Location: Jefferson City, MO
Negotiates reimbursement directly with payers or refers complex cases to Case Manager and/or Manager. May assist with denials and appeals. UM Goals To ensure effective utilization of health care resources through ongoing monitoring To determine medical necessity and appropriateness of care To identify patterns of overutilization, underutilization, and inefficient scheduling of resources To promote quality patient care and optimal outcomes To assist in the identification of coordination of care options for members and providers To facilitate appropriate, safe, timely, and effective discharge to the most appropriate level of care (LOC)To provide education concerning the UM program to providers
and department staff To identify potential participants in disease management and case management programs UM Review Process Verification of the patient's eligibility for services.
Determination of whether the requested service is a covered benefit and requires a review. Collection of demographic and clinical information necessary to certify a requested service or length of stay. Clinical information is reviewed against evidence-based decision support criteria or guidelines for a reviewdetermination. The UM clinical reviewer evaluates via approved software, based on the information provided, whether the case meets criteria or guidelines. 5. If the criteria or guidelines are met, the requesting
provider will be notified of the request approval.
If the criteria or guidelines are not met, the review will be sent for review to EHR and determination made. 6. If there is a discrepancy or dispute the appeal process will be initiated. Associate's degree and RN license required. Minimum three years recent RN nursing experience preferred, with having practiced the equivalent of 2 years fulltime nursing experience in the acute care setting. Ability to function as part of a team and form positive, collaborative relationships with social work, shop, physicians, hospital staff, patients, families and post-acute providers. Strong critical thinking skills, work independently in ambiguous situations, establishing priorities, meet deadlines, and maintain effective caseload of the work assignment.
Knowledge of level of care criteria, able to incorporate understanding into day to day activities. For more details: jobs-search. org/information-technology_jefferson-city-c437640/job_i1959775938
and field observation to identify spatial patters of oak mortality in the Missouri Ozark Highlands ecoregion. Develop ecological models to define spatial associations between oak decline and biotic/abiotic factors. Generate predictive models related to climate change and environmental perturbations.
Supervise, mentor, and train graduate and undergraduate students in research, lab, and field work protocols. Contribute to preparing scientific publications, research presentations, and develop research proposals. Knowledge, Skills, and Abilities Demonstrated expertise in geospatial data mining and machine learning applications related to agriculture or forestry. Demonstrated expertise in
numerical computing languages, open source (Python, R) coding. Strong understanding of statistical analyses. Ability to work in hot and cold weather conditions and lift up to 50 lbs.
Education and Experience Doctoral degree in earth system science, physical geography, environmental science, or other relevant fields. Note: This degree must have been received within the last five years. Experience in remote sensing, and image processing to analyze land cover, vegetation, and environmental parameters, and applying these techniques to process government data sets. Submit the following documents to be considered Cover letter Resume or Curriculum Vitae Transcripts with degree and date earned - unofficial transcripts are accepted for application, originals must be provided before hiring.
research and collaborates with equipment designers and/or hardware engineers in the planning, design, development, and utilization of electronic data processing systems for product and commercial software. Determines computer user needs; analyzes system capabilities to resolve problems on program intent, output requirements, input data acquisition, programming techniques and controls; prepares operating instructions; designs and develops compilers and assemblers, utility programs, and operating systems.
Ensures software standards are met. Analyzes user needs and software requirements to determine feasibility of design within time and cost constraints. Confers with systems analysts, engineers,
programmers, and others to design system and to obtain information on project limitations and capabilities, performance requirements and interfaces.
Designs, develops, and modifies software systems, using scientific analysis and mathematical models to predict and measure outcomes and consequences of design. Coordinates software system installations and monitors equipment functioning to ensure specifications are met. Qualifications Minimum of 12 years with BS/BA; Minimum of 10 years with MS/MA; Minimum of 7 years with Ph. D. Basic Qualifications: Bachelor's in Computer Science, IT, Systems Engineering, or a related field Must be a US Citizen; must have the ability to obtain and maintain
a DOE L clearance Remote acceptable, but would require quarterly travel to Albuquerque of 1-2 weeks for work with team and support of testing activities P referred Qualifications: Minimum 3-5 years development in modern C++ (11, 14) C++ Qt UI development UX Design and UI Development using web-based technologies (HTML, CSS) Experience developing applications with UI frameworks Development and delivery of applications to Windows and Linux desktops Experience with Linux, particularly RHEL and Ubuntu, a bonus Strong organizational skills and experience with agile methodologies like Scrum or Kanban Experience with Java Script, Node, Express, Electron, Zero MQ, C#, MS SQL Server, XML, SQLite, MSBuild, CMake, Visual Studio, Visual Studio Code, Conan, Data Distribution Service (DDS) messaging Experience with automation and CI/CD, particularly Gitlab CI (Git Flow) Experience writing unit tests that integrate into the CI pipeline Ability to work effectively on both small and large development teams (two-to-eight members) Good communication and documentation skills Motivated by working with a highly successful, dynamic project team delivering systems that impact our National Security Interest in and knowledge of other languages like Python, Rust, or Go.
