Average salary: $64,777 /yearly
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Humana is seeking a Prior Authorization RN to join the Wisconsin Medicaid Market (iCare) team. This position reviews the clinical appropriateness of prior authorization (PA) requests and ensures that...
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...synthesis of nanoparticles in ionic liquids
Perform in-situ XPS experiments and conduct materials characterization using SEM/TEM
Author papers and deliver presentations based on the experimental results obtained through this project
Supervise undergraduate...
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...Description
Job Description World leader in urban mobility, Flowbird is the trusted partner of cities, private operators and public authorities in more than 5,000 cities and 80 countries. We are redefining mobility with a relentless desire to provide mobility as a service,...
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...sales staff or any staff receiving car allowance), verification of education, professional licensure where applicable, and debarment authorities. This process is conducted to verify the accuracy of the information provided by the candidate. A guilty misdemeanor or felony...
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...guidance and validation from appropriate clinical/management resources when necessary.
Consistently utilizes appropriate lines of authority as necessary.
ADDITIONAL RESPONSIBILITIES: Assist staff with Spanish interpretation if bilingual in Spanish.
Attend job...
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...compliance with regulation and company standards (ex: including but not limited to managing eligibility issues, and resolving over authorization issues)
QAPI (Quality Assurance and Performance Improvement) management-implementation and oversight, participate as active...
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...latest tech in dentistry including Co2 laser, CBCT, IO scanners, digital x-rays, cloud based practice management software.
Work authorization/visa sponsorship can be done by the employer.
You will have an opportunity to earn High Compensation based on percentage (...
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...quality service. To be eligible for the position of Automotive Store Manager, you must (1) be at least 18 years of age; (2) be legally authorized to work in the United States; and (3) possess 1 year of experience in retail store management or any combination of education,...
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...a freelance position that is paid on a per-hour basis. We don’t offer internships as this is a freelance role. You also must be authorized to work in your country of residence, and we will not be providing sponsorship since this is a 1099 contract opportunity. However...
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...business requirements
Please reply me with your updated resume and required details:
Full Name:
Best number to reach you:
Work authorization/Visa Status:
Current Location:
Current Compensation:
Expected Compensation:
Best time to call you:
Waiting for your...
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...documented appropriately for each client.
Manages client’s medical needs including schedule appointments, complete referral/ prior authorizations for medical treatments and tests as indicated.
Supports client during admission processes. This may include checking in...
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...guidance and validation from appropriate clinical/management resources when necessary.
Consistently utilizes appropriate lines of authority as necessary.
Wear a clearly visible identification badge indicating his or her name and credentials.
The designated certified...
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...a freelance position that is paid on a per-hour basis. We don’t offer internships as this is a freelance role. You also must be authorized to work in your country of residence, and we will not be providing sponsorship since this is a 1099 contract opportunity. However...
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...Supervisor of malfunctions. Sets up equipment and instruments as per practice protocol.
Cleans and restocks equipment as needed. Authorized to access secured area to obtain items such as intravenous solutions and medication preparation supplies for the purpose of...
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...through well-developed action plans to an appropriate and timely resolution.
* Negotiates settlement of claims within designated authority.
* Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim....
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...accommodations may be made to enable individuals with disabilities to perform essential functions.
Applicants must be currently authorized to work in the United States without the need for visa sponsorship now or in the future.
+ High School Diploma/GED required,...
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...the patient to complete prior to examination. Collects, proofs for completeness, and scans/files patient forms.
Obtains prior authorizations.
Updates demographics and insurance information in the system. Collects co-pays and balances; provides receipt.
Answers...
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...process, please contact Human Resources. Know Your Rights:
Each individual performs those waived, moderate, or highly complex tests authorized by CLIA, Bus. & Prof. Code Section 1204, and must possess a degree of skill commensurate with individual's education, training or...
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...not limited to:
Write and retain profitable stop loss cases adhering to the companys guidelines and within assigned letter of authority
Work collaboratively with clinical underwriting staff to ensure adequate risk premium is established based upon known, ongoing...
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Work experience placement
...to the appropriate program.
Accurately document assessment/intake records, records of referral, and funding source approvals/authorizations, and diagnosis within the electronic health records (EHR) system.
Document all case management and clinical services...
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