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Supervisor, Clinical Review Nurse (Remote) at TurningPoint Healthcare
, , - Full Time
Skills Needed
Utilization Management, Prior Authorization, Clinical Supervision, Managed Care Strategies, Evidence Based Criteria, Surgical Utilization Review, Case Management, Leadership, Interdisciplinary Collaboration, Clinical Interpretation
Specialization
Requires an active RN license, an Associate's degree (BSN preferred), and five years of clinical experience. Must have at least three years of experience managing clinical and non-clinical staff.
Experience Required
Minimum 5 year(s)
Grants Writer at Neighborhood Healthcare
Riverside, California, United States - Full Time
Skills Needed
Grant Writing, Proposal Development, Donor Communications, Fundraising, Research, Project Management, Data Analysis, Inter Departmental Collaboration, Microsoft Office, Proofreading, Time Management, Budgeting
Specialization
A bachelor's degree in public health or a related field is required, with at least three years of grant writing experience. Proficiency in Microsoft applications and strong written communication skills are essential.
Experience Required
Minimum 2 year(s)
Laboratory Assistant at Neighborhood Healthcare
Escondido, California, United States - Full Time
Skills Needed
Phlebotomy, Blood Collection, Patient Care, Medical Charting, Verbal Communication, Written Communication, Organization, Time Management, Hipaa Compliance, Infection Control, Cpr, Emergency Response
Specialization
Candidates must have a high school diploma/GED and a CA Phlebotomy or Medical Assistant Certification. A current AHA-approved Basic Life Support (BLS) certification is required, and one year of phlebotomy experience is preferred.
Registered Nurse at HALLWAY HEALTHCARE INC.
Wilderville, Oregon, United States - Full Time
Skills Needed
Palliative Care, Iv Therapy, Diabetes Care, Alzheimer's And Dementia Care, Ostomy/Colostomy Care, Wound Care, Tracheostomy Care, Catheter Care, Medical Gases, Patient Assessment, Patient Education, Clinical Documentation, Infection Control, Hipaa Compliance, Time Management, Teamwork
Specialization
Candidates must be graduates of an accredited professional nursing school with a current Oregon RN License and BLS Certificate. Physical ability to lift 50 pounds and travel to various home environments is required.
Shift Supervisor at KPH Healthcare Services
City of Syracuse, New York, United States - Full Time
Skills Needed
Supervisory Leadership, Store Management, Customer Service, Opening And Closing Procedures, Crew Supervision, Conflict Resolution, Regulatory Compliance
Specialization
Requires a minimum of a High School Diploma or GED, with an Associate degree preferred. Previous experience of 2 or more years in a related position is preferred.
Experience Required
Minimum 2 year(s)
Personal Care Aide at HALLWAY HEALTHCARE INC.
Lathrop, California, United States - Full Time
Skills Needed
Patient Care, Vital Signs Monitoring, Emr Documentation, Activities Of Daily Living, Compassionate Care, Medical Terminology, Patient Assessment, Communication Skills, Interpersonal Skills, Teamwork, Cooking, Light Housekeeping
Specialization
Candidates must have at least 6 months of experience, be computer literate with EMR experience, and possess a valid driver's license. Ability to lift 50 pounds and transport patients to appointments is required.
Registered Nurse (RN) - Care Management at Arcturus Healthcare PLC
Troy, Michigan, United States - Full Time
Skills Needed
Nursing Care Methods, Communication, Interpersonal Skills, Problem Solving, Multi Tasking, Care Management, Medication Reconciliation, Chronic Condition Management
Specialization
