Average salary: $110,053 /yearly
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$26.41 - $61.79 per hour
...schedule) Looking for a RN with experience with appeals, claims review, and medical coding. JOB DESCRIPTION Job SummaryProvides... ...multidisciplinary teams to promote the Molina care model. • Adheres to utilization management (UM) policies and procedures. Required...SuggestedHourly payWork experience placementWork at officeRemote workHome officeMonday to Friday$20 per hour
...holidays and some weekends, as needed. Your Responsibilities as a Locator: Correctly, safely, and efficiently locate underground utilities, including telecommunications, electric power, cable TV, gas, water, and sewer systems. Thoroughly search for underground utilities...SuggestedHourly payExtra incomeFull timeFor contractorsWeekend work- ...Coordination Support Provides support for coordination of benefits review activities that directly impact medical expenses and premium... ...for the coordination of benefits (COB) team. Phones or utilizes other insurance company portals to validate state, vendor, and...SuggestedRemote jobWork at office
$18 per hour
Overview Eurest is hiring immediately for a full-time FOOD SERVICE UTILITY position. Location : SC Johnson - 1525 Howe Street, Racine, WI 53403. Note: online applications accepted only. Schedule : Full-time schedule. Monday through Friday, 7:00 am to 3:00 pm. More details...SuggestedHourly payFull timePart timeImmediate startWorldwideMonday to FridayFlexible hours$18 per hour
...We are hiring immediately for a full time FOOD SERVICE UTILITY position. Location : SC Johnson - 1525 Howe Street, Racine, WI 53403. Note: online applications accepted only . Schedule : Full time schedule. Monday through Friday, 7:00 am to 3:00 pm. More...SuggestedHourly payFull timePart timeLocal areaImmediate startRemote workWorldwideMonday to FridayFlexible hours$77.97k - $128.52k
...the Eastern US Quality Improvement Collaborative (EQIC) and/or utilization management committees. Participates as needed in joint... ...experience in a managed care environment facilitating utilization reviews, or equivalent combination of relevant education and experience...SuggestedRemote jobWork experience placementWork at officeWork from homeMonday to Friday- ...Contribute to annual business planning and strategic initiatives. Utilize CRM tools to manage tasks and opportunities. Partner with Application Engineering to ensure high-quality application reviews. Qualifications ~ Bachelor’s Degree in Mechanical Engineering...SuggestedFull timeFlexible hours
$10k
...Evaluate patients for hospice appropriateness, e.g. medical records review as requested. Obtain agreement for admission of referred... ...the appropriate admissions and patient care resource persons. Utilize interpersonal skills to help appropriately educate and address...SuggestedHourly payFlexible hoursNight shiftWeekend work- ...scaling up of new recipes for pilot testing and production trials. Utilization of the vacuum cooling oven and application into various... ...guide our quality objectives. Be present and support teams in reviewing operational and product concerns and areas of focus. Collaborate...SuggestedFull timeAll shifts
$77.97k - $141.37k
...Remote position Essential Job Duties • Performs clinical/medical reviews of previously denied cases in which a formal appeals request... ...denial decisions. • Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues....SuggestedRemote jobWork experience placementWork at officeMonday to Friday- ...Communicate, train and promote quality standards to team members by utilizing all available tools including Operations Manual and Team Member... ...expectations and conduct timely and effective performance reviews. Document performance issues and take appropriate disciplinary...SuggestedFull timePart timeLocal areaShift workNight shift
- ...manufacturing orders, matching them to customer orders as required. Reviews and revises scheduled dates and quantities of released... ...website here. Seniority level Entry level Employment type Full-time Job function Other Industries Utilities #J-18808-Ljbffr Badger MeterSuggestedFull timeTemporary workLocal areaFlexible hours
- ...Proficient in the Microsoft Suite (Excel, Word, Outlook). Experience utilizing CMMS software packages; understanding of SAP system and... ...pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. #J-1...SuggestedFull timeContract workFor contractors
- ...for the patient in appropriate time frame Attentive to details; review prescriptions and/or patient information carefully; identify... ...maintain the contact lens room in a neat, orderly and free of clutter Utilize the CIAO system for inputting customer/patient data, insurance...SuggestedMinimum wageWork at officeLocal area
$60k - $90k
