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....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...
A manufacturing firm in Texas is seeking a Powder Coating Manager to oversee operations within the powder coating department. The role is responsible for managing labor, quality control, and safety standards while utilizing lean manufacturing concepts to drive continuous...