Registered Nurse – Lead Clinical Coordinator II Job at The University of Vermont Health Network (Berlin)

Medical Appeals/Grievance Specialist II - Registered Nurse

Responsible for utilizing clinical acumen and managed care expertise related to ...

Location

United States , Phoenix

Salary:

Not provided

Blue Cross Blue Shield of Arizona

Expiration Date

Until further notice

Requirements

1 year experience in clinical and health insurance or other healthcare related field
3 years experience in clinical and health insurance or other healthcare related field AND 1 year Managed care experience with a focus in Utilization Management (UM), Prior Authorization (PA), Claims, Case Management and/or Medical Appeals and Grievance (MAG)
5 years experience in clinical and health insurance or other healthcare related field AND 2 years Managed care experience with a focus in Utilization Management (UM), Prior Authorization (PA), Claims, Case Management and/or Medical Appeals and Grievance (MAG)
8 years experience in clinical and health insurance or other healthcare related field AND 3 years above satisfactory job performance in the managed care environment with a focus in Utilization Management (UM), Prior Authorization (PA), Claims, Case Management and/or Medical Appeals and Grievance (MAG)
Associate’s Degree in a healthcare field of study or Nursing Diploma
Active, current, and unrestricted license to practice in the State of Arizona (a state in the United States) or a compact state as a Registered Nurse (RN), a Physical Therapist (PT) or a Licensed Master Social Worker LMSW.
Intermediate PC proficiency
Intermediate skill using office equipment, including copiers, fax machines, scanner and telephones
Maintain confidentiality and privacy
Advanced clinical knowledge

Job Responsibility

Perform in-depth analysis, clinical review and resolution of provider appeals/inquiries, corrected claims and subscriber reconsiderations, member appeals, corrected claims and provider grievances for all lines of business
Identify, research, process, resolve and respond to customer inquiries primarily through written / verbal communication.
Respond to a diverse and high volume of health insurance appeal related correspondence on a daily basis.
Analyze medical records and apply medical necessity criteria and benefit plan requirements to determine the appropriateness of appeal, grievance and reconsideration requests.
Maintain complete and accurate records per department policy.
Meet quality, quantity and timeliness standards to achieve individual and department performance goals as defined within the department guidelines and required by State, Federal and other accrediting organizations.
Demonstrate ability to apply plan policies and procedures effectively.
Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and ensure resolution of customer inquiries.
Attend staff and interdepartmental meetings.
Participate in continuing education and current developments in the fields of medicine and managed care.

Fulltime

Registered Nurse II - Sedation

The Registered Nurse (RN) is accountable for providing competent nursing care. R...

Location

United States , Madera

Salary:

42.50 - 69.90 USD / Hour

Valley Children's Healthcare

Expiration Date

Until further notice

Requirements

Program Accredited nursing program (required)
College Degree - 4 year Nursing (preferred)
RN - Registered Nurse License - CA-BRN - California Board of Registered Nursing (required)
BLS - Basic Life Support - AHA - American Heart Association within 30 days of hire or transfer into position (required)
ACLS - Advanced Cardiac Life Support - AHA - American Heart Association Cardiac Cath Lab, Endo, Recovery, and Sedation within 12 months of hire or transfer into position (required)
PALS - Pediatric Advanced Life Support - AHA - American Heart Association Cardiac Cath Lab, Endo, Recovery, and Sedation within 12 months of hire or transfer into position (required)
Experience to correlate with Clinical Advancement Program (required)
Bilingual Skills Preferred

Job Responsibility

Providing competent nursing care
Coordination of the patient's plan of care through assessment, planning, implementation, and evaluation of nursing interventions that lead to established outcomes

Parttime

New

Technical Support Specialist

Provi is innovating the 240-billion dollar alcohol industry. We’re on a mission ...

