Seeking a candidate to fill position for UM Nurse Reviewer. Candidate must have a managed care background, knowledge of Medicare and Medi-Cal and knowledge of health plan and CMS guidelines. Candidate must also have the ability to review and make determination of requests for clinical services. Excellent computer skills and the ability to type at least 45 WPM. Claims review experience is a plus and bilingual is a plus. Summary of Job Duties include: review requests for clinical care appropriateness, defer potential denials to MD and other duties as assigned. High School Diploma, Licensed Vocational Nurse (LVN) High Desert Medical Group
...RELOCATION ASSISTANCE: Relocation assistance may be availableCLEARANCE TYPE: SAPTRAVEL: Yes, 10% of the Time Description At Northrop Grumman, our employees have incredible opportunities to work on revolutionary systems that impact people's lives around the world...
...annually. Responsibilities: Provide mentorship to new agents. Utilize advanced tools and a comprehensive product portfolio... ...it is not mandatory. Candidates must obtain the necessary insurance licensing; comprehensive training is provided for unlicensed...
...Job Description Job Position: Maintenance Location: Huntsville, AL 35805 Pay Rate: $19 - $23/hr Shift: Description: Join Our Team as an Apartment Maintenance Technician! Looking for your next opportunity? InterSolutions has multiple openings for skilled...
...Transportation, Federal and State Government Agencies. Learn More About ProSidian Consulting at Job Description ProSidian Seeks a Executive Coach | Leadership Development Programs [LFCISD0038037] for Program Support on a Exempt W2: No Overtime Pay Basis Technical Element...
...Title: SAP IBP Consultant Mode of Hire:- FTE Location: Wilmington DE/ Dallas TX// Washington, DC)/Onsite Job Details: Data integration Models activation methods Supply planning process Analytics and reporting Configuration Inventory optimizations...