Candidates must be a registered nurse with a valid license and proven experience in nursing care methods. Strong communication, organizational, and interpersonal skills are required to work effectively within a healthcare team.
Experience Required
Minimum 2 year(s)
Registered Nurse at HALLWAY HEALTHCARE INC.
Pleasanton, California, United States - Full Time
Skills Needed
Palliative Care, Iv Therapy, Diabetes Care, Alzheimer's And Dementia Care, Ostomy/Colostomy Care, Wound Care, Tracheostomy Care, Catheter Care, Medical Gases, Patient Assessment, Patient Education, Clinical Documentation, Hipaa Compliance, Infection Control, Time Management, Teamwork
Specialization
Candidates must be graduates of an accredited professional nursing school with a current California RN/LVN license. A current BLS certification is also required.
Phlebotomist at MYMD Healthcare Pvt Ltd
Shimurali, west bengal, India - Full Time
Skills Needed
Phlebotomy, Venipuncture, Skin Puncture, Patient Identification, Sample Labeling, Medical Equipment Handling, Computer Literacy, Communication Skills, Attention To Detail, Patience, Presence Of Mind, Blood Transfusion Assistance
Specialization
Candidates must hold a diploma in phlebotomy or have extensive on-the-job training, with DMLT or BMLT qualifications preferred. Strong communication skills, attention to detail, and the ability to work with diverse patient groups are essential.
Dietary Services Director at Madison Park Healthcare
Huntington, West Virginia, United States - Full Time
Skills Needed
Menu Development, Staff Management, Inventory Management, Food Safety, Sanitation Standards, Nutritional Planning, Leadership, Interpersonal Communication, Regulatory Compliance, Budgeting
Specialization
Candidates must be a Registered Dietician, Diet Technician, or previous Dietary Director with a Certified Dietary Manager (CDM) certification. A minimum of three years of related experience and one to two years of supervisory experience are required.
Experience Required
Minimum 2 year(s)
Senior Paralegal & Compliance Specialist at ClearBalance HealthCare
Franklin, Tennessee, United States - Full Time
Skills Needed
Consumer Compliance, Bankruptcy Management, Contract Review, Regulatory Filings, Complaint Resolution, Legal Operations, Corporate Governance, Subpoena Processing, Lender Licensing, Risk Assessment, Written Communication, Legal Triage
Specialization
Requires 3-7+ years of experience in a paralegal or compliance role within a regulated industry such as fintech, banking, or healthcare. A paralegal certification is preferred, along with strong skills in interpreting legal documents and drafting compliant correspondence.
Experience Required
Minimum 5 year(s)
Plant Operations Director at Madison Park Healthcare
Huntington, West Virginia, United States - Full Time
Skills Needed
Facility Maintenance, Operational Policy Development, Quality Control, Safety Compliance, Team Leadership, Vendor Management, Equipment Operation, Waste Reduction, Productivity Improvement, Customer Service
Specialization
Candidates must have a high school diploma or equivalent and at least three years of related experience, including one to two years in a supervisory role. Physical ability to lift 75 pounds and operate various maintenance equipment is required.
Experience Required
Minimum 2 year(s)
Information Security Analyst at TurningPoint Healthcare
Lake Mary, Florida, United States - Full Time
Skills Needed
Vulnerability Assessment, Incident Response, Log Analysis, Threat Hunting, Security Policy Development, Hitrust Compliance, Risk Assessment, Network Security, Cloud Security, Scripting, Siem, Endpoint Detection And Response
Specialization
Candidates need at least one year of IT experience with a strong understanding of operating systems and network concepts. Proficiency in basic scripting and the ability to communicate technical concepts to non-technical stakeholders are required.
