Remote position, however, candidates must reside in the State of TX or State of IL
This position is a contract for about 9 months. Pay: $41/hour RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the treatment plan. This Position Is Responsible For Performing Accurate And Timely Medical Review Of Claims Suspended For Medical Necessity, Contract Interpretation, Pricing; And To Initiate And/Or Respond To Correspondence From Providers Or Members Concerning Medical Determinations. Knowledge of accreditation, i.e. URAC, NCQA standards and health insurance legislation. Awareness of claims processes and claims processing systems. PC proficiency to include Microsoft Word and Excel and health insurance databases. Verbal and written communication skills with ability to communicate to physicians, members and providers and compose and explain document findings. Organizational skills and prioritization skills. :Registered Nurse (RN) with unrestricted license in state. 3 years clinical experience. Needs to be able to navigate MCG and Medical policies with the reviews....POSITION TITLE: Library Clerk I The Huntsville-Madison County Public Library is a... .... HMCPL is seeking a Library Clerk I to assist library patrons to utilize the library's... ...pm HOURS AND COMPENSATION: This is a part-time, 20 hour a week position with a rate of...
...Job Description Job Description Job description: Flooring Outside Sales Position Summary Our Outside Sales Reps are responsible for driving sales and leading TOC into the next chapter of growth. All new sales persons must demonstrate their ability in selling...
...Lead React Developer Responsibilities Location: Phoenix, AZ onsite Experience: 12+ years of proven experience Must Spring boot background Requirements: 12+ years of software development experience. Strong Expertise in React js experience with Spring Boot...
...corrective actions. Define and update component specifications and technical documentation. Customer Enablement & Applications Develop application notes, design guides, and training materials. Act as the primary technical contact for customer integration and...
A leading communications firm in Washington, D.C. is seeking an Account Director to drive integrated communication strategies for non-profit and corporate clients. The ideal candidate will have 7-9 years of experience in media strategy and client relations, along with ...