$65/hr
Registered Nurse - Utilization Review
TotalMed Staffing · Wichita, KS
Job description
Registered Nurse-Utilization Review Job ID #2038951 | Share About this Role As a Utilization Review Registered Nurse (RN) supporting a health plan or insurance organization, you will use your clinical expertise to evaluate the medical necessity, appropriateness, and efficiency of healthcare services requested by providers. You'll serve as a critical liaison between healthcare providers and the health plan-helping to ensure that members receive the right care, in the right setting, at the right time. This role is a blend of clinical decision-making and administrative coordination, requiring strong communication skills and a solid understanding of medical guidelines and coverage policies. Job details $65.00 / hour Remote, California Profession: Registered Nurse Facility Type: ??? Specialty: Utilization Review Division: MedFi Start Date: 06/22/2026 Apply Responsibilities Review prior authorization requests and clinical documentation to determine medical necessity and appropriate level of care. Apply utilization review criteria (e.g., InterQual, MCG) and plan policies to support coverage decisions. Collaborate with physicians, providers, and internal teams to obtain necessary documentation and clarify clinical details. Communicate determinations clearly and professionally to providers and members. Identify and escalate cases requiring physician review or medical director input. Document all review activities and decisions in accordance with regulatory and organizational standards. Participate in quality initiatives, audits, and policy updates to support continuous improvement. Required Qualifications Current RN license BLS (other certifications as required by facility) Two years of recent Utilization Review RN experience Strong communication and adaptability skills
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" "" Licensed Clinical Social Worker (LCSW) Wage: Up to $110.17/hour Licensed Clinical Social Worker — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. It's all on one free-to-use platform, no commitment required. About you ● You're a fully-licensed Clinical Social Worker at a Master's level or above with LCSW, LICSW, or LCSCW licensure (accepted on a state by state basis), a valid NPI number, and malpractice insurance. ● You're ready to launch a private practice, or grow your existing business by taking insurance. About Headway Your expertise changes lives. Taking insurance makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who'd otherwise be forced to choose between paying out of pocket, or not getting care at all. We make that process seamless — empowering you to accept insurance with ease, so you can do what you do best. So far, we've helped over 50,000 providers grow their practices, reaching countless people in need. How Headway supports providers - Start taking insurance, stress-free: Get credentialed for free in multiple states in as little as 30 days and start seeing covered clients sooner. - Built-in compliance: Stay compliant from day one with audit support and ongoing resources. - Expansive coverage: Work with the plans that most clients use, including Medicare Advantage and Medicaid. - Increase your earnings: Secure higher rates with top insurance plans through access to our nationwide insurance network. - Dependable payments: Build stability in your practice with predictable bi-weekly payments you can count on. - Built-in EHR features: Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more. - Free continuing education: Nurture your long-term professional goals and earn CEUs with complimentary courses on Headway Academy. How Headway supports your clients ● Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance. ● Instant verification: Clients can easily check their insurance status and get the care they need without disruption. Please note: At this time, Headway can't support mental health professionals that aren't fully licensed. If your application was rejected for incomplete licensure, you're welcome to reapply once you have a valid license. "
Sales Associate
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At Five Below our growth is a result of the people who embrace our purpose: We know life is way better when you are free to Let Go & Have Fun in an amazing experience, filled with unlimited possibilities, priced so low, you can always say yes to the newest, coolest stuff! Just ask any of our over 20,000 associates who work at Five Below and they'll tell you there's no other place like it. It all starts with our purpose and then, The Five Below Way, which is our values and behaviors that each and every associate believes in. It's all about culture at Five Below, making this a place that can inspire you as much as you inspire us with big ideas, super energy, passion, and the ability to make the workplace a WOWplace! Thanks for your interest in joining Five Below! Due to the high volume of applications we receive, we're not able to respond to every applicant. Our team will reach out directly if your experience is a match for the role. For all other applicants, we'll keep your information on file and may contact you for future opportunities. If you want to be at the heart of Five Below's energy, our part-time Sales Associates are right in the center of the action. We're looking for candidates with a passion for delivering outstanding customer service while driving strong sales. Key qualities include excellent people and sales skills, attention to detail in keeping merchandise organized, ensuring the floor is always well-stocked, and providing seamless checkout experiences at the register. RESPONSIBILITIES • Greet and assist customers promptly: Approach and acknowledge customers immediately, providing assistance and handling multiple customers efficiently. • Understand and meet customer needs: Assess customer needs by sharing product knowledge, answering questions, directing them to merchandise, and offering recommendations. Engage in suggestive selling while staying informed on product availability. • Promote store events and promotions: Inform customers about current store events, promotions, and special activities to enhance their shopping experience and drive sales. • Resolve customer concerns: Address customer issues and use product knowledge to offer alternative solutions, aiming to turn returns into exchanges when possible. • Communicate needs to management: Regularly inform management about merchandise restocking, service requirements, and any customer feedback in a timely manner. • Support team and company goals: Collaborate with the team to achieve overall store and company objectives, contributing to a positive and productive work environment. 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Must be able to exchange accurate information in these situations • Frequently move across the sales floor assisting customers, as well as to and from the stock room retrieving and putting away merchandise • Ability to work a flexible schedule to meet the needs of the business, which will require day, evening, weekends and may include overnight shifts and travel (as required) • Must be able to identify and discern email and print instructions regarding merchandise layouts, associate schedules, and standard operating procedures • Must be able to remain in a stationary, upright position for 80% of the time Explore our benefits site to discover all the perks and support we offer! From health coverage to financial and personal wellness, we've got you covered-check it out today! benefits.fivebelow.com/public/welcome Five Below is an Equal Opportunity Employer. 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Additionally, Five Below does NOT request financial information or payments from candidates at any point during the hiring process. If you suspect fraudulent activity, please visit Five Below's Career Site to verify the posting. fivebelow.com/info/careers