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Inpatient Review Nurse at Health Plan of San Mateo
, California, United States - Full Time
Skills Needed
Clinical Guidelines, Communication Skills, Customer Service, Problem Solving, Decision Making, Case Management Principles, Managed Care Processes, Healthcare Regulations, Community Resources, Microsoft Office Suite, Teamwork, Adaptability, Documentation, Care Coordination, Utilization Management, Discharge Planning
Specialization
Candidates should have an associate or bachelor's degree in nursing and at least two years of clinical nursing experience. Advanced knowledge of case management and managed care processes is essential, along with strong communication and problem-solving skills.
Experience Required
Minimum 2 year(s)
Urogynecology - South Bay at Southern California Permanente Medical Group
Los Angeles, California, United States - Full Time
Skills Needed
Urogynecology, Patient Care, Leadership, Clinical Operations, Research, Academics, Community Involvement, Team Collaboration
Specialization
Candidates must be Board Certified or Board Eligible in Urogynecology. The position is suitable for those looking to transition into a partnership role after a specified period of employment.
Juice Barista Part Time - 8219 at Acosta Sales Marketing
, , - Full Time
Skills Needed
Juice Preparation, Customer Service, Specialty Products
Solution Architect EU at Jobgether
, , Belgium - Full Time
Skills Needed
Solution Architecture, Ai Solutions, System Integration, Python, Rest Apis, Erp Systems, Data Structures, Stakeholder Management, Project Governance, Collaboration, Technical Authority, Emerging Technologies, Business Needs Translation, Compliance, Automation, Gen Ai
Specialization
Proven experience as a Solution Architect or Enterprise Architect within a SaaS or enterprise software context is required. Strong domain knowledge in finance processes and expertise in system integration and architecture are essential.
Experience Required
Minimum 5 year(s)
Staff Pharmacist Lead (Chesterfield) at Blink Health
Chesterfield, Missouri, United States - Full Time
Skills Needed
Leadership, Coaching, Communication, Technical Aptitude, Organizational Skills, Data Analysis, Problem Solving, Attention To Detail
Specialization
Candidates must have a degree from an accredited College of Pharmacy and an active Missouri Pharmacist License. A minimum of 5 years of relevant experience, including team management, is required.
Experience Required
Minimum 5 year(s)
Responsabile di Manutenzione Elettrica e Meccanica at RadiciGroup
Medolago, Lombardy, Italy - Full Time
Skills Needed
Maintenance Management, Team Coordination, Safety Compliance, Technical Documentation, Statistical Analysis, Continuous Improvement, Training And Development, Resource Planning, Preventive Maintenance, Problem Solving, Equipment Installation, Organizational Skills, Communication Skills, Project Management, Process Optimization
Specialization
Candidates should possess a diploma or degree in electronics or mechanics and have at least 5 years of experience in manufacturing, with a minimum of 2 years in a similar role. Strong experience in managing operational teams is also required.
Experience Required
Minimum 5 year(s)
Special Needs Companion *Paid Training* at BAYADA Home Health Care
Kapaa, Hawaii, United States - Full Time
Skills Needed
Compassion, Empathy, Patience, Independence Support, Community Engagement, Goal Achievement, Safety Awareness, Relationship Building
Specialization
Candidates must have a high school diploma or equivalent and be at least 18 years old. A passion for helping individuals with disabilities and qualities such as patience and empathy are essential.
Radiation Therapist at Stanford Health Care
Stanford, California, United States - Full Time
Skills Needed
