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This is full-time remote, but candidates must reside in IL or TX Contract: 12/22/2025 to 03/31/2026 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. Qualifications: 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 . #J-18808-Ljbffr...MA. In this role, you will drive the innovation, design, and development of new products and advanced technologies. Applying sophisticated... ...R&D Chemist proactively stays at the forefront of chemical research and scientific literature. This position collaborates closely...
...will reside within the Training Delivery and Systems Section, AIR-943. Conducts job function training and provides professional engineering services concerning the certification, continued operational safety, and/or designee management of aircraft. Learn more about...
...Job Description Job Description $500-$900/week delivering pizza! Our stores are really busy, so our drivers earn more $. It's that simple. Part time and full time positions available. Flexible schedules. Work 2-6 shifts a week depending on your availability. What...
ARAMARK is seeking a Cash Applications Team Lead to oversee daily cash posting, payment matching, and account reconciliations supporting its food and facilities operations. You will supervise a small team, allocate workload, review work for accuracy, and resolve complex...
...Description Job Description Benefits: Employee discounts Flexible schedule Free food & snacks Free uniforms Cape May Pizzas is hiring a driver to make deliveries to our customers in Cape May and surrounding towns. Forecasted income with your base salary...