should have a high school diploma and 1-2 years of administrative experience. Preferred qualifications include experience in a dental office and strong organizational and communication skills.
Orthodontic Dental Assistant - Part Time at DOCS Health
Fairfield, California, United States - Full Time
Skills Needed
Orthodontic Techniques, Impressions, Itero Scanning, Invisalign, Patient Rapport, Communication, Dental Software, Equipment Operation, Procedure Setup, Biohazard Disposal, Sterilization, Infection Control, Clerical Reporting, X Ray Certification, Cpr Certification, Danb Certification
Specialization
Candidates must have a current Dental Assistant License and a minimum of 2 years of orthodontic experience. Additional requirements include X-Ray Certification, CPR/BLS Certification, and a valid Driver's License.
Experience Required
Minimum 2 year(s)
Physician Assistant at DOCS Health
Walterboro, South Carolina, United States - Full Time
Skills Needed
Active Pa License, Cpr/Bls Certification, Primary Care Experience, Urgent Care Experience, Occupational Health Experience, Mobile Medical Services Experience, Knowledge Of Military Systems, Behavioral Health Awareness, Excellent Communication Skills, Basic Computer Skills, Adaptability, Ability To Travel, Weekend Availability, Extended Hours Capability, Interviewing Skills, Documentation Skills
Specialization
Candidates must have an active PA license in the state and CPR/BLS certification. Experience in primary care, urgent care, or occupational health is preferred, along with knowledge of military systems and protocols.
Experience Required
Minimum 2 year(s)
General Dentists, Endodontists, & Oral Surgeons – Supporting Military Healt at DOCS Health
Normanna Township, Minnesota, United States - Full Time
Skills Needed
General Dentistry, Endodontics, Oral Surgery, Mobile Equipment, Cpr Certification, Bls Certification, Computer Proficiency, Military Experience
Specialization
Candidates must have an active, unrestricted state dental license and CPR/BLS certification. Experience with mobile dental equipment and military experience are preferred.
General Dentists, Endodontists, & Oral Surgeons – Supporting Military Healt at DOCS Health
Saint Peter, Minnesota, United States - Full Time
Skills Needed
General Dentistry, Endodontics, Oral Surgery, Mobile Equipment, Cpr Certification, Bls Certification, Computer Proficiency, Military Experience
Specialization
Candidates must have an active, unrestricted state dental license and CPR/BLS certification. Experience with mobile dental equipment and military experience are preferred.
Technical Operations Associate at Vida Health
, , United States - Full Time
Skills Needed
Data Operations, Analytics, Health Tech, Implementation, Sql, Excel, Google Sheets, Sftp, File Transfer, Healthcare Data, Claims, Pharmacy, Medical Billing, Github, Yaml, Collaboration
Specialization
Candidates should have a bachelor's degree in a related field and 1-3 years of experience in data operations or health tech. Advanced SQL skills and familiarity with healthcare data domains are strongly preferred.
Experience Required
Minimum 2 year(s)
Dental Assistants! Serve Those Who Serve: Join Our Mission in Military Heal at DOCS Health
Saint Peter, Minnesota, United States - Full Time
Skills Needed
Dental Assistant Certification, Radiology Certification, Cpr Certification, 4 Handed Dentistry, Digital Tools, Chair Side Assistance, Instrument Sterilization
Specialization
Active Dental Assistant certification and Radiology Certification in Alaska are required. Candidates should have skills in 4-handed dentistry and proficiency with digital tools, with a preference for prior military experience.
Dentist - Part Time at DOCS Health
Fort Carson, Colorado, United States - Full Time
Skills Needed
Comprehensive Dental Care, Patient Relationships, Advanced Technology, Digital Practice, Collaboration, Quality Care
Specialization
Candidates must have a DMD or DDS from an accredited U.S. program and an active state dental license. Additional requirements include CPR/BLS certification and the ability to pass background checks and obtain a Real ID for base access.
Certified Pharmacy Technician II at Cone Health
Greensboro, North Carolina, United States - Full Time
Skills Needed
Pharmacy Technician Certification, Inventory Maintenance, Customer Service, Process Improvement, Mentoring, Billing, Workflow Management, Transcribing Orders
Specialization
A high school diploma or equivalent is required, along with two years of experience. Candidates must have Pharmacy Technician certification and be registered with the NC Board of Pharmacy within 30 days of hire.
Experience Required
Minimum 2 year(s)
Assistant Director / Children's services at Bond Health
Brooklyn, NY 11209, USA - Full Time
Skills Needed