Location

United States , Chicago; Austin

Salary:

64000.00 - 75000.00 USD / Year

Provi

Expiration Date

Until further notice

Requirements

Past technical support experience at a SaaS company
Experience with CRM software and technical tools such as Salesforce, Jira, Confluence
Ability to triage and troubleshoot issues independently and efficiently
Excellent organizational skills, verbal and written communication skills, and acute attention to detail
An analytical mind and a passion for problem-solving
An aptitude for explaining technical concepts to non-technical stakeholders

Job Responsibility

Serve as a technical escalation point within the Support team
responsibilities include incident diagnosis, root cause analysis, and troubleshooting technical issues related to active integrations
Escalate and collaborate on complex issues with Engineering teams when necessary
Efficiently address tickets related to our clients’ essential business functions, and maintain the ability to clearly communicate complicated technical issues and resolutions to both internal and external stakeholders
Independently prioritize issues based on defined criteria
Achieve team KPIs of a median Time to Resolution under 48 hours and First Response Time under 1 hour
Escalate and collaborate on complex issues with Engineering for quick resolution when necessary
Document customer interactions and resolutions accurately in our support ticketing system
Work with Support Leadership to recognize usage trends and opportunities for more efficient customer service
Collaborate cross-functionally with Product, National Implementations, and the Distributor team by logging feature enhancements, connecting with account managers, staying up-to-date on distributor offerings and industry trends, etc.

What we offer

Health insurance coverage
life and disability insurance
a retirement savings plan
parental leave
paid holidays
flexible paid time off (PTO)
401K with match
Commuter Perks
Employee Assistance Program
Unlimited PTO

Fulltime

New

Sales Consultant

As a Plush Sales Consultant in Kotara, you’ll turn product knowledge and relatio...

Location

Australia , Kotara

Salary:

Not provided

Plush Think Sofas

Expiration Date

Until further notice

Requirements

Previous sales experience, especially in furniture or other high-value categories like cars, jewellery, luxury goods, or travel
Energetic, positive attitude with enthusiasm—even during peak periods
Outstanding teamwork and communication skills that build trust with customers and colleagues
Openness to feedback and passion for growth—every customer interaction is a learning opportunity
Top organizational skills with strong multitasking abilities to keep sales flowing

Job Responsibility

Deliver a customer experience that makes Plush the first choice for sofas
Use expert sales techniques to achieve and exceed daily and weekly targets—your performance shapes your commission
Process sales orders quickly and accurately to keep every deal moving forward
Boost results with room solutions and add-on sales, increasing your commission with every new opportunity
Partner with your Showroom Manager for showroom excellence—visual merchandising and pricing that makes selling easy

What we offer

Competitive base salary paired with uncapped commission, letting top performers unlock exceptional earnings
Continuous training and skill development, equipping you to achieve and advance
A collaborative team culture focused on support and celebrating your wins
Ongoing training and professional development opportunities
A supportive, growth-focused team environment within an ASX-listed company

Fulltime

New

Front Office Assistant

The Front Office Assistant is responsible for all clerical functions relative to...

Location

United States , Calhoun

Salary:

18.85 - 28.30 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

High school diploma or GED from an accredited institute required
Two year course for medical office assistant at the post-secondary level preferred
Prior experience with front desk responsibilities in a medical office setting
Knowledge of medical terminology and ICD-9/CPT coding is required
Accurate typing and filing skills required
Experience in the use of medical office information systems, electronic billing, and other automated functions preferred
Candidate must possess strong verbal and written communication skills, have a commitment to customer service, and communicate effectively with all applicable customers and age groups

Job Responsibility

Responsible for all clerical functions relative to the business aspect of the medical practice
Telephone responsibilities
Scheduling
Filing
Copying

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Opportunity for annual increases based on performance
Premium pay such as shift, on call, and more
Incentive pay for select positions

Fulltime

New

Implementation Project Manager

Are you passionate about delivering world-class customer experiences and driving...

Location

United States , St. Louis

Salary:

79500.00 - 103300.00 USD / Year

KARL STORZ

Expiration Date

Until further notice

Requirements

Bachelor’s degree in Engineering, Construction, or related field — or 5+ years of relevant experience
3–5 years in project delivery or consulting
5–7 years in AV/IP technical roles
Strong project management skills in field-based environments
IT Project Management or Construction Project Management experience strongly desired
Proven ability to thrive in high-stress, fast-paced settings
Excellent communication, leadership, and organizational skills
Willingness to travel between 75% - 90% and work flexible hours

