- 5 years of Nursing experience
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Residential Support
1 week ago
Washington County Mental Health Services Montpelier, United States Full timeWashington County Mental Health Services · Community Support Program Residential Programs · Community Support Division · Reports to: Program Coordinator · The WCMHS Community Support Program (CSP) - The Community Support Program (CSP) provides comprehensive community-based su ...
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Primary Care Nurse Practitioner
2 weeks ago
MedElite LLC Barre, VT, United States Part timeAbout MedElite: MedElite provides innovative solutions for skilled nursing facilities by partnering with long-term care providers and clinicians for the benefit of the facilities, the specialists, and most importantly, the patients. MedElite's vision is to revolutionize geriatri ...
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Operations Support Specialist
3 weeks ago
The University of Vermont Health Network Montpelier, United StatesWe are more than just science. At our heart, we are 1700 employees united by an inspiration to care for our community. We are CVMC. · POSITION SUMMARY: · Under the supervision of the MGP Practice Manager the Operations Support Specialist is responsible to ensure efficient oper ...
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Primary Care Nurse Practitioner
20 hours ago
MedElite LLC Barre, VT, United StatesINFINITE: · Infinite Medical P.C is a nationwide network of advanced practice providers and specialty clinicians committed to delivering high-quality, proactive care directly to residents in skilled nursing and long-term care facilities. Our partnership with MedElite Healthcare M ...
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Travel LPN
4 weeks ago
Leaderstat - Post Acute Barre, VT, United StatesLeaderstat - Post Acute is seeking a LPN / LVN for a travel job in Barre, Vermont. · Job Description & Requirements · Specialty: LPN / LVN · Discipline: LPN / LVN · Start Date: 06/10/2024 · Duration: 13 weeks · 36 hours per week · Shift: 12 hours · Employment Type: Trav ...
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Medicaid Application Coordinator
4 days ago
Genesis Healthcare Services Montpelier, United StatesThis is a remote position with some travel to centers in the market. · The Medicaid Liaison will provide onsite or remote support to complete the financial and clinical Medicaid eligibility processes in one or more skilled nursing centers (SNFs) with a Business Office vacancy. In ...
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Pharmacist, 7on/7off Overnight
6 days ago
Cardinal Health Montpelier, United States**This is a work from home opportunity that will require reliable access to a computer, monitor, internet service, backup computer, and a dedicated home office space.** · **Cardinal Health Innovative Delivery Solutions** · With over 45 years of experience in helping hundreds of h ...
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Deputy Chief Prosecutor
4 days ago
State of Vermont Montpelier, United StatesOverview · Don't miss this opportunity to serve in the Vermont Secretary of State's Office of Professional Regulation · The Office of Professional Regulation (OPR) protects the public from unprofessional conduct of licensed professionals through administrative actions that restr ...
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The University of Vermont Health Network Berlin, VT, United StatesWe are more than just science. At our heart, we are 1700 employees united by an inspiration to care for our community. We are CVMC. · External candidates with at least 1 year of experience (and have not worked for UVMHN within the last year) are eligible for a one-time sign-on b ...
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2024 LNA in Training
2 weeks ago
The University of Vermont Health Network Berlin, VT, United StatesJob Description · Interested in becoming a Licensed Nursing Assistant (LNA)? We have multiple classes throughout the 2024 calendar year · We are currently accepting applications for the following courses: · August 19th · November 11th · Interested in starting your nursing ca ...
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Registered Nurse
1 week ago
The University of Vermont Health Network Berlin, VT, United StatesUnit Description: As an Emergency Department Nurse at CVMC, you will be part of a multi-disciplinary team in our busy, community hospital. Our Emergency Department is a 24-bed unit that provides care for an average of 80 patients per day. Our RNs actively participate in the trea ...
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Registered Nurse
2 weeks ago
The University of Vermont Health Network Berlin, VT, United StatesUnit Description: We are more than just science. At our heart, we are 1700 employees united by an inspiration to care for our community. We are CVMC. · The Registered Nurse (RN) in the CVMC Intensive Care Unit (ICU) as part of our Critical Care Team is responsible for direct an ...
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Registered Nurse
2 weeks ago
The University of Vermont Health Network Berlin, VT, United States Full timeUnit Description: We are more than just science. At our heart, we are 1700 employees united by an inspiration to care for our community. We are CVMC. · The Registered Nurse (RN) in the CVMC Intensive Care Unit (ICU) as part of our Critical Care Team is responsible for direct and ...
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Phlebotomist, Certified Nurse Assistant
2 weeks ago
The University of Vermont Health Network Berlin, VT, United States Full timeOrganization · CVMC/ · Woodridge · Position Title · LNA / Phlebotomist · Department · Woodridge · POSITION SUMMARY · Under the supervision of the Director of Nursing, the LNA / Phlebotomist position is responsible for phlebotomy specimen collections in all areas of Woodrid ...
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Medicaid Application Coordinator
1 week ago
Genesis Healthcare Services East Montpelier, United StatesThis is a remote position with some travel to centers in the market. · The Medicaid Liaison will provide onsite or remote support to complete the financial and clinical Medicaid eligibility processes in one or more skilled nursing centers (SNFs) with a Business Office vacancy. In ...
