Remote
Description: 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. 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....Job Description Job Description Mobile Cell Phone/Tablet/Computer Technician Central - Los Angeles, CA, USA Job Position: Mobile Cell Phone Laptop Tablet Technician Repair (Full Time Position) We are looking for a professional Apple Computer/iPhone Technician...
..., and tying it all together in the cloud.We are seeking a Network Support Specialist to provide exceptional customer support (via phone, email,... ..., and intrinsically driven to help customers.Knowledge of computer networking, along with WiFi and telecommunications, is advantageous...
Scrum Master - Federal Customer The Project & Agile Delivery professional supports Dell Mission Operations by creating structure, visibility, and execution discipline across program activities and technical workstreams. This role is responsible for project planning, reporting...
...News Channel 20/FOX Illinois in Springfield, IL is seeking a full-time Digital Content Lead to manage real-time multi-platform journalism and shape web and social media strategies. You will guide newsroom staff to maximize audience growth and engagement.Requirements...
...Sky Ranch is seeking an IT Systems Administrator to support Windows and Apple workstations, manage O365, Teams, and SharePoint, and administer... ...requires a four-year IT background, an associate degree in computer technology (bachelor's preferred), and willingness to travel....