Radiation Therapy, Patient Care, Clinical Reasoning, Safety Protocols, Quality Control, Patient Education, Team Collaboration, Equipment Operation, Documentation, Billing Procedures, Coaching, Mentoring, Communication, Anatomy Knowledge, Treatment Planning, Process Improvement
Specialization
Candidates must possess knowledge of modern radiation therapy equipment and safety principles. They should also demonstrate strong clinical reasoning and the ability to lead and mentor others.
Experience Required
Minimum 2 year(s)
Especialista de Producto Motors - Marketplace at Mercado Libre
Kavala, Macedonia and Thrace, Greece - Full Time
Skills Needed
Product Management, Product Owner, Agile Methodologies, Data Analysis, Sql, Looker, Tableau, User Experience, Multidisciplinary Collaboration, Automotive Industry, Marketplace, B2b2c, Innovation, Kpi Monitoring, Problem Solving, Communication
Specialization
Candidates should have 3 to 5 years of experience in Product Management or similar roles, preferably in technology companies. Experience with agile methodologies, data-driven decision-making, and SQL is essential, along with a background in the automotive or marketplace industries being valued.
Experience Required
Minimum 2 year(s)
$26/hr to start + BONUS - Oklahoma City Costco great sales rep needed!! at Direct Demo LLC
Oklahoma City, Oklahoma, United States - Full Time
Skills Needed
Sales, Customer Service, Communication, Direct Sales, Self Starter, Goal Oriented, Teamwork, Product Demonstration
Specialization
Candidates should have an outgoing personality and strong verbal communication skills. Experience in direct sales and basic computer skills are also required.
Senior R2R Process Expert at METRO/MAKRO
Szczecin, West Pomeranian Voivodeship, Poland - Full Time
Skills Needed
Sap, R2r Process, General Ledger, Fixed Assets, Taxes, Communication Skills, Coordination Skills, Presentation Skills, Analytical Skills, Excel, Team Orientation, Initiative, Learning, Growth, English
Specialization
Candidates should have a graduation in economics or equivalent education and at least 3 years of experience in SAP in an R2R process. Strong communication, coordination, and analytical skills are essential, along with a willingness to learn and travel.
Experience Required
Minimum 2 year(s)
Campaign Manager at ParentSquare
, , United States - Full Time
Skills Needed
Campaign Management, Project Management, Cross Functional Collaboration, Saas Marketing, B2b Marketing, Edtech Marketing, Data Analysis, Communication Skills, Creative Problem Solving, Marketing Trends, Brand Consistency, Digital Marketing, Email Marketing, Social Media Marketing, Demand Generation, Content Development
Specialization
Candidates should have 5+ years of experience in marketing with a focus on integrated campaign management. Strong project management skills and the ability to analyze campaign results are essential.
Experience Required
Minimum 5 year(s)
Account Sales Manager at Red Bull
Machesney Park, Illinois, United States - Full Time
Skills Needed
Sales, Account Management, Customer Service, Inventory Management, Product Display, Relationship Building, Market Analysis, Brand Management, Team Collaboration, Problem Solving, Communication, Merchandising, Safety Standards, Product Knowledge, Upselling, Executional Standards
Specialization
Candidates must have a valid US Driver’s License and be at least 21 years old. Experience in sales and account management is preferred, along with the ability to lift and transport inventory.
Experience Required
Minimum 2 year(s)
Senior Software Engineer - Core Applications (Life Asia) at Unison Group
Hyderabad, Telangana, India - Full Time
Skills Needed
Technical Delivery, Policy Admin System, Insurance Industry Knowledge, Life Policy Admin Features, Application Integration, Omnichannel Integration, Agile Methodology, Cross Functional Collaboration, Process Automation, Environment Management, Release Management, Code Versioning, Deployment Methodologies, Middleware Experience, Communication Skills, Analytical Skills, Solution Oriented Mindset