Interpersonal Skills, English, Communication Skills, It, Special Education, Wheelchairs, Disabilities
Qualification
Graduate
Experience Required
Minimum 4 year(s)
Los Angeles Regional Program Manager at HealthCorps
Los Angeles, California, USA - Full Time
Skills Needed
Interpersonal Skills, Los Angeles, Professional Network, Staff Training, Professional Development, Health Education, Canva, Youth Development, Health, Training
Qualification
Graduate
UX and Design Lead at MacroHealth
, , United States - Full Time
Skills Needed
Ux Design, Design Leadership, User Research, Design Systems, Healthcare Compliance, Ai Technologies, Prototyping Tools, Communication Skills, Project Management, Problem Solving, Collaboration, Design Thinking, Usability Testing, Data Analysis, Healthcare Technology, B2b Software
Specialization
Bachelor's degree in Design or related field and 5+ years of UX/UI design experience, including 2+ years in leadership roles. Proven track record in designing complex B2B software applications, preferably in healthcare.
Experience Required
Minimum 5 year(s)
Technical Assistant I - Anatomic Pathology at HonorHealth
Scottsdale, Arizona, United States - Full Time
Skills Needed
Anatomy, Physiology, Specimen Processing, Laboratory Procedures, Quality Control, Biohazard Handling, Chemical Handling, Customer Service, Inventory Management, Equipment Maintenance, Confidentiality, Communication, Teamwork, Attention To Detail, Time Management, Problem Solving
Specialization
A High School Diploma or GED is required, with preferred experience in Anatomic Pathology laboratory assistance. Candidates currently in school are not eligible for this position.
Clinical Research Nurse - Oncology at HonorHealth
Scottsdale, Arizona, United States - Full Time
Skills Needed
Clinical Research, Patient Care, Nursing Process, Critical Thinking, Collaboration, Patient Education, Data Integrity, Regulatory Compliance, Assessment Skills, Evidence Based Practice, Clinical Trials, Professional Development, Communication, Ethical Principles, Resource Utilization, Team Coordination
Specialization
Candidates must possess a BSN and have at least 10 months of clinical research or nursing experience. Basic Life Support certification and state licensure as a Registered Nurse are also required.
Pharmacy Technician Supervisor - Webster Pharmacy at UTMB Health
Webster, TX 77598, USA - Full Time
Skills Needed
Good Communication Skills
Qualification
Diploma
Certified Pharmacy Technician II at Cone Health
Greensboro, North Carolina, United States - Full Time
Skills Needed
Pharmacy Technician Certification, Inventory Maintenance, Customer Service, Process Improvement, Mentoring, Billing, Transcribing Orders, Workflow Management
Specialization
A High School Diploma or equivalent is required along with 2 years of experience. Candidates must have Pharmacy Technician certification and be registered with the NC Board of Pharmacy within 30 days of hire.
Experience Required
Minimum 2 year(s)
Patient Service Associate (PSA) - Duke Urgent Care Hillsborough at Duke Health
, , - Full Time
Skills Needed
Communication, Customer Service, Data Entry, Medical Terminology, Organization, Prioritization, Cash Handling, Appointment Scheduling
Specialization
A high school education is required, along with a minimum of one year of experience in patient service or a related field. Strong verbal and written communication skills, as well as basic PC and data entry skills, are essential.
Care Manager (Wilkes County, NC) at Vaya Health
North Wilkesboro, North Carolina, United States - Full Time
Skills Needed
Care Management, Assessment, Care Planning, Interdisciplinary Teamwork, Crisis Intervention, Medication Management, Health Risk Assessment, Community Engagement, Documentation, Problem Solving, Communication, Hipaa Compliance, Transitional Care Management, Collaboration, Resource Coordination, Member Advocacy
Specialization
A Bachelor's degree in a relevant field is required, along with two years of experience working directly with individuals with behavioral health conditions. Candidates must also meet North Carolina Qualified Professional criteria and may require additional experience depending on their educational background.
Experience Required
Minimum 2 year(s)
Certified Pharmacy Technician II at Cone Health
Greensboro, North Carolina, United States - Full Time
Skills Needed
Pharmacy Technician Certification, Inventory Maintenance, Customer Service, Process Improvement, Mentoring, Training, Billing, Workflow Management
Specialization
A high school diploma or equivalent is required along with two years of experience. Certification through PTCB or NHA is necessary prior to hire.
Experience Required
Minimum 2 year(s)
Physical Health Registered Nurse (Remote) at Vaya Health
, North Carolina, United States -
Full Time

