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
...endorsements * 12+ months of driving experience (Tanker experience required)* Products propane, butane and liquid asphalt * TWIC Card required or the ability to obtain * Ability to stay out a week at a time. (home weekly) Pay schedule: *Propane / Butane % of the...
...leading export in hops and exports in apples, grapes, cherries, and asparagus. The Yakima Valley is also home to many breweries, wineries, and cider houses. The abundance of agriculture contributes to the livelihood of our migrant farmworkers, warehouse workers, transportation...
...J.P. Morgan Asset Management, we provide equity solutions to many of the worlds largest... ...investing is our dedication to in-house research. Our on-the-ground presence in key markets... ...As a Growth Equity Industrial Research Analyst within the US Equity Growth team at J.P....
...Job Description UPMC Mercy is hiring a full-time Medical Lab Technician or Medical Lab Scientist to support the Microbiology Lab! We are looking for... ...chance to join a patient-focused and team-oriented laboratory. We take great pride in what we do for the patients...
...join a new established team doing Business Development (BD) for Food & Beverage (F&B) as part of the PL (Product Line) Performance Drives... ...Vertical Lead F&B will lead, drive and enable regional/local sales plans & strategy execution in the region/countries by bringing...