Utilization Review Nurse-RN Job at Personify Health

New

Utilization Review Nurse-RN

The Utilization Review Nurse will provide professional assessments and review fo...

Location

United States

Salary:

30.00 - 38.00 USD / Hour

Personify Health

Expiration Date

Until further notice

Requirements

Current RN license in the United States or U.S. territory
Associate’s degree or diploma (Nursing program) required
1+ year clinical experience required
Ability to perform the essential job functions safely and successfully with or without reasonable accommodation, including meeting qualitative and/or quantitative productivity standards
Ability to maintain regular, punctual attendance
Ability to sit for 6-8 hours
Constant use of computer keyboard and mouse
repetitive use of both hands
Occasional to frequent twisting of neck
occasional bending of neck and at waist

Job Responsibility

Provide professional assessment and review for the medical necessity of treatment requests and plans
Provide first level review for all outpatient and ancillary pre-certification requests for medical appropriateness
inpatient hospital stay including mental health, substance abuse, skilled nursing, and rehabilitation for medical necessity
and post claim or post service reviews
Work to the top of the RN license and ensure proper referral to medical director for denial authorizations through independent review organizations (IRO)
Work with hospital staff to prepare patients for discharge and ensure a smooth transition to the next level of care
Refer requests that fall outside of established guidelines to advance review or senior care consultants
Process appeals for non-certification of services, complete non-certification letters when appropriate
Review plan document for benefit determinations
attempt to redirect providers and patients to PPO providers

What we offer

Competitive base salary and benefits effective day one
Comprehensive medical and dental through our own health solutions
Paid Time Off
Mental health support, retirement planning, and financial protection
Professional development with clear career progression and learning budgets

Fulltime

New

Butchery Manager

We are looking for experienced Butchers to run our Butchery Departments like the...

Location

United Kingdom , Slough

Salary:

Not provided

Booker Group

Expiration Date

March 30, 2026

Requirements

Experienced Butcher
Good product knowledge of all meat proteins
Self-motivated with a desire to succeed

Job Responsibility

Maintaining high standards in all areas including stock, food safety procedures, fresh meat and pre-packed meat displays, staff morale and customer satisfaction
Work alongside the Store Manager to develop a business plan to support sales and profitability growth
Greeting and speaking to customers, providing advice, answering questions, accepting orders
Ordering and managing stock - including stocktaking
Effectively developing and managing a small team including staff rotas
Cutting meat to order
Cleaning and maintaining tools and equipment
Coordinating deliveries or order pickups
Controlling waste

What we offer

Booker colleague card with 10% off purchases
Tesco colleague discount card (10-15% off)
10% off pay monthly & SIM only deals with Tesco Mobile
Up to 30% off car, pet and home insurance at Tesco bank
Free eye test when you spend £50 or more
50% off health checks at Tesco Pharmacy
Discounted RAC breakdown cover rates
Exclusive deals and discounts website including cycle to work scheme
Save As You Earn share scheme
Retirement savings plan (pension) with company match

Fulltime

New

Restaurant Manager

Want to be part of something incredible? Tim Hortons has an ever-growing presenc...

Location

United Kingdom , Bangor

Salary:

32000.00 GBP / Year

Tim Hortons UK & Ireland Ltd.

Expiration Date

Until further notice

Requirements

Previous restaurant management experience (or strong assistant ready to step up!)
A hands-on, can-do attitude
Love for food, people, and building a buzz
Calm under pressure – fast-paced? You thrive in it!
Excellent communication and leadership skills

Job Responsibility

Lead and inspire an energetic team to deliver the best customer experience
Keep things running smoothly, from the customer lobby to the back-of-house operation
Drive performance, quality, and customer satisfaction every single shift
Manage stock, schedules, training and all those juicy operational bits

What we offer

Staff meals & discount
Opportunities to grow with a fun, expanding team
Supportive, upbeat working environment
Career growth and development opportunities
Competitive salary and benefits
Bonus

Fulltime

New

Senior Java Backend Developer

The Applications Development Senior Programmer Analyst is an intermediate level ...

Location

India , Chennai

Salary:

Not provided

Citi

Expiration Date

Until further notice

Requirements

10+ and above years of strong, hands-on experience in developing Java applications
Hands-on expertise in real-time streaming technologies such as Apache Flink, Apache Samza or other streaming frameworks
Proficiency with Linux and shell scripting
Experience with Kafka, Spring Boot, Microservices, and database technologies
Proven experience with DevOps practices, including CI/CD pipeline development, Docker, and OpenShift
Familiarity with log observability tools such as the ELK stack
Strong understanding of distributed systems, data pipelines, and event-driven architectures
Strong analytical and problem-solving skills
Ability to adapt to shifting priorities and thrive in a fast-paced environment
Excellent written and verbal communication skills, with the ability to interact effectively with business users

Job Responsibility

Conduct tasks related to feasibility studies, time and cost estimates, IT planning, risk technology, applications development, model development, and establish and implement new or revised applications systems and programs to meet specific business needs or user areas
Monitor and control all phases of development process and analysis, design, construction, testing, and implementation as well as provide user and operational support on applications to business users
Utilize in-depth specialty knowledge of applications development to analyze complex problems/issues, provide evaluation of business process, system process, and industry standards, and make evaluative judgement
Recommend and develop security measures in post implementation analysis of business usage to ensure successful system design and functionality
Consult with users/clients and other technology groups on issues, recommend advanced programming solutions, and install and assist customer exposure systems
Ensure essential procedures are followed and help define operating standards and processes
Serve as advisor or coach to new or lower level analysts
Has the ability to operate with a limited level of direct supervision
Can exercise independence of judgement and autonomy
Acts as SME to senior stakeholders and /or other team members

Fulltime

New

Senior Business System Analyst

Location

Canada , Toronto

Salary:

105000.00 USD / Year

Realign

Expiration Date

Until further notice

Requirements

10+ years of hands on BSA experience in an Agile/ Hybrid development environment within Banking and Client Onboarding space
Strong understanding of Client Onboarding, KYC and regulatory workflow set up and nuances on workflow rules and dependacies
Proficiency in SQL, data analysis and being tech savvy to easily understand application integrations for external data capture and downstream reporting
Excellent verbal and written communication skills to bridge gap between technical and non-technical teams
Previous experience on application migrations (preferred on-prem to Saas)
Fenergo - FenX experience (highly preferred)

Fulltime

New

Assistant Manager

We’re on the hunt for our next Assistant Manager to help keep the Herdsman Lake ...

Location

Australia , Wembley

Salary:

Not provided

Dan Murphy's

Expiration Date

Until further notice

Requirements

This is a hands-on role that involves manual handling and lifting as part of regular duties (e.g. moving stock, kegs, and deliveries). Applicants must have the ability to perform physical tasks safely and efficiently.
You’ve been around the bar, bistro, or gaming room block, and maybe already done some supervising
You’ve learned from great managers and now you’re ready to step up
You’ve got the confidence, pride, and people skills to be the face of the pub when the boss is away
You’ve got a current RSA and Approved Managers Card as per WA state requirements

Job Responsibility

Get to know the locals so well they think you’re part of the crew
Support the Publican to keep the pub running smoothly, safely, and with a great vibe
Learn the ropes of being a Publican while leading a team of absolute hospo legends
Handle hiccups before they turn into headaches
Bring the energy, the service, and the smiles every single shift

What we offer

Base Salary $76,600 + Super + Bonus + Group wide discounts
Grow your career within ALH Hotels and the wider Endeavour Group network.
An exclusive discount card for ALH Hotels, BWS, Dan Murphy’s and other Endeavour Group brands, not to mention discounts from Woolworths and Big W.
Endeavour Wellbeing Support
our EAP service offers critical incident support, career, conflict, nutrition and lifestyle, money, family, legal and employee assistance.

Fulltime

New

Trusts & Estates Paralegal

We are looking for a skilled Trusts & Estates Paralegal to join a respected law ...

Location

United States , Walpole

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 2 years of experience as a Trusts & Estates Paralegal
Comprehensive knowledge of Massachusetts probate and estate administration processes
Strong skills in drafting legal documents and meticulous attention to detail
Ability to handle multiple cases and meet various deadlines simultaneously
Excellent communication skills with a focus on client service
Proficiency in Microsoft Office and legal document management systems

Job Responsibility

Draft and finalize estate planning documents, including wills, trusts, powers of attorney, and healthcare proxies
Manage all tasks related to probate and estate administration, from initiation to closure
Prepare and submit probate court filings and supporting materials with accuracy
Coordinate asset transfers and assist with the funding of trusts and estates
Maintain organized electronic and physical files for estate planning and probate matters
Communicate effectively with clients, financial institutions, and court representatives
Monitor deadlines and ensure adherence to court and internal procedural requirements
Offer administrative and paralegal assistance to attorneys as needed

What we offer

medical
vision
dental
life and disability insurance
company 401(k) plan

New

Class 2 delivery driver

Do you want more local driving and be a valued member of a delivery team? This m...

Location

United Kingdom , Enfield

Salary:

Not provided

Booker Group

Expiration Date

March 27, 2026

Requirements

Class 2 vehicle knowledge
Understanding of the safe use of delivery equipment
Knowledge of the vehicle defect policy
Resilience
A positive outlook with great customer service skills
The ability to work under pressure
Previous Class 2 experience, multi drop preferred

Job Responsibility

A smart and professional personal appearance, role modelling ‘The Face of Booker’ at all times
Safely driving a clean and presentable vehicle, inside and out
The safe and careful use of delivery equipment such as cages, bars, straps, tail lift etc
Knowledge of vehicle defects and the vehicle defect policy
Assessing H&S risks at all times whilst on deliveries, ensuring a safe, accurate and timely delivery every time
Safe loading and unloading the vehicle at customer premises
Ensuring that company policies and processes are adhered to
Working in line with GDPR guidelines at all times
Leading by example and living the Booker Code of Business Conduct and Win Together behaviours
Supporting branch function whilst not on the road, such as keeping the vehicle clean, picking, wrapping and loading

What we offer

A Booker colleague card with 10% off purchases at Booker and double discount events up to three times a year
After 3 months service, a Tesco colleague discount card with 10% increasing to 15% off most purchases at Tesco for a 4 day period after every four-weekly pay day
10% off pay monthly & SIM only deals with Tesco Mobile for yourself
Up to 30% off car, pet and home insurance at Tesco bank
Free eye test when you spend £50 or more. You can also save 30% when you spend £50 or more on glasses, prescription sunglasses and contact lenses
50% off health checks at Tesco Pharmacy
Exclusive access to discounted RAC breakdown cover rates
An exclusive deals and discounts website saving you money on everyday purchases including a cycle to work scheme
After 3 months service, you can join our annual Save As You Earn share scheme which allows you to buy Tesco shares in the future at a discount
Retirement savings plan (pension) - save up to 5% and Booker will match your contribution

Fulltime

!

Utilization Review Nurse-RN

Personify Health

Location:
United States

Category:
Nursing

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
March 21, 2026

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Utilization Review Nurse-RN

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Job Description:

Job Responsibility:

Requirements:

Additional Information:

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