Start Date

Immediate

Expiry Date

08 Jan, 26

Salary

0.0

Posted On

10 Oct, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Clinical Reviews, Medical Necessity, Service Authorization, Documentation, Communication, Technology Utilization, Discharge Planning, Inter-Rater Reliability, Problem-Solving, Decision-Making, Conflict Resolution, Critical Thinking, Mentoring, Coaching, Project Management, Healthcare Systems

Industry

Hospitals and Health Care

Description
LOCATION:  Remote – this a home based, virtual position that operates from Monday – Friday from 8:30am-5:00pm EST. Vaya Health welcomes applications from NC, SC, GA, TN, VA, MD, and FL. GENERAL STATEMENT OF JOB The  Physical Health Registered Nurse is responsible for completing clinical reviews for appropriateness, medical necessity, and quality. The Physical Health Registered Nurse applies standardized clinical review criteria to determine medical necessity for service authorization requests.   The Physical Health Registered Nurse refers service authorization requests to an appropriate physician peer reviewer when medical necessity criteria are not clearly met.   Reviews performed by the individual in this position may be pre-service, concurrent, or retrospective in nature.  This position is part of a team of nurses, physicians, psychologists, pharmacists and non-clinical associates who work closely to care for our members. The day to day operations of the Physical Health Utilization Management Department require coverage on weekends and holidays. The incumbent in this position will be required to participate in a rotation to ensure coverage every day including weekends and holidays. The amount of work on scheduled weekends and holidays will be subject to change. ESSENTIAL JOB FUNCTIONS Process requests for authorization of services: * Responsible for reviewing requests for authorization of services including inpatient hospital admissions, re-admissions, inpatient rehabilitation services, skilled nursing admissions, home care /home infusion services, outpatient and/or inpatient services as designated. * Documents timely decisions and actions taken within the managed care information system (MCIS).  * Meets contractual timelines for completion of review activities * Communicates and interacts with providers as well as internal and external partners to facilitate and coordinate the activities of the UM process. * Utilizes technology (computer-based systems) and resources to support work activities appropriately. * Communicates determinations to providers per established business process Supporting UM Functions: * Actively participates in all required staff meetings and complex case rounds * Perform discharge planning to achieve safe and timely enrollee discharges from hospitals and facilities * Successfully completes Inter-rater Reliability (IRR) training, exams, and testing with at least an 80% passing rate or above thresholds established by management * Follows all UM workflow processes All other duties as assigned in support of UM functions. KNOWLEDGE, SKILLS, & ABILITIES This position requires a high degree of autonomy, professional relationships and organizational skills. Applicants with thorough knowledge of the following are prioritized: * Primary care, behavioral health and healthcare system in NC; * Vaya Health Provider Network; * Medical practice workflows; * Vaya contracts with the NC Department of Heath and Human Services (NCDHHS) and other contracts for which Vaya is responsible; * Vaya organizational purpose/role per federal and state statute, strategic plan, leadership and departmental roles, relationships and scope; * Federal and state confidentiality requirements; * Member and staff health & safety requirements; * Corporate compliance requirements; * Vaya Policies and Procedures; * Project management principles. Additional required skills and abilities include but are not limited to the following: * Clear, concise and appropriate verbal, written and electronic communication; * Ability to present in large group settings; * Ability to adapt to rapid changes; * Effectively implement new initiatives; * Computer literacy and familiarity with Microsoft Office software as well as Vaya's Administrative Health Record and/or Care Management Platform, Vaya’s Member Services and UM Platform. * Strong conceptual skills, with knowledge and skill in problem-solving, decision-making, conflict resolutions, and critical thinking. * Ability to mentor, coach and facilitate change and innovation. * Ability to develop reporting mechanisms that will produce data needed to support and benchmark quality initiatives. PHYSICAL REQUIREMENTS * Close visual acuity to perform activities such as preparation and analysis of documents; viewing a computer terminal; and extensive reading.  * Physical activity in this position includes crouching, reaching, walking, talking, hearing and repetitive motion of hands, wrists and fingers.  * Sedentary work with lifting requirements up to 10 pounds, sitting for extended periods of time.  * Mental concentration is required in all aspects of work.     QUALIFICATIONS & EDUCATION REQUIREMENTS Associate Degree in Nursing required.  Bachelor’s Degree in Nursing preferred. * Five (5) years of clinical experience preferably across the continuum of care with at least two years of acute care experience.  * Experience performing utilization management functions in a managed care setting.  * Proficient at using software programs such as Microsoft Office tools. Licensure/Certification Required: Active and unrestricted RN Licensed in the State of North Carolina or Nurse Licensure Compact (NLC) license. RESIDENCY REQUIREMENTS:  The person in this position must live in NC, SC, GA, TN, VA, MD, or FL. SALARY: Depending on qualifications & experience of candidate. This position is exempt and is not eligible for overtime compensation.  DEADLINE FOR APPLICATION: Open Until Filled APPLY: Vaya Health accepts online applications in our Career Center, please visit https://www.vayahealth.com/about/careers/ [https://www.vayahealth.com/about/careers/]. Vaya Health is an equal opportunity employer.  
Responsibilities
The Physical Health Registered Nurse is responsible for completing clinical reviews for appropriateness, medical necessity, and quality. This includes processing requests for authorization of services and communicating determinations to providers.
Physical Health Registered Nurse (Remote) at Vaya Health
, North Carolina, United States - Full Time
Skills Needed
Clinical Reviews, Medical Necessity, Service Authorization, Documentation, Communication, Technology Utilization, Discharge Planning, Inter Rater Reliability, Problem Solving, Decision Making, Conflict Resolution, Critical Thinking, Mentoring, Coaching, Project Management, Healthcare Systems
Specialization
An Associate Degree in Nursing is required, with a preference for a Bachelor's Degree. Candidates should have five years of clinical experience, including two years of acute care experience and experience in utilization management.
Experience Required
Minimum 5 year(s)
Dental Treatment Coordinator - Full Time at DOCS Health
Campbell, Kentucky, United States - Full Time
Skills Needed
Organizational Skills, Communication Skills, Customer Service, Dental Software, Microsoft Office, Multi Line Phone System, Appointment Scheduling, Workflow Management
Specialization
Candidates should have a high school diploma and 1-2 years of administrative experience. Preferred qualifications include experience in a dental office and strong organizational and communication skills.
Orthodontic Dental Assistant - Part Time at DOCS Health
Fairfield, California, United States - Full Time
Skills Needed
Orthodontic Techniques, Impressions, Itero Scanning, Invisalign, Patient Rapport, Communication, Dental Software, Equipment Operation, Procedure Setup, Biohazard Disposal, Sterilization, Infection Control, Clerical Reporting, X Ray Certification, Cpr Certification, Danb Certification
Specialization
Candidates must have a current Dental Assistant License and a minimum of 2 years of orthodontic experience. Additional requirements include X-Ray Certification, CPR/BLS Certification, and a valid Driver's License.
Experience Required
Minimum 2 year(s)
Physician Assistant at DOCS Health
Walterboro, South Carolina, United States - Full Time
Skills Needed