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Nursing - Registered Nurse - Travel
4 weeks ago
Healthcare Pros, Inc. Barre, VT, United StatesHealthcare Pros, Inc. is seeking a travel nurse RN Long Term Care for a travel nursing job in Barre, Vermont. · Specialty: Long Term Care · ~ Shift: 8 hours, days · ~ Employment Type: Travel · Healthcare Pros, Inc. Pay package is based on 8 hour shifts and 40 hours per week ( ...
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Nurse Practitioner
3 weeks ago
Porter Cares Inc Montpelier, United States Part timeJob Description · Job DescriptionAre you a Nurse Practitioner who is passionate about altering the status quo of healthcare delivery and improving the lives of members to thrive at their fullest. · Join Porter Cares as we expand into Fulton County, Ohio and surrounding areas We ...
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Medicaid Application Coordinator
3 weeks ago
Genesis Healthcare Services Montpelier, United StatesThis is a remote position with some travel to centers in the market.The Medicaid Liaison will provide onsite or remote support to complete the financial and clinical Medicaid eligibility processes in one or more skilled nursing centers (SNFs) with a Business Office vacancy. In ad ...
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Clinical Care Coordinator
3 weeks ago
UVM Health Network - Central Vermont Medical Center Montpelier, United StatesBuilding Name: CVMC - Medical Office Building MLocation Address: 3336 Airport Road, Building M, Berlin VermontRegularDepartment: CVMC - Community Health TeamFull TimeStandard Hours: 40Biweekly Scheduled Hours:Shift: DayPrimary Shift: 8:00 AM - 4:30 AMWeekend Needs: NoneSalary Ran ...
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Clinical Care Coordinator
3 weeks ago
UVM Health Network - Central Vermont Medical Center Montpelier, United StatesBuilding Name: CVMC - Medical Office Building M · Location Address: 3336 Airport Road, Building M, Berlin Vermont · Regular · Department: CVMC - Community Health Team · Full Time · Standard Hours: 40 · Biweekly Scheduled Hours: · Shift: Day · Primary Shift: 8:00 AM - 4:30 ...
Utilization Management Review Nurse - Montpelier, United States - Humana
Description
Become a part of our caring community and help us put health first
Humana Healthy Horizons is seeking a Utilization Management Nurse 2 who utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations.
The Utilization Management Nurse 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
You will be part of a caring community at Humana. When you meet us, you can tell we started as a hometown company.We are proud of our Louisville roots and, as we have grown, that community feeling has spread across all 50 states and Puerto Rico.
No matter where you are-whether you are working from home, from the field, from our offices, or from somewhere in between-you will feel welcome here.
We are a caring community made of close-knit teams, cross-country friendships, and inclusive resource groups, all gathered around one big table where everyone's voice is heard and respected.
Community is a verb here. It is up to each of us to care for it and maintain it. Because the relationships we form will help us deliver better health outcomes for the people we so proudly serve.Health Insurance begins on day one
23 days of vacation with pay per year
Aggressive 401K program matching 125% of 6% after year one
Are you caring, Curious and Committed? If so, apply today
The Utilization Management Nurse 2:
Uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or services for members
Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment
Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas
Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed
Follows established guidelines/procedures.
Use your skills to make an impact
Required Qualifications
Bachelor's degree
Licensed Registered Nurse (RN) (unrestricted) with no disciplinary action
Prior clinical experience preferably in long term acute care, skilled or rehabilitation clinical setting
Comprehensive knowledge of Microsoft Word, Outlook and Excel
Ability to work independently under general instructions and with a team
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications
Health Plan experience
Previous Medicare/Medicaid Experience
Bilingual
Additional Information
About Humana
Your growth is what drives Humana forward.
When you get here, the journey is just beginning. Our leaders are committed to understanding what you need to grow. Because we do not grow without you
This is a place where our nurses influence the C-suite.
Where software engineers change lives.
Where every associate can build a professional path where they learn and thrive.
Through our commitments to wellbeing and work-life balance, we support each associate's personal health, purpose, work style, sense of belonging, and security.
Work at Home Guidance
To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
Interview Format
As part of our hiring process for this opportunity, we will be using an exciting screening and interviewing technology called Modern Hire to enhance our hiring and decision-making ability.
We use this technology to gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
You will be able to respond to the recruiters preferred response method via text, video, or voice technologies.If you are selected for a screen, you may receive an email correspondence (please be sure to check your spam or junk folders often to ensure communication is not missed) inviting you to participate.
You should anticipate this screen to take about 15 to 30 minutes.Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.
Scheduled Weekly Hours40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting.
The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$69,800 - $96,200 per yearThis job is eligible for a bonus incentive plan.
This incentive opportunity is based upon company and/or individual performance.Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, 'Humana') offers competitive benefits that support whole-person well-being.
Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work.
Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About usHumana Inc
(NYSE:
HUM) is committed to putting health first - for our teammates, our customers and our company.
Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.
These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran.
It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements.
This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion.
