A company is looking for a Clinical Review Specialist.Key Responsibilities : Read, interpret, and analyze clinical documentation for benefit determinationRespond to inquiries regarding clinical claim or prior authorization requestsEngage with provider offices to obtain necessary information for reviewRequired Qualifications : 3+ years of clinical dental experience with a High School DiplomaCertificate or higher in Dental Assisting requiredWorking knowledge of claims processing flow and adjudicationUnderstanding of dental procedures, CDT, and related conceptsKnowledge of Delta Dental products, policies, claims, eligibility, and underwriting guidelines
Clinical Review Specialist - Dental
A company is looking for a Clinical Review Specialist. ...
Nurse Specialist - Clinical Review
A company is looking for a Nurse Specialist - Clinical Review. ...
Security Advisory Project Manager
Security Advisory Project Manager. Lead one or more large project management teams by breaking down bigger technological programs and assisting with project staffing. Communicate with the client, company and project team leadership, measuring and sharing project metrics/status; recommend program cha...
Registered Nurse PACU Critical NN - $15,000 Sign on Bonus
Licensed as a Registered Nurse (RN) or Advanced Practice Registered Nurse (APRN) in the State of Florida. The PACU Registered Nurse independently plans, implements, and evaluates nursing care in patient care situations using standards of care and policy and procedure. ...
Travel Nurse RN - Case Manager, Utilization Review - $1,640 per week
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in El Paso, Texas. Posted job title: Case Management (Utilization Review). Some of the industry-leading benefits enjoyed by Medical Solutions travel nurses and\n travel allied healthcare professi...
Travel Nurse RN - Case Manager - $1,638 to $1,816 per week in El Paso, TX
Ready to start your next travel adventure? LRS Healthcare offers a full benefits package, 24/7 support, and a responsive, traveler-first culture.What are you waiting for? Apply today!.Valid license and/or certification in state of practice, if applicable .Demonstrated ability to maintain high l...
Travel Registered Nurse - Case Manager - $1,448 to $1,597 per week in El Paso, TX
Host Healthcare is an award-winning travel healthcare company with an immediate opening for this .Passionate and transparent team members have made Host Healthcare the agency of choice for new and experienced travelers looking for opportunities far away and close to home.Starting the day you apply, ...
Travel Nurse RN - Case Manager - $1,800 per week in El Paso, TX
Case managers work to facilitate patient care by assessing patient needs, evaluating treatment options, creating treatment plans, coordinating care, and gauging progress. The overall goal for case managers is to improve clinical outcomes, increase patient satisfaction, and promote cost-effectiveness...
Travel Nurse RN - Case Manager - $1,630 per week in El Paso, TX
Client in TX seeking BACKFILL-CONTRACT-RN - CASE MANAGEMENT (846) - 13 WEEKS - 8A-4:30P (RN) to work 08:00-16:30. ...
Travel Nurse RN - Case Manager - $1,758 per week in El Paso, TX
Registered Nurse - Case Management. TRS Healthcare is seeking a Registered Nurse who is licensed to work in TX, and has Case Management experience. ...