Specialization
Candidates should have 5-7 years of experience in the Insurance/Financial Industry, with a minimum of 5 years supporting Core Policy Admin systems, particularly Life Asia/Life400. A Bachelor's Degree in Computer Science or related fields is required, along with preferred certifications in Agile and Cloud.
Experience Required
Minimum 5 year(s)
Advanced CNC Mill Machinist at Jergens, Inc.
Cleveland, Ohio, United States - Full Time
Skills Needed
Cnc Setup, Cnc Operating, Quality Inspection, Troubleshooting, Tooling, Mathematics, Communication, Interpersonal Skills, Analytical Skills, Problem Solving, Time Management, Attention To Detail, Machining, Equipment Maintenance, Technical Drawing Interpretation, Gauging
Specialization
A high school education is required along with 3-5 years of CNC setup and operating experience. Candidates must possess excellent communication skills and be proficient in using various measuring tools.
Experience Required
Minimum 2 year(s)
Product Demonstrator Part Time - 4946 at Acosta Sales Marketing
, , - Full Time
Skills Needed
Product Knowledge, Food Demonstration, Customer Interaction, Professional Appearance, Equipment Handling
Specialization
The role requires knowledge of the products represented and the ability to demonstrate them to consumers. A professional demeanor is essential for intercepting and engaging with customers.
Safety & Security - Security Supervisor at Radisson Hotel Group
Manama, Capital Governorate, Bahrain - Full Time
Skills Needed
Leadership, Communication, Emergency Procedures, First Aid, Crisis Management, Organizational Skills, Attention To Detail
Specialization
Previous experience in hotel or corporate security with supervisory exposure is required. Strong leadership, communication skills, and the ability to act quickly under pressure are essential.
Experience Required
Minimum 2 year(s)
Associate Dentist (Part Time-Fridays Only) at Clear Lakes Dental
Robbinsdale, Minnesota, United States - Full Time
Skills Needed
Diagnose Oral Diseases, Develop Treatment Plans, Perform Dental Procedures, Promote Preventive Care, Interpret Diagnostic Tools, Ensure Safe Use Of Anesthetics
Specialization
Candidates must have a DDS or DMD degree from an accredited program and an active dental license or eligibility to obtain one. A commitment to high-quality, patient-first care is essential.
Architecte technique Réseau et Sécurité H/F at RTE
Puteaux, Ile-of-France, France - Full Time
Skills Needed
Network Architecture, Security Architecture, Lan, Routing, Wi Fi, Data Center, Wan, Vpn, Load Balancers, Firewalls, Proxy, Cybersecurity, Linux, Windows, Project Management, Technical Documentation
Specialization
Candidates should have significant expertise in network and security technologies, with at least 10 years of experience in network architecture and IT systems. A master's degree or equivalent is required, along with strong communication skills in French and English.
Experience Required
Minimum 10 year(s)
Recruiter, Talent Acquisition at PIMCO
Newport Beach, California, United States - Full Time
Skills Needed
Full Cycle Recruiting, Talent Acquisition, Client Relationship Management, Sourcing Strategies, Candidate Assessment, Interviewing Skills, Organizational Skills, Communication Skills, Interpersonal Skills, Collaboration, Negotiation, Market Intelligence, Teamwork, Adaptability, Hr Collaboration, Campus Recruiting
Specialization
Candidates should have 5+ years of full cycle recruiting experience, preferably in the financial services industry, with strong sourcing and assessment skills. Excellent client relationship management and communication skills are essential.
Experience Required
Minimum 5 year(s)
Inpatient Review Nurse at Health Plan of San Mateo
, California, United States -
Full Time

