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 The RN will work 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. Required knowledge includes accreditation standards (i.e., URAC, NCQA) and health insurance legislation. Awareness of claims processes and claims processing systems is essential. PC proficiency is required, including Microsoft Word, Excel, and health insurance databases. Strong verbal and written communication skills are necessary to effectively communicate with physicians, members, and providers, as well as to compose and explain document findings. Organizational and prioritization skills are also important. Minimum Requirements: Registered Nurse (RN) with unrestricted license in state. 3 years clinical experience. Ability to navigate MCG and medical policies during reviews. #J-18808-Ljbffr HireOps Staffing, LLC
...Job Description Homecare Services is looking to fill a part-time caregiver position in the Dell Rapids, SD area. Pay/Benefits: Starting at $18.05/hour. Eligible mileage reimbursed. Differential pay for evenings and weekends at $21.05/hour. Our team serves individuals...
Private Executive Chef - Miami Residence Location: Coconut Grove, MiamiPosition: Full-Time | On-SiteSchedule: Weekdays, full-time. Flexible hours structured around: Lunch around 1:00 PM, Childrens snacks around 3:00 PM and Dinner around 6:00 PM.Compensation: Based...
...Mexican and Puerto Rican spanish dialects work really well in this role. Candidate... ...attend ~ 4 week instructor led training Monday through Friday in the office. Hybrid Schedule: In Office... ...to complete successful work from home environment. PURPOSE OF THE JOB...
...- 25 patients per day with excellent follow-up care opportunities ~ J-1 visa support with attorney provided ~ Multiple practice locations serving growing communities ~ Our services are free for you ~ We help negotiate your salary and contract ~ We coordinate interviews...
...Job Description Job Description Insurance Job : Employee Benefits Producer Salary: $80-120K Location: Tampa, Florida Our... ...Participate in face-to-face meetings, present proposals and solutions to close business Work with the manager to ensure alignment...