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.Class A CDL Class A Regional Tanker Truck Driver JobBRT, Inc. is a family-owned carrier, currently seeking REGIONAL Class A Full-Time Tank/Haz Drivers for liquid bulk petroleum deliveries based out of the greater Lima, OH area.Learn about our culture: https://youtu...
...At Houston Methodist, the Health Fitness Coordinator position is responsible for developing and supporting health promotion programming for Houston Methodist Wellness. This position effectively assesses physical fitness levels to design and implement effective exercise...
Job Description Job Description Looking for experienced servers and bartenders to work in the clubhouse, occasionally selling beverages around the course.
...Primary City/State: Mesa, Arizona Department Name: Banner Staffing Services-AZ Work Shift: Night Job Category... ...Staffing Services, were excited about what the future holds for health care. Our team has come together with the common goal: Make health...
...Join our dynamic team as a Chat Support Representative, where you will be the vital link between our customers and our services!... ...time off ~ Parental leave ~ Professional development assistance ~ Relocation assistance ~ Vision insurance ~ Work from home...