DescripciónDescription
Receives and evaluates service requests. • Reviews and evaluates the request for completeness. • Reviews the request to determine: o Eligibility confirmation; o Benefit level verification; o Coordination of Benefits; o Identification of benefit limitations/exclusions; o Review of medical information utilizing standard criteria, protocols or guidelines as defined by the health plan and Medicare o Verifies if requested codes are correct, according to the diagnostic or treatment required. o Appropriate provider
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Requisitos Requirements
Bachelor’s Degree in Nursing with one (1) to three (3) years clinical experience
REQUIRED LICENSURE/CERTIFICATIONS • Current/ valid license in Puerto Rico Register Nurse, • Member of College of Nursing Professional of Puerto Rico.
Equality Employment Opportunity/Affirmative Action for Minorities/Females/People with Disabilities/Veterans
Job Type: Full-time
Pay: $38,000.00 per year
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Con Alguna Experiencia
Requires Intermediate Experience
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AVISO de ClasificadosOnline Los patronos NO le piden dinero ni un depósito para trabajar, si lo piden es un negocio, inversión o Fraude. NO envíe dinero para trabajar, tampoco ofrezca información personal, por teléfono o email. Evite el Fraude
ClasificadosOnline Warning Employers DON'T ask for money or deposits for work, if they do is a bussiness, invertion or Fraud. DON'T send money for work, neither offer personal information, by phone or email. Avoid the Fraud
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Empleos en Puerto RicoJobs in Puerto Rico
ProTalents
Empleos en Puerto RicoJobs in Puerto RicoSalud / Medicina
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