Benefits: At Peraton, our benefits are designed to help keep you at your best beyond the work you do with us daily. We're fully committed to the growth of our employees. From fully comprehensive medical plans to tuition reimbursement, tuition assistance, and fertility treatment, we are there to support you all the way Target Salary Range $112,000 - $179,000. This represents the typical salary range for this position based on experience and other factors. All For more details: jobs-search. org/software-engineer_california-c437517/software-engineer-security-clearance-required-california_i1970818394
the problem and explain its solution; must be customer-oriented and work well in a team environment. Responsibilities Serve as the first point of contact for customers seeking technical assistance over the phone or through help desk tickets Determine the best solution based on the issue and details provided by customers Provide accurate information on IT products and services Record problems and their resolution in our Knowledge Base/Help Desk System Direct unresolved issues to the next level of support personnel Follow-up with users and pass on feedback/suggestions with the team Identity and suggest possible improvements on procedures Assist with onboarding and offboarding staff Assist with
set up of hardware (monitors, laptops, docks, scanners, phones, etc) Hardware Support Troubleshoot and assist in diagnosis of hardware (PC's, monitors, laptops, printers, copiers, cisco phones, i Phones/i Pad's, etc) Software Support - Troubleshoot and assist in reloading the functionality of various software products Application Support - Troubleshoot and assist in the diagnosis of all computer applications Security Account Management - Assist in the troubleshooting of and the resetting of all passwords to access various programs and applications Able to handle multiple tasks simultaneously Able to learn new software and be able to translate changes to customers Salary range is $40,000 - $55,000 EOE Job Posted by Applicant Pro
of high-quality outcomes and a better experience for patients and providers, all at a lower total cost of care. As part of Optum, we participate in an integrated care delivery system that enables us to support our partners as they navigate a complex healthcare environment, Only SCA Health has a dynamic group of physician-driven, specialty care businesses that allows us to customize solutions, no matter the need or challenge: We connect patients to physicians in new and differentiated ways as part of Optum and with our new Specialty Management Solutions business.
We have pioneered a physician-led, multi-site model of practice solutions that restores physician agency by aligning incentives
to support growth and transition to value-based care. We lead the industry in value-based payment solutions through our Global 1 bundled payment convener, that provides easy predictable billing to patients.
We help physicians address everything beyond surgical procedures, including anesthesia and ancillary service lines. The new SCA Health represents who we are today and where we are going-and the growing career opportunities for YOU. Responsibilities We are actively hiring for an Registered Nurse (RN) Operating Room. Promote the mission, vision, and values of SCA. backss patient status throughout the perioperative episode of care. Develop an individualized perioperative patient plan
of care. Serve as a member of a multidisciplinary team in planning perioperative patient care.
Qualifications Graduate of an accredited school of nursing. One year of OR and/or medical / surgical nursing experience preferred. Current state nursing licensure to practice in good standings. Successful completion of Basic Life Support (BLS) within 90 of employment or documentation of current BLS certification. Successful completion of Advanced Cardiovascular Life Support (ACLS) Course within 90 days of employment or documentation of current ACLS certification. Successful completion of Pediatric Advance Life support (PALS) course is required when pediatric care is included in the facility scope of services within 90 days of employment or documentation of current PALS certification.
Specialty certification in Perioperative Nursing is preferred. USD $45.00/Hr. USD $50.00/Hr. Graduate of an accredited school of nursing. One year of OR and/or medical / surgical nursing experience preferred. Current state nursing licensure to practice in good standings. Successful completion of Basic Life Support (BLS) within 90 of employment or documentation of current BLS certification. Successful completion of Advanced Cardiovascular Life Support (ACLS) Course within 90 days of employment or documentation of current ACLS certification.
Successful completion of Pediatric Advance Life support (PALS) course is required when pediatric care is included in the facility scope of services within 90 days of employment or documentation of current PALS certification. Specialty certification in Perioperative Nursing is preferred. We are actively hiring for an Registered Nurse (RN) Operating Room. Promote the mission, vision, and values of SCA. backss patient status throughout the perioperative episode of care. Develop an individualized perioperative patient plan of care.
Serve as a member of a multidisciplinary team in planning perioperative patient care. For more details: jobs-search. org/information-technology_eugene-c437022/rn-operating-room-pool-mckenzie-surgery-center-eugene_i1955389535
