<h3>Job Description</h3>
DescriptionWhat You Will Do
<ul>
<li>Collaborates and coordinates with all members of the health care team, patient and family (or significant others) to coordinate and ensure timely and efficient delivery of required workflow, services and tasks to result in: • Support of positive patient health care outcomes • Increased patient/health care team outcomes and satisfaction • Improved inpatient throughput and appropriate length of stay • Improved communication, awareness and adherence to regulatory requirements associated with utilization • Support for inappropriate level of care and decreased inpatient bed day denials • Continuity and coordination of care • Appropriate and timely authorization for level of care • Decreased denials • Appropriate reimbursement</li>
<li>Perform timely and accurate review, denial communications and construct appeals, including remaining current with regulatory / payer and internal requirement.</li>
<li>Collaborate with physicians, UM Nurses, PAS, and other members of the Interdisciplinary team and Revenue Cycle to collect all pertinent information to support successful appeals including communication of trends and appropriate escalation to ensure appropriate resolution resulting in expected payment.</li>
<li>Document appeal activity according to department standards to support accurate and timely reporting of denial and appeal status, outstanding revenue and to help identify trends (payer, physician, service, DRG, reviewer). 20%</li>
<li>Collaborate with supervisor to support training, and reinforcement resulting in decreased denials. 20%</li>
<li>Conduct all UM activities with a focus on continuous quality improvement in a manner that is supportive of UHC quality initiatives and in compliance with applicable regulatory requirements</li>
</ul>
Additional Responsibilities
<ul>
<li>Performs other duties as assigned.</li>
<li>Complies with all policies and standards.</li>
<li>For specific duties and responsibilities, refer to documentation provided by the department during orientation.</li>
<li>Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.</li>
</ul>
QualificationsEducation
<ul>
<li> Graduate of an accredited school of Nursing (Required) and </li>
<li>(BSN) Bachelor's Degree in Nursing (Preferred) </li>
</ul>
Work Experience
<ul>
<li>3+ years Clinical experience in acute care setting (Required) and </li>
<li>3+ years Of experience in managed care or utilization review (Preferred) and </li>
<li> Experience and training on Interqual or MCG criteria (Required) </li>
</ul>
Knowledge, Skills, &amp; Abilities
<ul>
<li> Must have sound clinical knowledge base of the population to be served. (Required proficiency) </li>
<li> Knowledge of Medicare, Medicaid and commercial payer regulations (Preferred proficiency) </li>
<li> Detail-oriented and organized, with good analytical and problem solving ability. (Required proficiency) </li>
<li> Notable client service, communication, presentation and relationship building skills. (Required proficiency) </li>
<li> Ability to function independently and as a team player in a fast-paced environment. (Required proficiency) </li>
<li> Must have strong written and verbal communication skills. (Required proficiency) </li>
<li> Demonstrated ability to use PCs, Microsoft Office suite, and general office equipment (i.e. printers, copy machine, FAX machine, etc.). (Required proficiency) </li>
<li> Demonstrated ability to apply concepts, utilize sound judgment and work independently within a framework of guidelines. (Required proficiency) </li>
<li> CM software proficient. (Preferred proficiency) </li>
</ul>
Licenses and Certifications
<ul>
<li>Registered Nurse (RN), Ohio and/or Multi State Compact License (Required Upon Hire) </li>
</ul>
Physical Demands
<ul>
<li>Standing Occasionally </li>
<li>Walking Occasionally </li>
<li>Sitting Constantly </li>
<li>Lifting Rarely 20 lbs </li>
<li>Carrying Rarely 20 lbs </li>
<li>Pushing Rarely 20 lbs </li>
<li>Pulling Rarely 20 lbs </li>
<li>Climbing Rarely 20 lbs </li>
<li>Balancing Rarely </li>
<li>Stooping Rarely </li>
<li>Kneeling Rarely </li>
<li>Crouching Rarely </li>
<li>Crawling Rarely </li>
<li>Reaching Rarely </li>
<li>Handling Occasionally </li>
<li>Grasping Occasionally </li>
<li>Feeling Rarely </li>
<li>Talking Constantly </li>
<li>Hearing Constantly </li>
<li>Repetitive Motions Frequently </li>
<li>Eye/Hand/Foot Coordination Frequently </li>
</ul>
Travel Requirements
<ul>
<li>10% </li>
</ul>

Denial/Appeal Management Nurse (NE)

