Utilization Management Nurse
Akron Children's Hospital · Centralia, WA
Job description
Full Time Days 7am-4:30pm 40 Hours/Week Utilization management and pediatric nursing experience preferred Summary: The Utilization Management Nurse is responsible for conducting medical necessity review to assure appropriate use of hospital resources and serving as a resource to the hospital staff on utilization management practices. Responsibilities: 1. Conduct Utilization Review & Determine Appropriate Level of Care Applies evidence-based medical necessity criteria, validates admission status, and ensures all inpatient, observation, and outpatient-in-a-bed cases meet criteria. Collaborates proactively with physician advisors and attending providers for accurate level-of-care decisions and authorization of hospital days. 2. Manage Denials, Compliance, and Quality Improvement Activities Participates in denial management and peer review processes, identifies compliance or ethical issues, and contributes to quality and safety initiatives aimed at improving departmental and hospital workflows. 3. Support Care Progression Through Interdisciplinary Collaboration Actively engages in daily huddles, multidisciplinary rounds, and patient care discussions to understand service intensity, discharge barriers, and progression of care, while serving as a resource to the care team on utilization, documentation, and admission requirements. 4. Maintain Accurate and Timely Documentation Clearly documents all reviews, interactions, and decisions in Midas, Epic, and other required systems. 5. Performs additional duties as assigned. Other information: Technical Expertise 1. Experience in inpatient clinical is required. 2. Experience in pediatrics is preferred. 3. Experience working with all levels within an organization is required. 4. Experience in healthcare is required. 5. Proficiency in MS Office [Outlook, Excel, Word] or similar software is required. Education and Experience 1.Education: Bachelor's in nursing [BSN] is required. For employees hired after July 1, 2013, BSN is required or must be obtained within 5 years from date of hire. 2. Certification: Registered Nurse licensure is required. 3. Years of relevant experience: 3 years is required. 4. Years of experience supervising: None. Full Time FTE: 1.000000 Status: Remote
More jobs in Centralia, WA
Join Our Remote Customer Service Team (Up to $19/hour - No Degree Needed) Do you enjoy helping others and have a knack for problem-solving? We're seeking motivated individuals to join our growing team of remote customer service representatives. In this role, you'll provide exceptional customer support to a variety of clients, ensuring a positive experience for each interaction. Here's what you'll do: • Assist customers with inquiries and concerns. • Resolve issues efficiently and professionally. • Communicate clearly and effectively in writing and verbally. • Maintain a positive and helpful demeanor. You'll be a great fit if you have: • A strong desire to provide excellent customer service. • Excellent communication and interpersonal skills. • The ability to prioritize tasks and work independently. • Proficiency in using computers and navigating multiple software programs. The Perks: Work from anywhere: Enjoy the flexibility of a remote work environment. Flexible schedule: Create a schedule that fits your needs. Competitive pay: Earn up to $19 per hour. Opportunity for growth: Develop valuable customer service skills. Ready to take the next step? Additional Information: No prior experience or degree required. A quiet workspace and reliable internet connection are essential. Must pass a background check. We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. #ZR
Remote Client Support Specialist
CPJ Recruitment · Centralia, WA
About the job Remote Client Support Specialist • • We are seeking a Remote Travel Customer Representative to support travelers before, during, and after their trips. In this 100% work-from-home role, you will assist clients with travel-related questions, provide trip support, and ensure a smooth, stress-free experience from start to finish. This position is ideal for someone who enjoys helping people, is highly organized, and is excited about working remotely in the travel industry. Key Responsibilities • • Assist clients remotely via email, phone, and messaging platforms • Answer travel-related inquiries in a clear, professional, and friendly manner • Support itinerary updates, cancellations, changes, and special requests • Provide guidance on destinations, travel requirements, and agency procedures • Monitor upcoming trips and proactively communicate with clients when needed • Resolve issues efficiently while maintaining a positive customer experience Ideal Candidate • Strong written and verbal communication skills • Customer service experience (travel, hospitality, call center, or support roles preferred) • Highly organized, dependable, and detail-oriented • Comfortable working independently in a remote environment • Able to learn new systems, tools, and processes quickly • Passionate about travel and helping others travel with confidence What We Offer • 100% remote, work-from-home position • Flexible scheduling options • Full training and ongoing support • Growth opportunities within a travel-focused company • Access to travel-related perks and industry discounts • Supportive and collaborative remote team environment.
BMV Call Center Representative
State of Indiana · Centralia, WA
Work for Indiana Begin a fulfilling career with the State of Indiana by joining one of the largest employers in the state, offering a range of opportunities across 60+ agencies. At the state, you'll find competitive compensation, a robust benefits package and a commitment to work-life balance. Most importantly, you'll have the chance to make a real and measurable impact on the lives of Hoosiers across Indiana. About the Bureau of Motor Vehicles (BMV): The Bureau of Motor Vehicles delivers exceptional, customer focused services built on choice, innovation, and genuine care. We strive to be a trusted partner to every Hoosier by investing in our people, fostering growth, and developing future leaders who drive excellence and a strong culture of service. Role Overview: Customer Service Representatives are the frontline contact for the Bureau of Motor Vehicles. You will provide timely and accurate customer service utilizing good communication skills, computer skills, and on-the-job training. You will assist Hoosiers with a broad scope of BMV needs. This position operates on a fully remote schedule. You will be required to meet minimum internet speed requirements, including upload and download speeds. During the onboarding and orientation process, you will be required to report to a BMV location near you to collect the necessary equipment. Please note that there is always the potential for required in-office hours if need arises. Salary: The salary for this position traditionally starts at $29,588.00 but may be commensurate with education and work experience. Use our Compensation Calculator to view the total compensation package. A Day in the Life: The essential functions of this role are: • Use your job knowledge to conduct customer transactions. • Answer customer questions and provide guidance. • Assist with the daily opening and closing of the branch. • Check transactions to ensure accuracy, timeliness, and proper accounting. • Work with leadership to resolve escalated customer concerns and system problems. • File applications as completed throughout the day. The job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee. Other duties, responsibilities, and activities may change or be assigned at any time. What You'll Need for Success: Individuals in this role should minimally be able to articulate or demonstrate the following: • Top-notch communication skills. • A high level of critical thinking and the ability to troubleshoot. • Ability to process cash and card transactions. • Ability to travel up to 20 percent of the time to branch. locations, training, or branch-related community activities. • Ability to perform essential functions with or without reasonable accommodation. A degree is not required. However, a High School Diploma or High School Equivalent (HSE) and customer service experience applying the outlined knowledge, skills, and abilities in a similar role may be considered. Supervisory Responsibilities/Direct Reports: This role may be utilized in a supervisory capacity based on agency needs. Benefits of Employment with the State of Indiana: The State of Indiana offers a comprehensive benefits package for full-time employees that includes: • Three (3) medical plan options (including RX coverage) as well as vision and dental plans • Wellness Rewards Program: Complete wellness activities to earn gift card rewards • Health savings account, which includes bi-weekly state contribution • Deferred compensation 457(b) account (similar to 401(k) plan) with employer match • Two (2) fully-funded pension plan options • A robust, comprehensive program of leave policies covering a variety of employee needs, including but not limited to: • 150 hours of paid New Parent Leave and up to eight weeks of paid Childbirth Recovery Leave for eligible mothers • Up to 15 hours of paid community service leave • Combined 180 hours of paid vacation, personal, and sick leave time off • 12 paid holidays, 14 in election years • Education Reimbursement Program • Group life insurance • Referral Bonus program • Employee assistance program that allows for covered behavioral health visits • Qualified employer for the Public Service Loan Forgiveness Program • Free Parking for most positions • Free LinkedIn Learning access Equal Employment Opportunity: The State of Indiana is an Equal Opportunity Employer and is committed to recruiting, selecting, developing, and promoting employees based on individual ability and job performance. Reasonable accommodations may be available to enable individuals with disabilities to complete the application and interview process as well as perform the essential functions of a role. If you require reasonable accommodations to complete this application, you can request assistance by contacting the Indiana State Personnel Department at jobs@spd.IN.gov. Current Employee? Click here to apply.
Company Description We're hiring Non-Retail Registered and Certified Pharmacy Technicians in Springfield, Missouri! Join us on Tuesday, July 28, 2026, 2 PM-7 PM CT and Wednesday, July 29, 2026, 9 AM-1 PM CT. for our Onsite Hiring Event. To learn more about this opportunity, register thru this link: Virtual Hiring Event Details Date/Time: Tuesday, July 28, 2026, 2 PM-7 PM CT and Wednesday, July 29, 2026, 9 AM-1 PM CT Place: Walmart Central Fill Pharmacy, 3176 N DRURY LN, SPRINGFIELD, MO 65802 Registration Link: Job Description Join our new Walmart Central Fill Pharmacy team! Walmart Central Fill Pharmacy is a specialized type of pharmacy that focuses on processing and dispensing of prescriptions for multiple retail pharmacy locations within a region. Unlike a traditional pharmacy, Central Fill is full of automation allowing prescriptions to be filled fast and accurately. But the best part of Central Fill pharmacy is taking care of our patients in the community. While we are not patient facing, our job provides retail pharmacies with the ability to spend much deserved time providing clinical services and education to the communities they serve. What you'll do in our Pharmacy Technician roles: Work in an innovative environment with cutting-edge technology. Responsibilities include identifying, selecting and verifying pharmaceutical products, expiration dates and lot numbers; labels and weighs medication for accuracy; prepares packages and distributes medications in a fast-paced production environment; replenishes automated counting machines in accordance with local, state, and federal laws. Qualifications Are you a good fit for our Pharmacy Technician roles? Yes, if you: • Meet all Missouri state requirements to work as a Pharmacy Technician, including being at least 18 years old and holding an active state Pharmacy Technician license issued by the Missouri State Board of Pharmacy • Certified Pharmacy Technicians must also hold an active/valid PTCB (PTCE) or NHA (ExCPT) national certification certificate Schedule/Availability: 4-day workweek consisting of four 10-hour shifts. Sunday availability is required and candidates without Sunday availability will not be considered. • 1st Shift: 6:00 AM - 4:00 PM (availability required between 5:00 AM - 5:00 PM) • 2nd Shift: 4:00 PM - 2:00 AM (availability required between 3:00 PM - 3:00 AM) Additional Information Compensation: • Registered and Nationally Certified Technicians: $24.00/hr • Registered Technicians: $20.50/hr • Second Shift Differential: additional $2.00/hr for the second shift schedule Thank you for your interest in our event. Register today to learn more about our exciting opportunities!