Start Date

Immediate

Expiry Date

02 Jan, 26

Salary

0.0

Posted On

05 Oct, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Clinical Guidelines, Communication Skills, Customer Service, Problem-Solving, Decision-Making, Case Management Principles, Managed Care Processes, Healthcare Regulations, Community Resources, Microsoft Office Suite, Teamwork, Adaptability, Documentation, Care Coordination, Utilization Management, Discharge Planning

Industry

Hospitals and Health Care

Description
General Description HPSM seeks an Inpatient Review Nurse to ensure that initial and concurrent reviews for all inpatient admissions are completed within specified timeframes using evidence-based criteria to determine medical appropriateness and support the appropriate level of care. This role also involves coordinating clinical needs across the continuum of care by establishing communication and collaboration with physicians, healthcare providers, and community resources. Qualifications The following represents the typical way to achieve the necessary skills, knowledge and ability to qualify for this position: Education and Experience Associate or bachelor’s degree in nursing. Two (2) years clinical nursing experience. Skills Advanced application of clinical guidelines (e.g., Milliman, InterQual). Advanced verbal and written communication skills. Intermediate customer service delivery skills. Advanced independent problem-solving and decision-making skills. Knowledge Advanced knowledge of case management principles. Advanced knowledge of managed care processes. Intermediate knowledge of federal, state, local, and regulatory healthcare requirements. Intermediate knowledge of community resources and support systems. Intermediate knowledge of personal computer operations and Microsoft Office Suite. Abilities Advanced ability to work cooperatively with others. Advanced ability to work as part of a team and support team decisions. Advanced ability to adapt to changing priorities and requirements. Advanced ability to work independently with minimal supervision. Intermediate ability to provide excellent customer service. Advanced ability to communicate clearly and effectively in both verbal and written forms. Licensure/Certifications Valid California license as a Registered Nurse or Licensed Vocational Nurse. Certification as a Certified Case Manager (CCM) preferred. Driving Not applicable. Duties & Responsibilities Essential Functions Utilization Management Perform proactive management of acutely and chronically ill members to improve quality outcomes and reduce utilization costs. Provide utilization management, including transfer coordination, discharge planning, and issuing authorizations for covered services. Reconcile daily hospital census reports and face sheets against authorizations to ensure accuracy and appropriate tracking of inpatient admissions. Care Coordination From the day of admission, collaborate with facility partners to evaluate and provide feedback to admitting physicians and discharge planners on anticipated discharge plans and service coordination. Coordinate an interdisciplinary approach to support continuity of care across settings. Collaborate with the Care Transitions Unit to support safe and timely transitions from inpatient to post-acute care settings. Identify and assess members early for potential inclusion in a comprehensive case management program. Refer eligible members to Case Management for further assessment and long-term care coordination support. Complete all required documentation and member follow-up calls within specified systems and timeframes to ensure regulatory compliance and continuity of care. Secondary Functions Maintain a valid California Registered Nurse or Licensed Vocational Nurse license. Support other departmental goals or projects related to utilization management and care coordination as needed. Perform other duties as assigned. Pay rate is dependent on experience and licensure (RN, LVN).
Responsibilities
The Inpatient Review Nurse is responsible for ensuring timely initial and concurrent reviews for inpatient admissions and coordinating clinical needs across the continuum of care. This includes collaborating with healthcare providers and community resources to support appropriate levels of care.
Inpatient Review Nurse at Health Plan of San Mateo
, California, United States - Full Time
Skills Needed
Clinical Guidelines, Communication Skills, Customer Service, Problem Solving, Decision Making, Case Management Principles, Managed Care Processes, Healthcare Regulations, Community Resources, Microsoft Office Suite, Teamwork, Adaptability, Documentation, Care Coordination, Utilization Management, Discharge Planning
Specialization
Candidates should have an associate or bachelor's degree in nursing and at least two years of clinical nursing experience. Advanced knowledge of case management and managed care processes is essential, along with strong communication and problem-solving skills.
Experience Required
Minimum 2 year(s)
Urogynecology - South Bay at Southern California Permanente Medical Group
Los Angeles, California, United States - Full Time
Skills Needed
Urogynecology, Patient Care, Leadership, Clinical Operations, Research, Academics, Community Involvement, Team Collaboration
