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....Summary We are a small Multicultural Christian Counseling practice in Midtown Manhattan... ...program in marriage & family therapy, social work, or similar field A New York State... ...interpersonal skills Highly organized Flexible work from home options available....
...No Dialysis experience is required. Training may take place in a facility or a training clinic other than your assigned home clinic... ...clinics during and after your training. You must have a flexible schedule and be abl Technician, Patient Care, PCT, Patient, Healthcare...
...is working with Sherman Brothers Heavy Trucking to find a qualified Dedicated or Regional... ...experience! We are seeking flatbed drivers to run our Pacific Northwest Regional Flatbed... ...Pay Transflo/ Geotab Lease purchase program available And Much, Much more...
By joining our team, youll be part of our life-changing Mission and Vision. Youll work in a truly inclusive environment where diversity and equity are championed through words and actions. Youll contribute to an innovative culture that is second to none, one that embraces...
...Position Title: Maritime Environmental, Health and Safety Coordinator Location: Conley Container Terminal, 700 Summer Street, Boston,... ...emergency response and security planning. Collaborates with Public Safety and internal stakeholders to support emergency preparedness...