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....Get home daily and work with a professional team! Drive a new model International LT automatics. Hiring Area: El Paso, TX (driver must live within 50 miles of El Paso) Job details: Pay : $14/hr weekly pay every Friday Schedule : Friday to Monday Shift...
...Assistant City Attorney Dallas City Attorneys Office Criminal Law & Police Liaison Section The Dallas City Attorneys Office... ...successful candidate must pass a criminal background check for Criminal Justice Information Services certification. Candidates should be...
Overview: The Refrigeration Technician provides technical support for all refrigeration problems to assigned retail stores. Benefits for Now and Your Future: Weekly Pay Paid Time Off Medical, Dental, Vision Short & Long Term Disability Employee Assistance...
...professional manner Using simple tools (like our CRM system training provided) to stay organized Supporting managers and staff... ...performance bonuses Most team members earn $40,000$55,000/year ~ Paid training and supportive team ~ Full medical, dental, and...
...Job Description Job Description Diesel Truck and Trailer Mechanics are needed in Bedford Park IL to join a national fleet. This opening provides an opportunity for growth, training, and advancement. Compensation: $28.00 - $38.00/hour Sign-on Bonus...