Specialization
Candidates must be Board Certified or Board Eligible in Urogynecology. The position is suitable for those looking to transition into a partnership role after a specified period of employment.
Juice Barista Part Time - 8219 at Acosta Sales Marketing
, , - Full Time
Skills Needed
Juice Preparation, Customer Service, Specialty Products
Solution Architect EU at Jobgether
, , Belgium - Full Time
Skills Needed
Solution Architecture, Ai Solutions, System Integration, Python, Rest Apis, Erp Systems, Data Structures, Stakeholder Management, Project Governance, Collaboration, Technical Authority, Emerging Technologies, Business Needs Translation, Compliance, Automation, Gen Ai
Specialization
Proven experience as a Solution Architect or Enterprise Architect within a SaaS or enterprise software context is required. Strong domain knowledge in finance processes and expertise in system integration and architecture are essential.
Experience Required
Minimum 5 year(s)
Staff Pharmacist Lead (Chesterfield) at Blink Health
Chesterfield, Missouri, United States - Full Time
Skills Needed
Leadership, Coaching, Communication, Technical Aptitude, Organizational Skills, Data Analysis, Problem Solving, Attention To Detail
Specialization
Candidates must have a degree from an accredited College of Pharmacy and an active Missouri Pharmacist License. A minimum of 5 years of relevant experience, including team management, is required.
Experience Required
Minimum 5 year(s)
Responsabile di Manutenzione Elettrica e Meccanica at RadiciGroup
Medolago, Lombardy, Italy - Full Time
Skills Needed
Maintenance Management, Team Coordination, Safety Compliance, Technical Documentation, Statistical Analysis, Continuous Improvement, Training And Development, Resource Planning, Preventive Maintenance, Problem Solving, Equipment Installation, Organizational Skills, Communication Skills, Project Management, Process Optimization
Specialization
Candidates should possess a diploma or degree in electronics or mechanics and have at least 5 years of experience in manufacturing, with a minimum of 2 years in a similar role. Strong experience in managing operational teams is also required.
Experience Required
Minimum 5 year(s)
Special Needs Companion *Paid Training* at BAYADA Home Health Care
Kapaa, Hawaii, United States - Full Time
Skills Needed
Compassion, Empathy, Patience, Independence Support, Community Engagement, Goal Achievement, Safety Awareness, Relationship Building
Specialization
Candidates must have a high school diploma or equivalent and be at least 18 years old. A passion for helping individuals with disabilities and qualities such as patience and empathy are essential.
Radiation Therapist at Stanford Health Care
Stanford, California, United States - Full Time
Skills Needed
Radiation Therapy, Patient Care, Clinical Reasoning, Safety Protocols, Quality Control, Patient Education, Team Collaboration, Equipment Operation, Documentation, Billing Procedures, Coaching, Mentoring, Communication, Anatomy Knowledge, Treatment Planning, Process Improvement
Specialization
Candidates must possess knowledge of modern radiation therapy equipment and safety principles. They should also demonstrate strong clinical reasoning and the ability to lead and mentor others.
Experience Required
Minimum 2 year(s)
Especialista de Producto Motors - Marketplace at Mercado Libre
Kavala, Macedonia and Thrace, Greece - Full Time
Skills Needed
Product Management, Product Owner, Agile Methodologies, Data Analysis, Sql, Looker, Tableau, User Experience, Multidisciplinary Collaboration, Automotive Industry, Marketplace, B2b2c, Innovation, Kpi Monitoring, Problem Solving, Communication
Specialization
Candidates should have 3 to 5 years of experience in Product Management or similar roles, preferably in technology companies. Experience with agile methodologies, data-driven decision-making, and SQL is essential, along with a background in the automotive or marketplace industries being valued.
Experience Required
Minimum 2 year(s)
$26/hr to start + BONUS - Oklahoma City Costco great sales rep needed!! at Direct Demo LLC
Oklahoma City, Oklahoma, United States - Full Time
Skills Needed
Sales, Customer Service, Communication, Direct Sales, Self Starter, Goal Oriented, Teamwork, Product Demonstration
Specialization
Candidates should have an outgoing personality and strong verbal communication skills. Experience in direct sales and basic computer skills are also required.
Senior R2R Process Expert at METRO/MAKRO
Szczecin, West Pomeranian Voivodeship, Poland - Full Time
Skills Needed
Sap, R2r Process, General Ledger, Fixed Assets, Taxes, Communication Skills, Coordination Skills, Presentation Skills, Analytical Skills, Excel, Team Orientation, Initiative, Learning, Growth, English
Specialization
Candidates should have a graduation in economics or equivalent education and at least 3 years of experience in SAP in an R2R process. Strong communication, coordination, and analytical skills are essential, along with a willingness to learn and travel.
Experience Required
Minimum 2 year(s)
Campaign Manager at ParentSquare
, , United States - Full Time
Skills Needed
