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
...company that designs, develops, and manufactures custom opto-electronic products for a growing customer base. We seek a skilled Corporate Trainer to be responsible for planning, coordinating, and conducting employee training. This position is responsible for ensuring that...
...Produce Non CDL Truck Delivery Driver positions. * Touch Freight will be required. * Client Facing Customer Service * Early Morning Shift Starting * Starting at $21.50/hour Position Purpose: All drivers run daily routes with frequent stops and are required...
...and Facilities, assisting the Facility Manager and the Head of Corporate Real Estate with... ...delivery of quality facility management services for site located in Kinston, NC.... ...schedules. Surveillance of tool and provide improvement feedback to Manager Collect...
...Base Pay: 19.00 per HOUR Looking for a Freight Forwarder in Fife Pay: $19/hr Shift: 8am to 5pm Job Duties: Track, trace, and monitor Estes Forwarding shipments and update ... Continue reading "Freight Forwarder" Looking for a Freight Forwarder in Fife...
19 hours ago Be among the first 25 applicants Position: Sr. Technical Project Manager Location: Boston/Chelsea, MA (1-2 days onsite) Duration: Multi Year Renewable Contract Hours: 37.5 Hours per Week Overview CLIENT seeks a dynamic Senior Technical Project...