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....professional recruiting firm specializing in recruiting for the elevator industry. We represent numerous independent/non-union... ...As an elevator mechanic, you will be required to oversee the installation of new elevators, perform routine maintenance, troubleshoot malfunctioning...
Seasonal Support Driver As a seasonal support driver (SSD), youll deliver packages to communities and businesses in the comfort of your own vehicle. This is a friendly, physically active role, so youll need to enjoy fast-paced work, being outdoors, and safely being behind...
...Technical Recruiter Full-Time, On-Site (NYC) We're looking for a driven, high-output Technical Recruiter to help rapidly scale a small, high-performing engineering team. This is a critical role in a fast-moving startup thats already achieved strong product-market...
...management team in a clean and safe environment. Staff Management SMX at MARS Fishcare in Chalfont, PA is looking for a motivated Warehouse Associate to join our team. We will train hard-working individuals to prepare orders for wholesale distribution to our customers....
...professional growth. Find your future with us. Patriot Advanced Capability - 3 (PAC-3) is seeking an experienced and strategic Systems Engineering Lead to drive engineering excellence on the capacity expansion programs within our missile seeker program in Huntsville,...