Campaign Management, Project Management, Cross Functional Collaboration, Saas Marketing, B2b Marketing, Edtech Marketing, Data Analysis, Communication Skills, Creative Problem Solving, Marketing Trends, Brand Consistency, Digital Marketing, Email Marketing, Social Media Marketing, Demand Generation, Content Development
Specialization
Candidates should have 5+ years of experience in marketing with a focus on integrated campaign management. Strong project management skills and the ability to analyze campaign results are essential.
Experience Required
Minimum 5 year(s)
Account Sales Manager at Red Bull
Machesney Park, Illinois, United States - Full Time
Skills Needed
Sales, Account Management, Customer Service, Inventory Management, Product Display, Relationship Building, Market Analysis, Brand Management, Team Collaboration, Problem Solving, Communication, Merchandising, Safety Standards, Product Knowledge, Upselling, Executional Standards
Specialization
Candidates must have a valid US Driver’s License and be at least 21 years old. Experience in sales and account management is preferred, along with the ability to lift and transport inventory.
Experience Required
Minimum 2 year(s)
Senior Software Engineer - Core Applications (Life Asia) at Unison Group
Hyderabad, Telangana, India - Full Time
Skills Needed
Technical Delivery, Policy Admin System, Insurance Industry Knowledge, Life Policy Admin Features, Application Integration, Omnichannel Integration, Agile Methodology, Cross Functional Collaboration, Process Automation, Environment Management, Release Management, Code Versioning, Deployment Methodologies, Middleware Experience, Communication Skills, Analytical Skills, Solution Oriented Mindset
Specialization
Candidates should have 5-7 years of experience in the Insurance/Financial Industry, with a minimum of 5 years supporting Core Policy Admin systems, particularly Life Asia/Life400. A Bachelor's Degree in Computer Science or related fields is required, along with preferred certifications in Agile and Cloud.
Experience Required
Minimum 5 year(s)
Advanced CNC Mill Machinist at Jergens, Inc.
Cleveland, Ohio, United States - Full Time
Skills Needed
Cnc Setup, Cnc Operating, Quality Inspection, Troubleshooting, Tooling, Mathematics, Communication, Interpersonal Skills, Analytical Skills, Problem Solving, Time Management, Attention To Detail, Machining, Equipment Maintenance, Technical Drawing Interpretation, Gauging
Specialization
A high school education is required along with 3-5 years of CNC setup and operating experience. Candidates must possess excellent communication skills and be proficient in using various measuring tools.
Experience Required
Minimum 2 year(s)
Product Demonstrator Part Time - 4946 at Acosta Sales Marketing
, , - Full Time
Skills Needed
Product Knowledge, Food Demonstration, Customer Interaction, Professional Appearance, Equipment Handling
Specialization
The role requires knowledge of the products represented and the ability to demonstrate them to consumers. A professional demeanor is essential for intercepting and engaging with customers.
Safety & Security - Security Supervisor at Radisson Hotel Group
Manama, Capital Governorate, Bahrain - Full Time
Skills Needed
Leadership, Communication, Emergency Procedures, First Aid, Crisis Management, Organizational Skills, Attention To Detail
Specialization
Previous experience in hotel or corporate security with supervisory exposure is required. Strong leadership, communication skills, and the ability to act quickly under pressure are essential.
Experience Required
Minimum 2 year(s)
Associate Dentist (Part Time-Fridays Only) at Clear Lakes Dental
Robbinsdale, Minnesota, United States - Full Time
Skills Needed
Diagnose Oral Diseases, Develop Treatment Plans, Perform Dental Procedures, Promote Preventive Care, Interpret Diagnostic Tools, Ensure Safe Use Of Anesthetics
Specialization
Candidates must have a DDS or DMD degree from an accredited program and an active dental license or eligibility to obtain one. A commitment to high-quality, patient-first care is essential.
Architecte technique Réseau et Sécurité H/F at RTE
Puteaux, Ile-of-France, France - Full Time
Skills Needed
Network Architecture, Security Architecture, Lan, Routing, Wi Fi, Data Center, Wan, Vpn, Load Balancers, Firewalls, Proxy, Cybersecurity, Linux, Windows, Project Management, Technical Documentation
Specialization
Candidates should have significant expertise in network and security technologies, with at least 10 years of experience in network architecture and IT systems. A master's degree or equivalent is required, along with strong communication skills in French and English.
Experience Required
Minimum 10 year(s)
Recruiter, Talent Acquisition at PIMCO
Newport Beach, California, United States - Full Time
Skills Needed
Full Cycle Recruiting, Talent Acquisition, Client Relationship Management, Sourcing Strategies, Candidate Assessment, Interviewing Skills, Organizational Skills, Communication Skills, Interpersonal Skills, Collaboration, Negotiation, Market Intelligence, Teamwork, Adaptability, Hr Collaboration, Campus Recruiting
Specialization
Candidates should have 5+ years of full cycle recruiting experience, preferably in the financial services industry, with strong sourcing and assessment skills. Excellent client relationship management and communication skills are essential.
Experience Required
Minimum 5 year(s)