Personal Care Aide at HALLWAY HEALTHCARE INC.
Winnemucca, Nevada, United States - Full Time
Skills Needed
Patient Care, Vital Signs Monitoring, Emr Documentation, Compassionate Care, Medical Terminology, Patient Assessment, Interpersonal Communication, Teamwork, Patient Mobility And Transfers, Basic Healthcare Procedures
Specialization
Candidates must have at least 6 months of experience, be computer literate with EMR knowledge, and possess a valid driver's license. Ability to lift 50 pounds and perform cooking and cleaning duties is required.
Director, Workforce Management (REMOTE) at TurningPoint Healthcare
Lake Mary, Florida, United States - Full Time
Skills Needed
Workforce Management, Demand Forecasting, Capacity Planning, Staffing Models, Real Time Management, Data Analytics, Strategic Planning, Operational Efficiency, Case Assignment Tools, Kpi Tracking, Cross Functional Collaboration, Wfm Software Implementation
Specialization
Requires 8-12+ years of experience in workforce management or operations planning, preferably within healthcare or contact center environments. A bachelor's degree is required, with a preference for an advanced degree and expertise in WFM systems like NICE or Verint.
Experience Required
Minimum 10 year(s)
Personal Care Aide at HALLWAY HEALTHCARE INC.
Los Angeles, California, United States - Full Time
Skills Needed
Patient Care, Vital Signs Monitoring, Emr Documentation, Activities Of Daily Living, Compassionate Care, Medical Terminology, Patient Assessment, Interpersonal Communication, Teamwork, Home Care Services, Patient Transport, Light Housekeeping
Specialization
Requires at least 6 months of experience, computer literacy with EMR knowledge, and a valid driver's license. Candidates must be able to lift 50 pounds and perform light housekeeping and cooking duties.
Store Clerk at KPH Healthcare Services
Village of Chittenango, New York, United States - Full Time
Skills Needed
Pos Register, Cash Handling, Customer Service, Inventory Management, Merchandising, Housekeeping, Phone Etiquette, Loss Prevention
Specialization
Candidates should have 0-1 years of related experience and must be available and on-time for scheduled shifts. Employment is subject to a drug test and continuous exclusion/sanction monitoring.
Pharmacy Clerk at KPH Healthcare Services
Barre, Vermont, United States - Full Time
Skills Needed
Prescription Triaging, Patient Information Verification, Cashiering, Customer Service, Pharmacy Operations, Confidentiality, Regulatory Compliance, Housekeeping
Specialization
Requires a minimum of a high school diploma or GED, with an associate degree preferred. Vermont employees must be registered as a Pharmacy Technician.
Pharmacy Clerk at KPH Healthcare Services
Village of Chittenango, New York, United States - Full Time
Skills Needed
Triage, Cashiering, Customer Service, Patient Information Verification, Prescription Delivery, Housekeeping, Confidentiality, Regulatory Compliance
Specialization
Requires a minimum of a high school diploma or GED, with an associate degree preferred. Candidates must be able to pass a drug test and maintain current state and federal employment requirements.
Store Clerk at KPH Healthcare Services
City of Watertown, New York, United States - Full Time
Skills Needed
Pos Register, Cash Handling, Customer Service, Inventory Management, Merchandising, Housekeeping, Phone Etiquette, Loss Prevention
Specialization
Candidates should have 0-1 years of related experience and must be available and on-time for scheduled shifts. Employment is subject to a drug test and continuous exclusion/sanction monitoring.
Supervisor, Clinical Review Nurse (Remote) at TurningPoint Healthcare
, , -
Full Time

