Job Expired

Job Qualifications:
– With active PHRN and USRN License
– With at least 1 year of clinical or hospital experience
– Willing to work onsite
Job Description:
Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient admissions, outpatient services, focused surgical and diagnostic procedures, out of network services, and appropriateness of treatment setting by utilizing the applicable medical policy and industry standards, accurately interpreting benefits and managed care products, and may steer members to appropriate providers, programs or community resources.

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Capstone Global Technology Corporation

Our foundation is built on innovation, fueled by a diverse and passionate team of experts, engineers, and visionaries who share a collective dream of making the impossible possible. From artificial intelligence and quantum computing to biotechnology and renewable energy, we are pioneers in domains that define the future.
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