...agreements, which includes, but is not limited to, subcontractor bid review and selection, monitoring and providing direction in accordance... ...of the projects as it relates to the project schedule. Utilize job cost accounting techniques; create project budgets, monitor...SuggestedContract workFor contractorsFor subcontractorLocal areaImmediate start- ...services including women’s pelvic and men’s genital examinations. Utilize Medical Director Standing Orders indicating treatment and... ...planning committees, and outreach activities. Participate in peer review activities and evaluation of program effectiveness. Manage assigned...Work experience placementWork at officeLocal area
- ...SUMMARY Ensures all maintenance operations of building and grounds, utilities, safety and security are in order to provide preservation of... ...property listing of future capital needs. Schedule and review 3rd party contractor performance and hold 3rd party contractors...Full timeFor contractorsLocal areaShift workNight shiftWeekend work
- ...environmental program compliance in their assigned store/multiple stores. They utilize tools to minimize loss to the Company, including but not limited to identifying incidents of theft and fraud, reviewing CCTV and exception reports, monitoring the store's physical security,...Full time
$90.61k
...safety, fire suppression and fire alarm analysis and design. - Reviewing draft designs to ensure compliance with federal, state and... ...evaluations, insurance provider recommendations. - Evaluating systems utilizing HydraCAD, HydraCALC, or similar software as required. -...Full timeH1bWork at officeLocal areaRemote workWork from homeWorldwide$77.97k - $155.51k
...team activities and troubleshooting. **Job Duties** + Research, review, and decipher state-specific Medicaid and Medicare... ...expertise in complex groupers (APG, EAPG, APR-DRG, MS-DRG, etc.) utilized in reimbursement priced through PPS payment methodologies. + Support...Work experience placement$77.97k - $128.52k
...supplemental data impact reporting. Develop Medical Record Review project reporting to track progress and team productivity... ...tools and techniques to determine significance and relevance. Utilize extrapolation, interpolation, and other statistical methodologies...Full timeWork experience placementWork at office- ...Initiate background and reference checks; monitoring process and review up on completion. Support and oversee pre-employment, new... .... Proficient in Microsoft Office Applications. Proficient in utilizing an automated HRIS system. Demonstrates excellence in execution...Work at officeLocal area
- ...according to facility policy.* Prepare organize and efficiently utilize supplies and equipment to prevent wastage.* May assist HT RN on... ...patient and obtain vital signs* Collect treatment records and review for completion. Notify RN of incomplete / missing records.* Cleaning...Immediate start
$67.37k - $111.09k
...and planning programs, operations, budgetary requirements, and utilization of facilities. Maintains records, makes reports and performs... ...Leadership or supervision of staff (interviewing, hiring, assigning/reviewing work, conducting performance evaluations, etc). Development...Permanent employmentFull timeWork at officeImmediate startTrial period- ...Productivity Standards. Basic computer proficiency. Comfortable utilizing phones, fax machine, printers, and other general office... ...legally protected status. To learn more about our commitment, please review our EEO Commitment Statement. Know Your Rights, explore the...Work experience placementWork at office
$161.91k - $315.73k
...and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs and... ...Facilitates behavioral health-related regional medical necessity reviews and cross coverage. • Standardizes behavioral health-related...Work experience placementWork at officeLocal area$21.16 - $34.88 per hour
...Provides entry level support for claims activities including reviewing and resolving member and provider complaints, and communicating... ...documentation for further review. Researches claims issues utilizing systems and other available resources. Assures timeliness and...Hourly payWork experience placementWork at office- ...ensure claims are processed and paid. You will be required to review and appeal all unpaid and denied claims. This position demands... ...deadlines. Read and interpret insurance explanation of benefits. Utilize monthly aging account receivable reports and/or work queues to...Work at office
$78.62k
...delivery. Projects may include both vertical (buildings, facilities, utilities) and horizontal (civil, infrastructure, airfields, roadways)... ...and issue resolution throughout the project lifecycle. - Review and evaluate construction documents, including safety plans, QC...Full timeTemporary workFor contractorsFor subcontractorH1bWork at officeLocal areaFlexible hours$21.16 - $31.71 per hour
...member care. Essential Job Duties - Performs initial receipt and review of non-formulary or prior authorization requests against... ...development/administration of pharmacy programs designed to enhance the utilization of targeted drugs and identification of cost-saving pharmacy...Hourly payWork experience placementWork at office