<h3>Job Description</h3>
Job Description
Be part of the future!
We are one team, dedicated to working collaboratively to create purposeful solutions that propel the world forward. We hope you will join our diverse team of top people – you bring your talent, and we will give you the space and opportunities to grow and succeed. We are committed to making a difference.
What we offer:
<ul>
<li>Competitive Starting Pay</li>
<li>Paid Training</li>
<li>Global Advancement Opportunities</li>
<li>Company Vehicle (as applicable)</li>
<li>Referral Bonuses</li>
<li>Comprehensive Benefits</li>
<li>Medical/Dental/Vision insurance</li>
<li>Health Savings Account (HSA)</li>
<li>Life Insurance</li>
<li>401(k) savings plan with company match</li>
<li>Short-Term and Long-Term Disability</li>
<li>Employee Assistance Program</li>
<li>Wellness Program</li>
<li>And More!&nbsp;</li>
</ul>
What you will do:
This position will be responsible for the installation of complex integrated Security &amp; Fire systems to include the wiring, equipment and programming systems for clients.
How you will do it:
<ul>
<li>Capable of installing cabling, field equipment &amp; control equipment enclosures in customer locations according to the national electric code, company and customer guidelines.</li>
<li>Can use electronic test equipment to troubleshoot complicated problems during installation.</li>
<li>Reads and interprets blueprints, diagrams, submittals, specifications, software/systems programs, schematics and operational product manuals.</li>
<li>Readjust equipment, repair or replace inoperative equipment and test for operation</li>
<li>Performs system checks for proper operation.</li>
<li>Knowledge of computer programs including word processing, spreadsheets and databases; CCTV and access control systems; media storage.</li>
<li>Ability to plan, organize and prioritize work paying close attention to details.</li>
<li>Ability to communicate effectively, orally and in writing, while establishing and maintaining cooperative working relationships.</li>
<li>Ability to analyze information.</li>
<li>Can work unsupervised to complete installation jobs and is self-motivated to complete jobs.</li>
<li>Completes and submits all necessary paperwork related to job assignments.</li>
<li>Capable of using hand and power tools to properly mount and secure equipment</li>
<li>Feed cables through access holes, roof spaces, and cavity walls to reach fixture outlets; then position and terminate cables, wires and strapping</li>
<li>Drill holes for wiring in wall studs, joists, ceilings, and floors.</li>
<li>Conduct End- User training.</li>
<li>Ability to isolate trouble to a customer network, where applicable</li>
</ul>
What we look for:
Required
<ul>
<li>High school diploma, GED, or equivalent.</li>
<li>Significant background (5+ year experience) Commercial Fire Alarm Systems.</li>
<li>Significant background (5+ year experience) in Commercial Digital &amp; Analog Camera Systems.</li>
<li>Significant background (5+ year experience) in Commercial Access Control Systems.</li>
<li>Understanding of the function and design of Alarm Systems.</li>
<li>Experience with IP addressable security devices (2+ years).</li>
<li>Must be computer literate to include advanced TCP/IP networking skills.</li>
<li>Required to participate in After-Hour On-Call Rotation</li>
<li>Must be able to operate a company truck with an acceptable driving record.</li>
<li>Is proficient with all aspects and operation of ADT A.I. core card access, CCTV systems.</li>
<li>Proficient with NFPA Code and National electric Code (NEC)</li>
</ul>
Preferred
<ul>
<li>Associate Degree or 2-year technical school program graduate preferred.</li>
<li>An industry-recognized apprentice training program may be substituted for the formal education requirement.</li>
<li>NICET I,II ( preferred), or III</li>
<li>Any Town Fire Alarm Listed Agent Certifications</li>
<li>Specialized training/ certification in the following categories:</li>
<li>Access Control (at least 3 certifications from the following)</li>
<li>Prowatch</li>
<li>Kantech Access</li>
<li>C-Cure 800 or C-Cure 9000</li>
<li>Casi- Facility Commander or Picture Perfect or Secure Perfect</li>
<li>CCTV- Analog (at least 1 certification from the following)</li>
<li>Bosch</li>
<li>Ademco/Honeywell Security</li>
<li>DSC</li>
<li>DMP Security / Access / Fire</li>
<li>Fire Lite</li>
<li>Notifier</li>
<li>Gamewell / FCI</li>
<li>Edwards</li>
<li>Simplex / AutoCall</li>
<li>Pelco</li>
<li>American Dynamics</li>
<li>Cisco</li>
<li>CCTV- IP (at least 1 certification from the following)</li>
<li>Genetec&nbsp; – Access / CCTV</li>
<li>Indigo Vision</li>
<li>Speco CCTC</li>
<li>Exaqvision</li>
<li>Visitor Management (experience in any of the following preferred)</li>
<li>Honeywell Lobby Works</li>
<li>Stopware</li>
<li>Access Sentry</li>
<li>AIPHONE</li>
<li>Additional experience a plus: MCSE, CCNA, Surveillance Systems, Intrusion Detection Systems, Perimeter Intrusion Detection Systems and Security Gate Operators.</li>
</ul>

Security Installer

<h3>Job Description</h3>
Job Description
CRST The Transportation Solution Inc. is one of the nation’s largest transportation companies, providing total transportation solutions and comprehensive logistics services to customers all over North America. We are looking for Experienced CDL A Team Truck Drivers to Haul Dedicated freight all over the US.
<ul>
<li>CDL A Team Truck Drivers</li>
<li>Monthly Home time</li>
<li>Hauling Dedicated Freight</li>
<li>Top 35% of CDL A Drivers make $104,000 to $112,000+ annually</li>
<li>Guaranteed Weekly Pay</li>
<li>$0.90 CPM</li>
<li>$30 Stop Pay, $30 Pick up pay</li>
<li>Averaging 3500-4000 miles a week to the truck</li>
<li>Miles are consistent each week</li>
<li>Extra pay for going to into Canada</li>
<li>Safety bonus available</li>
<li>Up to a $5K Sign on Bonus to the truck</li>
<li>Automatic Transmissions</li>
<li>Well-maintained equipment</li>
<li>Mostly Live Load and Unload</li>
<li>Great Benefits, including Medical, Vision and Dental</li>
</ul>
<ul>
<li>21 years or older</li>
<li>CDL A, 6 Months of CDL A truck driver experience</li>
<li>Qualified applicants with arrest and conviction records will be considered for employment pursuant to applicable federal, state, and local laws.</li>
</ul>
CRST The Transportation Solution Inc. offers all or drivers the following benefits:
<ul>
<li>Medical Bridge (First 60 days of Employment)</li>
<li>Major Medical (Starts after 60days of Employment)</li>
<li>Dental (Starts after 60days of Employment)</li>
<li>Vision (Starts after 60days of Employment)</li>
<li>Life Insurance and 401K (Starts after 60days of Employment)</li>
<li>**All employees must enroll in benefits within 60 days of hire **All benefits provide Nationwide coverage</li>
</ul>

CDL A Team Truck Driver

<h3>Job Description</h3>
Job Description&nbsp;
 The Opportunity: As a Founding School Leader with Phalen Leadership Academies, this position requires an entrepreneurial spirit and a commitment to building our school from the ground up. The Founding Principal will play a key role in all the elements involved in a new school launch and hold primary responsibility for the strategic implementation and management of all aspects of our school performance and operations.
The Details:&nbsp; Starting Salary - $110,000.
 Essential Job Tasks
<ul>
<li>Responsible for working within the community to attain budgeted scholar enrollment and to maintain 90% of enrolled scholars throughout the school year</li>
<li>Implement and oversee the daily execution of PLAs Academic Model</li>
<li>Responsible for staffing your building with high quality educators that align with PLA’s passion and commitment to the success of our scholars</li>
<li>Support the school instructional staff in utilizing data-driven strategies to analyze student performance and guide instructional adjustments and required interventions</li>
<li>Responsible for coaching your team and retaining a minimum of 90% of your effective and highly effective educators year after year</li>
<li>Develop and implement a strong positive campus culture that includes operational systems that support student success and a culture that supports the academic, emotional, cultural, and overall well-being of our scholars, staff, and families ensuring holistic support</li>
<li>Other duties as assigned</li>
</ul>
Experience and Education Requirements:&nbsp;
<ul>
<li>Master’s degree from an accredited college or university</li>
<li>Valid state administrator’s license&nbsp;</li>
<li>Demonstrated success significantly increasing school proficiency data&nbsp;</li>
<li>Experience in turnaround work&nbsp;</li>
</ul>
The Network:
&nbsp;PLA is a transformative education nonprofit changing communities across the country by providing a depth of resources not found in the traditional education model.&nbsp; In addition to serving as one of the country’s best turnaround school operators and successfully launching charter school start-ups, PLA also provides our school communities with a successful, research-based summer learning program (Summer Advantage), a successful Reading and Math Intervention program (Reading and Math Advantage) , and a workforce development program (PLA University) that provides expanded opportunities for our high school graduates, along with the family members of our current staff and students. This menu of programs and services is unique to our network, sets us apart from other organizations, and provides expanded opportunities for our staff through career advancement opportunities, and expanded income opportunities.&nbsp;&nbsp;
Compensation and benefits:
PLA School Leaders receive a base salary that is competitively aligned to the market. In addition to a base salary, PLA School Leaders receive:&nbsp;
<ul>
<li>Competitive Compensation</li>
<li>Benefits – Healthcare, vision, and dental insurance</li>
<li>Monthly professional development opportunities including participation in our annual Leader Institute</li>
<li>Opportunities to collaborate and brainstorm with other School Leaders in the network</li>
<li>Incentive and bonus opportunities</li>
</ul>
PLA is an equal opportunity employer that is committed to diversity and inclusion in the workplace.&nbsp; We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristics as outlined by federal, state, or local laws.&nbsp;
Please read carefully.
Phalen Leadership Academies (PLA) is an equal opportunity employer. PLA does not discriminate in employment on account of race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service.
By completing this application you understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for PLA to hire me. If hired, I understand that either PLA or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of PLA has the authority to make any assurance to the contrary.
You attest by applying to this position that you have given PLA true and complete information on this application. No requested information has been concealed. I authorize PLA to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.
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