Nurses – are you looking for a change? Want to work no nights, no weekends, and no holidays? Be able to work from home 50% of the time once trained? Check out Hines & Associates!
ABOUT US:
Hines is a nationwide, independent leader in personalized managed health care, focused on what's important to you—comprehensive services with the program excellence and cost containment that you demand. Hines & Associates, Inc.'s reputation as an industry leader is founded on over three decades of innovative and professional health care excellence. Serving all aspects of the industry, Hines is committed to conserving health care dollars while ensuring quality care through effective programs and personalized service.
WHAT WE OFFER:
ROLE DESCRIPTION:
This individual will utilize clinical knowledge and communication skills to obtain patient specific information regarding patient condition and proposed treatments and procedures to determine if illness and/or proposed services meet acceptable criteria sets and acceptable nursing practice guidelines for outpatient treatment or inpatient confinement. This individual will certify treatment for confinement when criteria and/or practice guidelines are met, in accordance with the health benefit plan, disability, workers compensation regulations and state and federal regulations. If these conditions do not appear to be met, this individual will defer decision to a second level reviewer. This individual interfaces with case managers and disease management nurses on active cases involved in other Hines' programs.
*****This is a Monday through Friday position, 9:30 AM to 6:00 PM.******
RESPONSIBILITIES AND PERFORMANCE :
COMMUNICATION:
PERSONAL AND PROFESSIONAL:
PM21
Requirements:QUALIFICATIONS:
*Hines welcomes diversity and as an equal opportunity employer all qualified applicants will be considered regardless of race, religion, color, national origin, sex, age, sexual orientation, gender identity, disability or protected veteran status.*
Compensation details: 57244-62180 Yearly Salary
PI9c780215ef70-30492-37242209
...office position until successful completion of the orientation period and then there is an option for a hybrid option of two days working from home and three days in the office. ~ A regular full-time schedule. ~ Hybrid home/office opportunity after successful...
...We are seeking a highly skilled and experienced Landscape Architect to join the Design/Build Department at our client's team right in Tinton Falls, NJ! Our client is a leading landscape design and construction firm specializing in high-end residential and commercial...
...the day-to-day work so that client school boards can focus on governance and policy issues to be sure that the vision and mission of the... ...excellent organizational ability. Ensuring accuracy in paperwork, data entry, and coordination of the recruitment process....
Industry leading manufacturer in the food/beverage industry is seeking a Plant Supervisor for their night shift operations. This person is responsible for overseeing all production and operational activities during the overnight shift, ensuring the safe, efficient, and...
...Clerical Assistant (Part-Time) We are looking for a reliable and detail-oriented individual to perform a variety of clerical tasks in a part-time capacity for one of our clients. This role is essential to maintaining accurate records and supporting the smooth operation...