Job Responsibility

Lead planning and execution of OR installation projects from start to finish
Ensure on-time, on-budget delivery with minimal service issues
Collaborate cross-functionally with Sales, Service, and Deployment teams
Deliver comprehensive customer training and ensure product utilization
Proactively gather and act on customer feedback to drive continuous improvement
Maintain KARL STORZ’s #1 ranking in customer satisfaction
Partner with Sales on proposals, estimates, and customer deliverables
Demonstrate technical expertise through low change orders and warranty service tickets
Stay sharp with ongoing training and certifications

What we offer

Medical / Dental / Vision including a state-of-the-art wellness program and pet insurance
3 weeks vacation, 11 holidays plus paid sick time
Up to 8 weeks of 100% paid company parental leave
401(k) retirement savings plan providing a match of 60% of the employee’s first 6% contribution
Section 125 Flexible Spending Accounts
Life, STD, LTD & LTC Insurance
Tuition pre-imbursement up to $5,250 per year
Fitness reimbursement of up to $200 annually

Fulltime

New

Kitchen Utility Worker

The Kitchen Utility Worker assists and works in all areas of the kitchen and din...

Location

United States , Temecula

Salary:

16.90 - 20.28 USD / Hour

Atria Senior Living

Expiration Date

Until further notice

Requirements

Basic reading, writing, and mathematical skills
Strong communication and teamwork skills

Job Responsibility

Assist and work in all areas of the kitchen and dining room
Provide a high level of customer service and promote a restaurant style dining atmosphere
Work closely with the Director of Culinary Services and/or Executive Director to keep residents satisfied with food and dining programs
Assist with the preparation and execution of the Art of Atria Dining enhancement programs
Maintain kitchen in a clean, safe, and sanitary condition at all times
Adhere to cleaning schedules as assigned
Ensure that food is properly stored
Assist in dining room cleaning, bussing tables, setting tables, and assisting wait staff
Adhere to Quality Enhancement standards and standard food safety practices
Assists with preparation and execution of special events, banquets, and theme meals

What we offer

Competitive Pay
Paid Holidays & PTO
Comprehensive Health Plans
Career Advancement Opportunities
Tuition Reimbursement
Employee Loyalty Rewards Program
Retirement Savings Plan with Employer Match
Rewards & Recognition
Health & Safety

Fulltime

New

Cafe Manager

Cafe Managers are central to the success of Blank Street and take full ownership...

Location

United States , Boston

Salary:

Not provided

Blank Street

Expiration Date

Until further notice

Requirements

4+ years of experience managing and leading single-store unit operations in high growth hospitality or consumer brands
Full Time availability: 45 hours per week, 5 days of availability required and must be available to work 2 peak days (usually weekend days, weekend as described as Friday, Saturday, Sunday)
Experience hiring, developing and managing hospitality teams
Experience managing inventory and supply chain ordering
Love for coffee and customer service
Strong knowledge of specialty coffee, espresso and equipment is a must
Strong decision making and multi-taking skills
Strong interpersonal communication skills

Job Responsibility

Create a motivating and engaging team culture by consistently celebrating, training, coaching, and mentoring your team
Step in to cover scheduling gaps or time off in the store schedule
Create and publish staff schedules according to state and local labor laws
Review and approve timecards and paid time off requests in a timely manner ensuring your team is paid accurately and on time
Recruit super star talent in collaboration with the People Team
Oversee and validate the quality of training being executed by your Shift Leads, providing feedback and coaching where needed
Ensure coffee accreditations are handled on time for new employees in line with company standards
Work to maintain the very best team engagement scores
Maintain food and beverage quality standards across your store and ensure recipes are executed accurately and consistently by your team
Own all ordering, vendor relations, waste management, inventory counts and general compliance of our Inventory Management System

What we offer

Bonus program
15 days of paid annual leave (on top of company-observed holidays and sick time)
Three health plan options, with full coverage available for two employee-only tiers
Commuter benefits
Parental leave
Bereavement leave
Exclusive access to our coveted Regulars program – yes, that means free coffee, matcha and more! ☕️
Regular social outings with the team
Free Blank Street swag

Fulltime

Registered Nurse – Lead Clinical Coordinator II

The University of Vermont Health Network

Location:
United States , Berlin

Category:
Nursing

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
January 21, 2026

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