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
...J. Gibson McIlvain Company has been providing high quality wood products since 1798 and is a trusted and well-known name and hardwood... ...pergolas, and furniture. We are looking to hire a skilled Wood Finisher to prime and finish mouldings and other wood products. Working...
...assist in implementation of security activities at the Top-Secret and higher classification to ensure USSOCOM personnel (Military, Civilians, and Contractors) and all supported tenant organizations are prepared to operate in non-traditional environments to perform critical...
...Description Job Description We're looking for a reliable, skilled individual with hands-on experience installing residential and light commercial windows and patio doors. Strong carpentry skills are essential for success in this role. Key Responsibilities: ...
Work From Home: Remote Appointment Setters Needed What You'll Earn: * $50 - $100 per Appointment sit: Your earnings directly reflect your effort... ...remote - enjoy true work-life balance. * Flexible Schedule: Full-time, part-time, or a side hustle - you decide...
**Telephonic Nurse Case Manager I****Location: Virtual:** **This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports...