HireOps
11 - 50 employees
Founded 2021
👥 HR Tech
🎯 Recruiter
☁️ SaaS
HR Tech • Recruitment • SaaS
HireOps is a company that provides software and services to optimize recruitment operations for employers. The platform centralizes applicant tracking, interview scheduling, candidate sourcing and collaborative hiring workflows, and offers reporting and integrations with HR systems to reduce time-to-hire and improve hiring quality.
Utilization Review Nurse – Contract
Job not on LinkedIn
🔥 0 minutes ago
📊 Check your resume score for this job
Improve your chances of getting an interview by checking your resume score before you apply.
HireOps
11 - 50 employees
Founded 2021
👥 HR Tech
🎯 Recruiter
☁️ SaaS
HR Tech • Recruitment • SaaS
HireOps is a company that provides software and services to optimize recruitment operations for employers. The platform centralizes applicant tracking, interview scheduling, candidate sourcing and collaborative hiring workflows, and offers reporting and integrations with HR systems to reduce time-to-hire and improve hiring quality.
📋 Description
• Performing initial, concurrent review activities • Discharge care coordination for determining efficiency, effectiveness and quality of medical/surgical services • Serving as liaison between providers and medical and network management divisions • Collecting clinical and non-clinical data • Verifying eligibility • Determining benefit levels in accordance to contract guidelines • Providing information regarding utilization management requirements and operational procedures to members, providers and facilities
🎯 Requirements
• RN working in the insurance or managed care industry using medically accepted criteria • 3 years of clinical experience in a physician office, hospital/surgical setting or health care insurance company • Knowledge of medical terminology and procedures • Verbal and written communication skills • Utilization management experience (preferred) • MCG or InterQual experience (preferred)
Apply NowSimilar Jobs
🔥 4 minutes ago
Personnel providing testing support services for TSA at domestic airports. Conducting field tests on emerging technologies with expectation of 100% travel.
🔥 4 minutes ago
Field Agent position providing a range of property management tasks for Home365. Responsibilities include inspections, task oversight, and effective communication.
🔥 4 minutes ago
Field Agent completing tasks like property inspections and occupancy checks for Home365's technology-driven property management. Requires excellent customer service skills and reliable transportation.
🔥 4 minutes ago
Real Estate Agent partnership opportunity for listing and resident placement services in Scranton, PA. Engage in flexible, contract-based work without property management experience required.
🔥 4 minutes ago
Independent Contractor completing field tasks like property inspections for Home365, a tech-driven property management company. Requires reliable transportation and excellent organizational skills.
