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. HireOps Staffing LLC
Job Summary This position is responsible for the maintenance, and/or repair, of a variety of HVACR equipment in an assigned group of GetGo convenience stores within a geographical area. Job Description Experience Required: 1 year in HVACR field Education...
...Company-operated stores in the United States, Canada, and Mexico and online at and The Companys Child of Mine brand is available at Walmart, its Just One You brand is available at Target, and its Simple Joys brand is available on Amazon. The Company also owns Skip Hop, a...
...delivering the product to customers. You will also need to process cash and card payments.To be successful as a Pizza Delivery... ...customers' queries and complaints. Benefits: The position pays cash daily, with drivers earning between $12-$20 per hour! Flexible...
...Boutique hedge fund located in Midtown, NYC, is seeking a bright college graduate with exceptional customer services skills and up to 4 years of administrative experience to be the face and core of the firm. Sit at front desk. Answer phones, organize schedules, assist...
...Anders Group is seeking a travel nurse RN Clinic for a travel nursing job in Bothell, Washington. Job Description & Requirements ~... ...amount to be determined. Posted job title: Registered Nurse - Outpatient Clinic @ Providence PACMED - Canyon Park About Anders...