Senior RN Prior Authorization Professional

About the RoleIn this position, you will perform first-level determination approvals for members using evidence-based guidelines, policies, and nationally recognized clinical criteria across various lines of business or for specific lines such as Medi-Cal and Medicare. A successful candidate will review prior authorization requests for medical necessity,...

Job Overview: Krutilla & Associates Inc is seeking a Senior Tax Professional to join our team. As a Senior Tax Professional, you will be responsible for preparing complex tax returns, performing advanced accounting calculations, and leading tax projects.**Responsibilities:**Prepare complex Individual, Partnership, Corporate, and/or Trust tax returnsPerform...

Company OverviewSeniorDoc is a dynamic healthcare organization dedicated to providing personalized medical care to seniors in the comfort of their own homes.Salary and BenefitsWe offer a competitive annual salary range of $150,000 to $300,000, depending on experience, as well as comprehensive benefits including health, dental, and vision insurance, and a...

At J Edward Staffing LLC, we are seeking a highly skilled Senior Nursing Professional to join our team as a Utilization Review RN Specialist. This is a full-time, contract position that offers a competitive salary range of $60.00 - $65.00 per hour.About the RoleThis clinical role requires a minimum of 2 years of experience in utilization review within a...

Your RoleBlue Shield of CA seeks a Senior RN to join our Utilization Management team. In this role, you will review prior authorization requests for medical necessity, coding accuracy, and policy compliance.You will utilize evidence-based guidelines and nationally recognized clinical criteria to make determinations across multiple lines of business,...

At LVI Associates, a leading global environmental consulting firm, we are seeking a highly experienced and driven Senior Environmental Remediation Professional to join our team in Oakland. This is an excellent opportunity for a skilled engineer, geologist, or environmental scientist with a passion for sustainability.The estimated salary for this position is...

About Us:At Blue Shield of California, we strive to improve the health outcomes of our members. We work with a broad spectrum of internal and external stakeholders to develop programs that are directly aligned to national standards for high-quality healthcare.The Role:We are seeking a skilled Senior Business Analyst to join our Provider & Plan Quality...

Job SummaryThe Clinical Decision Specialist will be responsible for accurate and timely prior authorization of designated healthcare services, ensuring continuity of care and access to necessary treatments. This role requires a senior-level Utilization Management Nurse to report to the Manager, Utilization and Medical Review.

About the RoleWe are seeking a skilled and dedicated Travel Nurse RN Float Pediatrics to join our team at Health Carousel - Travel RN.Key ResponsibilitiesPediatric care for patients in Oakland, California.12-hour shifts, working 36 hours per week.Floater position with varied duties.Compensation PackageThe estimated salary for this role is $120/hour, based on...

Job OverviewSF Home Care is seeking a compassionate Caregiving Professional to provide non-medical personal care and companionship to seniors in their homes. This part-time or full-time position involves assisting clients with activities of daily living (ADLs), promoting independence, and enhancing their quality of life.Key Responsibilities:Provide personal...

We are seeking a seasoned Senior Sales Professional to join our team at Rockbot. As a Senior Sales Professional - Global Accounts, you will be responsible for developing and executing sales strategies to drive revenue growth and expansion into new markets. Your extensive experience in selling enterprise SaaS software and your ability to build rapport with...

At PsiNapse Technology, Ltd., we offer competitive compensation and customized benefits to qualified temporary and career professionals looking for employment.We are seeking a highly skilled Senior Financial Analyst to join our team in Oakland and provide expert-level support across various areas, including budgeting, finance, payroll, and...

Job SummaryWe are seeking an experienced Senior Financial Analyst to join our team at PsiNapse Technology, Ltd. in Oakland. This 6-month contract position requires a talented professional with expertise in financial analysis, budgeting, and accounting.About the RoleThe ideal candidate will have at least three years of progressively responsible experience in...

Job DescriptionPsiNapse Technology, Ltd. in Oakland seeks a highly skilled Senior Financial Analyst for a 6-month contract position. The ideal candidate will have extensive experience in financial analysis, budgeting, and accounting.About the JobThe successful candidate will be responsible for:Reconciling reported data with the general ledger and addressing...

OverviewAt AccentCare, we are united in our relentless drive to reimagine care. We provide world-class patient care and create incredible memories while being a part of our patients' health journey.Salary & Benefits$26.00-$28.00 per hour for experienced Licensed Practical Nurses (LPNs) and Registered Nurses (RNs). We offer comprehensive benefits and rewards...

Job Title: Senior AWS DeveloperEstimated Salary: $120,000 - $180,000 per annum (dependent on experience)About the Role:We are seeking an experienced Senior AWS Developer to join our team at Compu-Vision Consulting. As a Senior AWS Developer, you will be responsible for designing, developing, and deploying cloud-based applications using AWS...

Job DescriptionWe are seeking an experienced Financial Operations Specialist to join our team at Agility Recruiting. As a key member of our accounting team, you will be responsible for managing accounts payable and receivable processes.About the JobThis direct hire opportunity is ideal for candidates with prior law firm experience, particularly in financial...

About the PositionWe are seeking a highly motivated and experienced professional to join our team as a Senior Land Justice Advocate. This role will involve leading and participating in frequent remote video and telephone conferences, as well as occasional weekend and evening work assignments. The ideal candidate will have a strong background in housing,...

Job OpportunityMowat Mackie & Anderson LLP is seeking a skilled Senior Tax Accountant to join its team. This dynamic position involves performing complex tax preparation, research, and planning with minimal supervision.The ideal candidate will possess excellent communication skills, be able to take charge of tasks, and meet tight deadlines. They should also...

About the PositionWe are seeking a highly skilled and experienced Senior Landscape Management Professional to join our team at Green Gallery Landscaping Inc. This role offers a unique opportunity to lead and manage outdoor operations, drive business growth, and contribute to the company's success.The ideal candidate will possess exceptional leadership...