pay rate is ***/hour fully remote, but must reside in one of our plan states: IL, TX, NM, OK, MT, TN Evaluates clinical service requests made by an organization's members and providers. Uses clinical judgment in conjunction with organization's criteria to adjudicate these requests. May also provide clinical leadership in other areas of the organization. Identifies opportunities to manage members' clinical situations with a view toward creative problem solving and anticipation of possible future clinical problems for the member. Participates in the process to evaluate clinical service requests. Practices anticipatory case management for members whose cases come for review, in partnership with case managers. Participates in the Physician Review Units' appeal process of service denials. Participates in the development of Physician Review Units' policies and procedures. Actively participates in all unit continuous quality improvement activities. Other duties as assigned by the Medical Director. Board Certified (ABMS) M.D. or D.O, unrestricted and active license to practice medicine requested and 5 years clinical experience to include inpatient experience, or any combination of education/experience that would provide an equivalent background. Must have understanding of managed care and demonstrate PC proficiency, as file review will be done via computer in most cases. (Note: Position does not provide direct patient care or medical diagnosis.) Required hours: Monday through Friday, 8a-6p - intermittent coverage of weekend shifts EEO: "Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of - Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans."
...currently seeking a dedicated and experienced Special Inspector to join our growing team. The Special Inspector will perform inspections and tests on construction materials and activities in the field to ensure compliance with project specifications, building codes,...
...Construction Laborer Build with Purpose - Join Paramount Contracting Inc. as a Construction Laborer. Company Name: Paramount Contracting Inc. Pay Range: $28-$32 per hour, depending on experience. Industry: Commercial Construction and Maintenance for Storage Facilities...
Job Title Under supervision of the Restaurant Manager, courteously greet and escort guests to tables and assist in seating, ensuring hotel's standards of service. Ensure accurate and fair guest placement that benefits both the service staff and the individual guest ...
...salary pays for 4 to 6 weeks of Training - $650/week No touch... ...experienced (minimum 6 months) and New CDL A holders for Over-The-Road... ... old Minimum 0 months experience We cannot hire Driver who were... ...assistance program Life insurance Paid orientation Paid training...
...internship, you must be a current college or university student. Want to join us? Apply now!- marriotthotelinternship At Marriott International, we are dedicated to being an equal opportunity employer, welcoming all and providing access to opportunity. We actively foster...