Active Pa License, Cpr/Bls Certification, Primary Care Experience, Urgent Care Experience, Occupational Health Experience, Mobile Medical Services Experience, Knowledge Of Military Systems, Behavioral Health Awareness, Excellent Communication Skills, Basic Computer Skills, Adaptability, Ability To Travel, Weekend Availability, Extended Hours Capability, Interviewing Skills, Documentation Skills
Specialization
Candidates must have an active PA license in the state and CPR/BLS certification. Experience in primary care, urgent care, or occupational health is preferred, along with knowledge of military systems and protocols.
Experience Required
Minimum 2 year(s)
General Dentists, Endodontists, & Oral Surgeons – Supporting Military Healt at DOCS Health
Normanna Township, Minnesota, United States - Full Time
Skills Needed
General Dentistry, Endodontics, Oral Surgery, Mobile Equipment, Cpr Certification, Bls Certification, Computer Proficiency, Military Experience
Specialization
Candidates must have an active, unrestricted state dental license and CPR/BLS certification. Experience with mobile dental equipment and military experience are preferred.
General Dentists, Endodontists, & Oral Surgeons – Supporting Military Healt at DOCS Health
Saint Peter, Minnesota, United States - Full Time
Skills Needed
General Dentistry, Endodontics, Oral Surgery, Mobile Equipment, Cpr Certification, Bls Certification, Computer Proficiency, Military Experience
Specialization
Candidates must have an active, unrestricted state dental license and CPR/BLS certification. Experience with mobile dental equipment and military experience are preferred.
Technical Operations Associate at Vida Health
, , United States - Full Time
Skills Needed
Data Operations, Analytics, Health Tech, Implementation, Sql, Excel, Google Sheets, Sftp, File Transfer, Healthcare Data, Claims, Pharmacy, Medical Billing, Github, Yaml, Collaboration
Specialization
Candidates should have a bachelor's degree in a related field and 1-3 years of experience in data operations or health tech. Advanced SQL skills and familiarity with healthcare data domains are strongly preferred.
Experience Required
Minimum 2 year(s)
Dental Assistants! Serve Those Who Serve: Join Our Mission in Military Heal at DOCS Health
Saint Peter, Minnesota, United States - Full Time
Skills Needed
Dental Assistant Certification, Radiology Certification, Cpr Certification, 4 Handed Dentistry, Digital Tools, Chair Side Assistance, Instrument Sterilization
Specialization
Active Dental Assistant certification and Radiology Certification in Alaska are required. Candidates should have skills in 4-handed dentistry and proficiency with digital tools, with a preference for prior military experience.
Dentist - Part Time at DOCS Health
Fort Carson, Colorado, United States - Full Time
Skills Needed
Comprehensive Dental Care, Patient Relationships, Advanced Technology, Digital Practice, Collaboration, Quality Care
Specialization
Candidates must have a DMD or DDS from an accredited U.S. program and an active state dental license. Additional requirements include CPR/BLS certification and the ability to pass background checks and obtain a Real ID for base access.
Certified Pharmacy Technician II at Cone Health
Greensboro, North Carolina, United States - Full Time
Skills Needed
Pharmacy Technician Certification, Inventory Maintenance, Customer Service, Process Improvement, Mentoring, Billing, Workflow Management, Transcribing Orders
Specialization
A high school diploma or equivalent is required, along with two years of experience. Candidates must have Pharmacy Technician certification and be registered with the NC Board of Pharmacy within 30 days of hire.
Experience Required
Minimum 2 year(s)
Assistant Director / Children's services at Bond Health
Brooklyn, NY 11209, USA - Full Time
Skills Needed
Interpersonal Skills, English, Communication Skills, It, Special Education, Wheelchairs, Disabilities
Qualification
Graduate
Experience Required
Minimum 4 year(s)
Los Angeles Regional Program Manager at HealthCorps
Los Angeles, California, USA - Full Time
Skills Needed
Interpersonal Skills, Los Angeles, Professional Network, Staff Training, Professional Development, Health Education, Canva, Youth Development, Health, Training
Qualification
Graduate
UX and Design Lead at MacroHealth
, , United States - Full Time
Skills Needed
Ux Design, Design Leadership, User Research, Design Systems, Healthcare Compliance, Ai Technologies, Prototyping Tools, Communication Skills, Project Management, Problem Solving, Collaboration, Design Thinking, Usability Testing, Data Analysis, Healthcare Technology, B2b Software
Specialization
Bachelor's degree in Design or related field and 5+ years of UX/UI design experience, including 2+ years in leadership roles. Proven track record in designing complex B2B software applications, preferably in healthcare.
Experience Required
Minimum 5 year(s)
Technical Assistant I - Anatomic Pathology at HonorHealth
Scottsdale, Arizona, United States - Full Time
Skills Needed
Anatomy, Physiology, Specimen Processing, Laboratory Procedures, Quality Control, Biohazard Handling, Chemical Handling, Customer Service, Inventory Management, Equipment Maintenance, Confidentiality, Communication, Teamwork, Attention To Detail, Time Management, Problem Solving
Specialization
A High School Diploma or GED is required, with preferred experience in Anatomic Pathology laboratory assistance. Candidates currently in school are not eligible for this position.
Clinical Research Nurse - Oncology at HonorHealth
Scottsdale, Arizona, United States - Full Time
Skills Needed
Clinical Research, Patient Care, Nursing Process, Critical Thinking, Collaboration, Patient Education, Data Integrity, Regulatory Compliance, Assessment Skills, Evidence Based Practice, Clinical Trials, Professional Development, Communication, Ethical Principles, Resource Utilization, Team Coordination
Specialization
Candidates must possess a BSN and have at least 10 months of clinical research or nursing experience. Basic Life Support certification and state licensure as a Registered Nurse are also required.
Pharmacy Technician Supervisor - Webster Pharmacy at UTMB Health
Webster, TX 77598, USA - Full Time
Skills Needed
Good Communication Skills
Qualification
Diploma
Certified Pharmacy Technician II at Cone Health
Greensboro, North Carolina, United States - Full Time
Skills Needed
Pharmacy Technician Certification, Inventory Maintenance, Customer Service, Process Improvement, Mentoring, Billing, Transcribing Orders, Workflow Management
Specialization
A High School Diploma or equivalent is required along with 2 years of experience. Candidates must have Pharmacy Technician certification and be registered with the NC Board of Pharmacy within 30 days of hire.
Experience Required
Minimum 2 year(s)
Patient Service Associate (PSA) - Duke Urgent Care Hillsborough at Duke Health
, , - Full Time
Skills Needed
Communication, Customer Service, Data Entry, Medical Terminology, Organization, Prioritization, Cash Handling, Appointment Scheduling
Specialization
A high school education is required, along with a minimum of one year of experience in patient service or a related field. Strong verbal and written communication skills, as well as basic PC and data entry skills, are essential.
Care Manager (Wilkes County, NC) at Vaya Health
North Wilkesboro, North Carolina, United States - Full Time
Skills Needed
Care Management, Assessment, Care Planning, Interdisciplinary Teamwork, Crisis Intervention, Medication Management, Health Risk Assessment, Community Engagement, Documentation, Problem Solving, Communication, Hipaa Compliance, Transitional Care Management, Collaboration, Resource Coordination, Member Advocacy
Specialization
A Bachelor's degree in a relevant field is required, along with two years of experience working directly with individuals with behavioral health conditions. Candidates must also meet North Carolina Qualified Professional criteria and may require additional experience depending on their educational background.
Experience Required
Minimum 2 year(s)
Certified Pharmacy Technician II at Cone Health
Greensboro, North Carolina, United States - Full Time
Skills Needed
Pharmacy Technician Certification, Inventory Maintenance, Customer Service, Process Improvement, Mentoring, Training, Billing, Workflow Management
Specialization
A high school diploma or equivalent is required along with two years of experience. Certification through PTCB or NHA is necessary prior to hire.
Experience Required
Minimum 2 year(s)