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.Seeking a dedicated RN - Endoscopy in Yakima, WA, offering $2,055/week. Perform endoscopic procedures, ensuring patient safety and comfort. Prepare patients for procedures, including assessments and education. Monitor patient vital signs and respond to emergencies...
Overview The Medical Interpreter serves as a cultural and linguistic resource to both patients and providers by facilitating the successful delivery of patient care service to a linguistically diverse population. In this role the interpreter participates as a neutral...
...Canadian Executive Search Group (CESG), a division of Arrow Workforce Solutions (AWS), is now hiring Industrial Cleaning Technicians for our Automotive Distribution Center client in Austin, Texas. This is NOT janitorial work. The role involves heavy lifting and...
...transform massive amounts of data into an intuitive, interactive 3D command center, serving as the visual interface for mission... ...phase to ensure feasibility and optimal performance Implement UI animations, transitions, and interactive behaviors that enhance user experience...
Service Advisor As a Service Advisor, you'll be part of a nationwide team servicing 20,000 cars a day and building customer loyalty that spans generations. Along with your communication skills and automotive knowledge, you'll utilize leading-edge technology to uncover...