Empleos en Catano, united states
Última actualización: hace 2 días
Prime Janitorial is looking for a Housekeeper to join our team.The Housekeeper will clean, sanitize, and maintain private residences and commercial buildings.
The ideal person for this position has ...Mostrar másÚltima actualización: hace más de 30 días
The CRM & Purchasing Coordinator for the Engineering Team members.Responsible for aiding and providing information on projects quotes status, orders requisition and Purchase Orders.Provided daily s...Mostrar másÚltima actualización: hace 2 días
Customs and Border Protection Officer.Customs and Border Protection (CBP) offers those interested in a career in law enforcement an exceptional opportunity to work with an elite team of highly trai...Mostrar másÚltima actualización: hace 2 días
What Warehouse Operations contributes to Cardinal Health.Warehouse Operations is responsible for performing / controlling a combination of manual or automated tasks necessary for the receipt, storage...Mostrar másÚltima actualización: hace más de 30 días
Si te apasiona un ambiente altamente dinámico en el que puedas poner a prueba todos tus conocimientos y destrezas ¿Posees conocimientos y experiencia en el mantenimiento preventivo y reparación de ...Mostrar másÚltima actualización: hace más de 30 días
Registered Nurse
Telemedik00965, PR, US Performs a variety of tasks for the Service Authorizations Unit of the Department of Health Services.The Service Authorization Nurse is responsible for ensuring that members receive the optimal lev...Mostrar másÚltima actualización: hace 24 días
Personal de Mantenimiento
Prime Janitorial ServiceCatano, PR, PRQuick Apply
TEAM MEMBER
To Go Stores00962, PR, US Propósito / Objetivo de la Posición : .Realizar los procesos de atención y servicios a nuestros clientes que nos visitan diariamente.
Cumplir con los pasos de servicio y atenci&oacu...Mostrar másÚltima actualización: hace más de 30 días
Sandwich Artist
Subway - 39291-000962, PR, US As part of the Subway® Team, you as a Sandwich Artist ® will focus on four main things : .Providing an excellent Guest experience.
Preparing and serving great food .Keeping restaurants cl...Mostrar másÚltima actualización: hace más de 30 días
Purchasing Clerk
AppleOneCatano, PR27.000,00 US$ anual
Sandwich Artist Job at Subway - 35235-0 in 00919
Subway - 35235-000919, PR, United States As part of the Subway® Team, you as a Sandwich Artist ® will focus on four main things : .Providing an excellent Guest experience.
Preparing and serving great food .Keeping restaurants clean and beaut...Mostrar másÚltima actualización: hace 7 días
Call Center Representative - Fraud
Conduent Business Solutions of Puerto Rico, Inc.Catano, PR, United States Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clien...Mostrar másÚltima actualización: hace más de 30 días
TECNICO DE SERVICIO (SISTEMAS DE AGUA)
Share Tech GroupCataño, PR, United States Estamos buscando un técnico de servicio dinámico, con buena disposición e iniciativa para realizar instalación, mantenimiento y reparación de equipos de agua en distintas clientes alrededor de Puer...Mostrar másÚltima actualización: hace 3 días
Sandwich Artist
Puerto RicoCATAñO, Puerto Rico, United States As part of the Subway® Team, you as a Sandwich Artist ® will focus on four main things : .Providing an excellent Guest experience.
Preparing and serving great food .Keeping restaurants clean and beaut...Mostrar másÚltima actualización: hace más de 30 días
ASISTENTE ADMINISTRATIVA(O)
Able Sales Company Inc00962, PR, US Uacute;NETE A NUESTRO EQUIPO EN ABLE SALES!.Puerto Rico, nos enorgullece liderar nuestra marca principal ".Experiencia previa en manejo de funciones clericales.
Experiencia manejando en Agencia...Mostrar másÚltima actualización: hace 21 días
Sandwich Artist
SubwayCatano, PR, US As part of the Subway® Team, you as a Sandwich Artist ® will focus on four main things : .Providing an excellent Guest experience.
