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....Audio/ Video company with multiple fortune 100 contracts within the financial, pharmaceutical and computing industries, seeks a ASL Interpreter. An American Sign Language Interpreter for AV Services, Inc. will provide high-quality professional ASL interpreting on-site...
...Federal Express Corporation (FEC) is part of the rapidly growing... ...weekly for both full and part time opportunities $5,250 tuition... ...awesome benefit on their first day of employment! Generous paid... ...Corporation (FEC) employees work one shift a day; full time Federal...
Waste Connections, a leader in integrated waste services, is seeking a skilled Union Heavy Diesel Mechanic / Journeyman to join our team. In this role, you will maintain high-performance diesel engine trucks and equipment, ensuring they meet all safety and operational standards...
...A leading AI legal technology company is seeking a Product Operations Manager, Localization, to drive their localization efforts across product lines. This role requires coordination with various teams, managing translation vendors, and establishing QA workflows to ensure...
Must be able to work every other weekend; shift is 545a-615p