Medical Review Nurse Jobs Necnic Group - Sacramento, CA - Sacramento, CA - Medical Review Nurse (CA Health & Wellness) P...

Medical Review Nurse Jobs Necnic Group - Sacramento, CA - Sacramento, CA - Medical Review Nurse (CA Health & Wellness) P...
Apply to jobs now hiring in California today!Apply to jobs now hiring in California today! Medical Review Nurse Jobs c07c0deca7cb9bd10f952db4e1677d7e Necnic Group - Sacramento, CA - Sacramento, CA - Medical Review Nurse (CA Health & Wellness) Position Purpose: Perform retrospective review of large hospital and physician claims for admission appropriateness, coding, length of stay, and pricing and review retrospective medical necessity appeals against medical review criteria to make benefit determinations. Perform retrospective high dollar claims for benefit and pricing-determination. Collect hospital medical records as appropriate and work with related hospital staff. Work collaboratively with Finance Department to determine appropriateness of pricing. Assist with other clinical functions of medical review. Maintain appropriate records, files, documentation, etc. Education/Experience: Graduate from an Accredited School of Nursing. Bachelor's degree in Nursing preferred....

Job Listing

Show more

Popular posts from this blog

Product Manager - Facebook (California)

Intro: Facebook's mission is to give people the power to build community and bring the world closer together. Through our family of apps and services, we're building a different kind of company that connects billions of people around the world, gives them ways to share what matters most to them, and helps bring people closer together. Whether we're creating new products or helping a small business expand its reach, people at Facebook are builders at heart. Our global teams are constantly iterating, solving problems, and working together to empower people around the world to build community and connect in meaningful ways. Together, we can help people build stronger communities - we're just getting started. Summary: Facebook Product Managers work with cross-functional teams of engineers, designers, data scientists and researchers to build products. We are looking for extremely entrepreneurial Product Managers who value moving quickly. This job description represents di
Read more

Senior Assessment Specialist - English Language Arts - Pearson (California)

Senior Assessment Specialist — English Language Arts - ( 2107371 ) Description We are the world’s learning company with more than 24,000 employees operating in 70 countries. We combine world-class educational content and assessment,powered by services and technology, to enable more effective teaching and personalized learning at scale. We believe that wherever learning flourishes so do people. Responsibilities: Development and review of English Language Arts items for large-scale assessments; evaluation of passages for use in large-scale assessments; interpretation of blueprints, and the construction of operational and field tests. + Involvement in standards interpretation, application of best practices in item and test development, facilitation of committees, and alignment determinations. + Position requires skills in grammar, editing, and communications with internal and external customers. + Facilitate, maintain and oversee content development in English Language Arts, Re
Read more

Food Service Foreman - Army & Air Force Exchange Service (California)

## Job Description **Food Service Foreman:** **Job Description** As a Food Service Foreman, you will lead a team of passionate and knowledgeable Food Service Workers who strive to exceed customer expectations by focusing on extraordinary customer experiences. You are responsible for understanding sales goals, planning and executing daily/weekly workloads to deliver on department and store sales goals as well as customer engagement. You will create schedules that aligns with customer and business needs and lead a culture of accountability through clear expectations and performance management on critical service and engagement behaviors. You will quickly respond to and deescalate negative customer experiences and ensure that your team understands and is empowered to make things right for the best customers in the world. We offer flexible scheduling, comprehensive medical, dental, life and disability insurance, paid time off, shift differential/holiday pay, and a traditional pension and 4
Read more

Retail Security Officer - $500 sign on bonus - Allied Universal (California)

At **Allied Universal®** , we continue to build an inclusive, **Be Phenomenal®** culture that encourages, supports, and celebrates a diverse workplace. It fuels our innovation and connects us closer to our customers and the communities in which we serve. Allied Universal offers so much more than just a job. We offer careers. We take great pride in our promote-from-within culture. There are countless examples of individuals who began their career as Security Professionals and today hold positions on our senior leadership team. We offer medical, dental and vision coverage, life insurance, 401K, employee assistance programs, company discounts, perks and more for all full-time positions! Start your phenomenal career with Allied Universal® today! Allied Universal has security jobs and are seeking to fill the position of a **Retail Security Officer** . For all full-time positions, we offer medical, dental and vision coverage, life insurance, 401K, sick pay (in states where required), emplo
Read more

Studio Attendant / Housekeeping - Solage Calistoga (California)

Image
Studio Attendant / Housekeeping - Solage Calistoga (California) Apply to jobs now hiring in California today! Join Our Amazing Housekeeping Team! Position Overview: Will provide guest service and clean guest rooms as assigned, ensuring the hotel's established standards of cleanliness. Responsible for reporting any maintenance issues and handling guest requests and complaints.  Position Qualifications: Must be able to clean rooms for 4 hours plus. Must be able to stand for hours and lift 20lbs. Cleaning experience is necessary. Attention to detail and be able to follow high standards.  Basic Qualifications: High school or equivalent education required. Positive attitude. Must be able to walk or stand for long periods of time and lift up to 50 pounds. Related hospitality experience is preferred but we will train the right candidate. Candidate must have flexible work schedule as well and work holidays. Must meet the minimum age requirements to work in an alcohol and food serv
Read more