Start Date

Immediate

Expiry Date

10 Aug, 26

Salary

0.0

Posted On

12 May, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Utilization Management, Prior Authorization, Clinical Supervision, Managed Care Strategies, Evidence-Based Criteria, Surgical Utilization Review, Case Management, Leadership, Interdisciplinary Collaboration, Clinical Interpretation

Industry

Hospitals and Health Care

Description
Job Description TurningPoint is an innovative healthcare services and technology organization that is committed to working with Health Plans and Providers to develop advanced technical and clinical solutions that improve the quality and affordability of surgical care patients receive. We are seeking a highly motivated and results orientated Nurse Supervisor to join our fast-paced and rapidly growing company. Primary Responsibilities This position is responsible for Utilization Management (UM) activities, including but not limited to the supervision of UM and Prior Authorization clinical team processes. This individual develops, implements, supports and promotes managed care strategies, policies and programs that drive the delivery of quality healthcare. * Providing leadership and demonstrating responsibility and accountability for the delivery of quality services to a team of clinical staff * Reviewing pre-authorization requests for appropriateness of care within established evidence-based criteria sets * Interacting with other TurningPoint personnel to assure quality customer service is provided. * Acting as an internal resource by answering questions requiring clinical interpretation * Identifying high cost utilization and making appropriate referral * Assisting the Director of Utilization Management in developing guidelines and procedures for the department Skills, Education & Experience Requirements * An active and unrestricted Registered Nurse (RN) * Associate’s Degree is required. Bachelor of Science in Nursing (BSN) Degree is preferred * Five (5) years of clinical experience; or any combination of education and experience, which would provide an equivalent background * Experience in surgical utilization review, pain management, case management, or health insurance pre-authorization and/or utilization management * Minimum of 3 years experience Supervising and Managing a team of clinical and non-clinical staff members * Ability to function effectively in an interdisciplinary team that includes physicians, nurses, other healthcare personnel and administrative staff * Ability to work independently with minimal supervision * Ability to organize, prioritize and complete work in a timely manner despite many deadlines and competing priorities Benefits TurningPoint offers a number of benefits to full-time employees including, but not limited to: medical, dental, vision, disability, life, PTO. All employees, age 21 and over, are eligible to participate in the 401(k)-retirement savings plan. Job Type: Full-time  
Responsibilities
Supervise the Utilization Management and Prior Authorization clinical teams to ensure quality healthcare delivery. Review pre-authorization requests and develop departmental guidelines and procedures.
Supervisor, Clinical Review Nurse (Remote) at TurningPoint Healthcare
, , - Full Time
Skills Needed
Utilization Management, Prior Authorization, Clinical Supervision, Managed Care Strategies, Evidence Based Criteria, Surgical Utilization Review, Case Management, Leadership, Interdisciplinary Collaboration, Clinical Interpretation
Specialization
Requires an active RN license, an Associate's degree (BSN preferred), and five years of clinical experience. Must have at least three years of experience managing clinical and non-clinical staff.
Experience Required
Minimum 5 year(s)
Grants Writer at Neighborhood Healthcare
Riverside, California, United States - Full Time
Skills Needed
Grant Writing, Proposal Development, Donor Communications, Fundraising, Research, Project Management, Data Analysis, Inter Departmental Collaboration, Microsoft Office, Proofreading, Time Management, Budgeting
Specialization
A bachelor's degree in public health or a related field is required, with at least three years of grant writing experience. Proficiency in Microsoft applications and strong written communication skills are essential.
Experience Required
Minimum 2 year(s)
Laboratory Assistant at Neighborhood Healthcare
Escondido, California, United States - Full Time
Skills Needed
Phlebotomy, Blood Collection, Patient Care, Medical Charting, Verbal Communication, Written Communication, Organization, Time Management, Hipaa Compliance, Infection Control, Cpr, Emergency Response
Specialization
Candidates must have a high school diploma/GED and a CA Phlebotomy or Medical Assistant Certification. A current AHA-approved Basic Life Support (BLS) certification is required, and one year of phlebotomy experience is preferred.
Registered Nurse at HALLWAY HEALTHCARE INC.
Wilderville, Oregon, United States - Full Time
Skills Needed
Palliative Care, Iv Therapy, Diabetes Care, Alzheimer's And Dementia Care, Ostomy/Colostomy Care, Wound Care, Tracheostomy Care, Catheter Care, Medical Gases, Patient Assessment, Patient Education, Clinical Documentation, Infection Control, Hipaa Compliance, Time Management, Teamwork
Specialization
Candidates must be graduates of an accredited professional nursing school with a current Oregon RN License and BLS Certificate. Physical ability to lift 50 pounds and travel to various home environments is required.
Shift Supervisor at KPH Healthcare Services
City of Syracuse, New York, United States - Full Time
Skills Needed
Supervisory Leadership, Store Management, Customer Service, Opening And Closing Procedures, Crew Supervision, Conflict Resolution, Regulatory Compliance
Specialization
Requires a minimum of a High School Diploma or GED, with an Associate degree preferred. Previous experience of 2 or more years in a related position is preferred.
Experience Required
Minimum 2 year(s)
Personal Care Aide at HALLWAY HEALTHCARE INC.
Lathrop, California, United States - Full Time
Skills Needed
Patient Care, Vital Signs Monitoring, Emr Documentation, Activities Of Daily Living, Compassionate Care, Medical Terminology, Patient Assessment, Communication Skills, Interpersonal Skills, Teamwork, Cooking, Light Housekeeping
Specialization
Candidates must have at least 6 months of experience, be computer literate with EMR experience, and possess a valid driver's license. Ability to lift 50 pounds and transport patients to appointments is required.
Registered Nurse (RN) - Care Management at Arcturus Healthcare PLC
Troy, Michigan, United States - Full Time
Skills Needed
Nursing Care Methods, Communication, Interpersonal Skills, Problem Solving, Multi Tasking, Care Management, Medication Reconciliation, Chronic Condition Management
Specialization
Candidates must be a registered nurse with a valid license and proven experience in nursing care methods. Strong communication, organizational, and interpersonal skills are required to work effectively within a healthcare team.
Experience Required
Minimum 2 year(s)
Registered Nurse at HALLWAY HEALTHCARE INC.
Pleasanton, California, United States - Full Time
Skills Needed
Palliative Care, Iv Therapy, Diabetes Care, Alzheimer's And Dementia Care, Ostomy/Colostomy Care, Wound Care, Tracheostomy Care, Catheter Care, Medical Gases, Patient Assessment, Patient Education, Clinical Documentation, Hipaa Compliance, Infection Control, Time Management, Teamwork
Specialization
Candidates must be graduates of an accredited professional nursing school with a current California RN/LVN license. A current BLS certification is also required.
Phlebotomist at MYMD Healthcare Pvt Ltd
Shimurali, west bengal, India - Full Time
Skills Needed
Phlebotomy, Venipuncture, Skin Puncture, Patient Identification, Sample Labeling, Medical Equipment Handling, Computer Literacy, Communication Skills, Attention To Detail, Patience, Presence Of Mind, Blood Transfusion Assistance
Specialization
Candidates must hold a diploma in phlebotomy or have extensive on-the-job training, with DMLT or BMLT qualifications preferred. Strong communication skills, attention to detail, and the ability to work with diverse patient groups are essential.
Dietary Services Director at Madison Park Healthcare
Huntington, West Virginia, United States - Full Time
Skills Needed
Menu Development, Staff Management, Inventory Management, Food Safety, Sanitation Standards, Nutritional Planning, Leadership, Interpersonal Communication, Regulatory Compliance, Budgeting
Specialization
Candidates must be a Registered Dietician, Diet Technician, or previous Dietary Director with a Certified Dietary Manager (CDM) certification. A minimum of three years of related experience and one to two years of supervisory experience are required.
Experience Required
Minimum 2 year(s)
Senior Paralegal & Compliance Specialist at ClearBalance HealthCare
Franklin, Tennessee, United States - Full Time
Skills Needed
Consumer Compliance, Bankruptcy Management, Contract Review, Regulatory Filings, Complaint Resolution, Legal Operations, Corporate Governance, Subpoena Processing, Lender Licensing, Risk Assessment, Written Communication, Legal Triage
Specialization
Requires 3-7+ years of experience in a paralegal or compliance role within a regulated industry such as fintech, banking, or healthcare. A paralegal certification is preferred, along with strong skills in interpreting legal documents and drafting compliant correspondence.
Experience Required
Minimum 5 year(s)
Plant Operations Director at Madison Park Healthcare