Preparing and serving great food.Keeping restaurants clean ...Mostrar másÚltima actualización: hace 21 días
RHRP Recruiter Level II
DOCS Health00965, PR, US Attracts, evaluates, and refers candidates for part-time as needed medical and dental positions through recruiting and sourcing methods, including but not limited to social media, employee referral...Mostrar másÚltima actualización: hace más de 30 días
Customs and Border Protection Officer
U.S. Customs and Border ProtectionCatano, PR, United States45.000,00 US$ anual
Warehouse Employee •2nd & 3rd Shift
Cardinal HealthBldg 03, Guaynabo, PRA tiempo completo
Content Creator Job at SUP3RNOVA in 00919
Mediabistro00919, PR, United States We create, that's what we do for a living.That's what we're obsessed with, and we're looking for others who share our passion for hitting the share button.
We move fast and need to produce a lot of ...Mostrar másÚltima actualización: hace más de 30 días
Empleado de Almacén-Automotriz (Temp to Hire)
Firma de Reclutamiento en PRCataño, PR, Puerto Rico Experiencia mínima de un año en funciones de Almacén.Experiencia manejando equipo de montacargas y “hand truck”.Excelentes destrezas de servicio al cliente.
Habilidad para relacionarse con personas ...Mostrar másÚltima actualización: hace 16 días
Creative Project Manager Job at SUP3RNOVA in 00919
SUP3RNOVA00919, PR, United States We are looking for a dynamic and organized Project Manager.The ideal candidate will be responsible for overseeing all aspects of project lifecycles, ensuring projects are delivered on time, within ...Mostrar másÚltima actualización: hace más de 30 días
Guardia de Seguridad Bilingue Caseta
Allied Universal00962, PR, US Allied Universal®, North America's leading security and facility services company, offers rewarding careers that provide you a sense of purpose.
While working in a dynamic, welcoming, and co...Mostrar másÚltima actualización: hace 16 días
Electromecánico
Pan American GrainCataño, Cataño, PRA tiempo completo
Quick Apply
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Registered Nurse
Telemedik00965, PR, USHace 24 días
Descripción del trabajoBachelor's degree in Nursing with clinical experience. Required Credentials : Active nursing license to practice in Puerto Rico, registration, and professional affiliation. Advanced knowledge of computer applications and / or Microsoft Office. Service-oriented mindset and commitment to customer service. Excellent bilingual verbal and written communication skills (Spanish and English). Ability to prioritize tasks. Strong teamwork skills. Fast documentation and internet navigation skills. Availability for rotating shifts (including weekends / holidays), Monday to Saturday from 8 : 00 AM to 6 : 00 PM. In-service training on regulatory and health-related aspects. 24 / 7 telemedicine service. Free employee health and wellness programs. Opportunities for growth and development. Contributing to the health and well-being of the population.
Job Description
Job Description
Job Description
Performs a variety of tasks for the Service Authorizations Unit of the Department of Health Services. The Service Authorization Nurse is responsible for ensuring that members receive the optimal level of benefit coverage for services requiring coordination. Oversees the quality and proper utilization of services. Acts as the primary liaison between enrolled beneficiaries and providers to manage the service request process that requires coordination.
Essential Functions :
- Handles requests for pre-authorization service coordination.
- Reviews, evaluates, and ensures that requests are complete.
- Meets productivity metrics, quality standards, and applicable regulatory processes.
- Documents transactions in the system.
- Makes calls to members and providers to obtain necessary clinical information to process the request.
- Identifies benefit limitations / exclusions for the authorization process.
- Reviews medical information using criteria, protocols, and / or guidelines for the authorization process.
- Conducts the authorization process based on eligibility criteria and benefit coverage.
- Ensures confidentiality and compliance with all applicable state and federal regulations for Health Call Centers, including HIPAA and internal policies for handling confidential information.
- Promotes quality and service excellence in all management processes.
- Completes core and functional training, as well as all procedures established by regulatory agencies, contractual requirements, and applicable certification standards (including but not limited to URAC).
- Performs other related tasks.
Requirements :
What Are the Benefits of Joining Our Team?
Job Type : Full-time
Contract Type : Professional Services, Fixed-term (6 months), with automatic month-to-month renewal after the initial 6-month period.
Work Location : On-site job in Guaynabo, PR
EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER (EEOC)