Huntington, West Virginia, United States - Full Time
Skills Needed
Facility Maintenance, Operational Policy Development, Quality Control, Safety Compliance, Team Leadership, Vendor Management, Equipment Operation, Waste Reduction, Productivity Improvement, Customer Service
Specialization
Candidates must have a high school diploma or equivalent and at least three years of related experience, including one to two years in a supervisory role. Physical ability to lift 75 pounds and operate various maintenance equipment is required.
Experience Required
Minimum 2 year(s)
Information Security Analyst at TurningPoint Healthcare
Lake Mary, Florida, United States - Full Time
Skills Needed
Vulnerability Assessment, Incident Response, Log Analysis, Threat Hunting, Security Policy Development, Hitrust Compliance, Risk Assessment, Network Security, Cloud Security, Scripting, Siem, Endpoint Detection And Response
Specialization
Candidates need at least one year of IT experience with a strong understanding of operating systems and network concepts. Proficiency in basic scripting and the ability to communicate technical concepts to non-technical stakeholders are required.
Personal Care Aide at HALLWAY HEALTHCARE INC.
Winnemucca, Nevada, United States - Full Time
Skills Needed
Patient Care, Vital Signs Monitoring, Emr Documentation, Compassionate Care, Medical Terminology, Patient Assessment, Interpersonal Communication, Teamwork, Patient Mobility And Transfers, Basic Healthcare Procedures
Specialization
Candidates must have at least 6 months of experience, be computer literate with EMR knowledge, and possess a valid driver's license. Ability to lift 50 pounds and perform cooking and cleaning duties is required.
Director, Workforce Management (REMOTE) at TurningPoint Healthcare
Lake Mary, Florida, United States - Full Time
Skills Needed
Workforce Management, Demand Forecasting, Capacity Planning, Staffing Models, Real Time Management, Data Analytics, Strategic Planning, Operational Efficiency, Case Assignment Tools, Kpi Tracking, Cross Functional Collaboration, Wfm Software Implementation
Specialization
Requires 8-12+ years of experience in workforce management or operations planning, preferably within healthcare or contact center environments. A bachelor's degree is required, with a preference for an advanced degree and expertise in WFM systems like NICE or Verint.
Experience Required
Minimum 10 year(s)
Personal Care Aide at HALLWAY HEALTHCARE INC.
Los Angeles, California, United States - Full Time
Skills Needed
Patient Care, Vital Signs Monitoring, Emr Documentation, Activities Of Daily Living, Compassionate Care, Medical Terminology, Patient Assessment, Interpersonal Communication, Teamwork, Home Care Services, Patient Transport, Light Housekeeping
Specialization
Requires at least 6 months of experience, computer literacy with EMR knowledge, and a valid driver's license. Candidates must be able to lift 50 pounds and perform light housekeeping and cooking duties.
Store Clerk at KPH Healthcare Services
Village of Chittenango, New York, United States - Full Time
Skills Needed
Pos Register, Cash Handling, Customer Service, Inventory Management, Merchandising, Housekeeping, Phone Etiquette, Loss Prevention
Specialization
Candidates should have 0-1 years of related experience and must be available and on-time for scheduled shifts. Employment is subject to a drug test and continuous exclusion/sanction monitoring.
Pharmacy Clerk at KPH Healthcare Services
Barre, Vermont, United States - Full Time
Skills Needed
Prescription Triaging, Patient Information Verification, Cashiering, Customer Service, Pharmacy Operations, Confidentiality, Regulatory Compliance, Housekeeping
Specialization
Requires a minimum of a high school diploma or GED, with an associate degree preferred. Vermont employees must be registered as a Pharmacy Technician.
Pharmacy Clerk at KPH Healthcare Services
Village of Chittenango, New York, United States - Full Time
Skills Needed
Triage, Cashiering, Customer Service, Patient Information Verification, Prescription Delivery, Housekeeping, Confidentiality, Regulatory Compliance
Specialization
Requires a minimum of a high school diploma or GED, with an associate degree preferred. Candidates must be able to pass a drug test and maintain current state and federal employment requirements.
Store Clerk at KPH Healthcare Services
City of Watertown, New York, United States - Full Time
Skills Needed
Pos Register, Cash Handling, Customer Service, Inventory Management, Merchandising, Housekeeping, Phone Etiquette, Loss Prevention
Specialization
Candidates should have 0-1 years of related experience and must be available and on-time for scheduled shifts. Employment is subject to a drug test and continuous exclusion/sanction monitoring.