mcs

SE SOLICITA: MANEJADOR(A) DE CASOS DE ENFERMERÍA Modalidad telefónica El Centro de Servicios Médicos de Levittown busca incorporar a un(a) Manejador(a) de Casos de Enfermería para coordinar el seguimiento de pacientes a través de contacto telefónico y sistemas electrónicos, en apoyo a las medidas de calidad de los planes médicos de diferentes planes...

*SE SOLICITA: MANEJADOR(A) DE CASOS DE ENFERMERÍA**Modalidad telefónica *El Centro de Servicios Médicos de Levittown busca incorporar a un(a) Manejador(a) de Casos de Enfermería para coordinar el seguimiento de pacientes a través de contacto telefónico y sistemas electrónicos, en apoyo a las medidas de calidad de los planes médicos de diferentes...

🩺 ¡ÚNETE A NUESTRO EQUIPO DE ENFERMERÍA EN ATLANTIS THE RENAL CENTER- GUAYNABO! Estamos en búsqueda de Enfermero(a) Graduado(a) (RN) para formar parte de nuestro equipo de trabajo. 🩺 Requisitos: • Bachillerato en Enfermería • Licencia de Enfermería vigente • CPR vigente • Conocimiento en Control de Infecciones • Capacidad para trabajar...

We are looking for a cashier with experience, speed, and accuracy.Food business - Ave. Ponce de León MCS BuildingFull timeFixed shift: Monday to Friday 6:30 a.m. to 2:30 p.m.If you meet the requirements, please contact ************Tipo de puesto: Tiempo completoHoras previstas: 40 por semanaLugar de trabajo: Empleo presencialWork Location: In personTipo de...

Regular Non-Exempt **GENERAL DESCRIPTION:** Receive the Grievances, Pre-Service Appeals, Post-Service Appeals, Payment Disputes, Payment Appeals, and Administrative Organizational Determinations (AOD) filed by Providers and members, as applicable. Responsible for filling and assigning cases to the Specialists in accordance with established time...

Supervisor(a) De Manejo De UtilizacionRegularExemptGENERAL DESCRIPTION:Monitors and oversees the integrated administrative operation of clinical services. Complies and manages adequately and effectively the organization's Precertification process. Measures compliance with operational and quality processes as established. Provides direct supervision to...

Estamos muy emocionados de que se una a nuestro equipo de trabajo en Subway Centro Médico y la empresa Caribbean Franchise! Estamos buscando personas como tú, con entusiasmo y deseos de mejoramiento en nuestra cadena de restaurantes. Tenemos una excelente lista de beneficios, con amplias oportunidades de crecimiento personal y profesional. Muchos de...

Estamos muy emocionados de que se una a nuestro equipo de trabajo en Subway Americo Miranda y la empresa Caribbean Franchise! Estamos buscando personas como tú, con entusiasmo y deseos de mejoramiento en nuestra cadena de restaurantes. Tenemos una excelente lista de beneficios, con amplias oportunidades de crecimiento personal y profesional. Muchos de...

Analista De Elegibilidad Y Afiliacion Classicare Regular Non-Exempt GENERAL DESCRIPTION: Responsible for the accurate and timely administration of enrollment, disenrollment, eligibility, and benefit maintenance processes in compliance with federal, state, Center for Medicare and Medicaid Services (CMS), Puerto Rico Health Services Administration (ASES), and...

Tecnico(a) De FacilidadesRegularNon-ExemptGENERAL DESCRIPTION:Performs preventive and corrective maintenance activities to ensure the safe, efficient, and functional operation of MCS Plaza, Service Centers, and other company facilities. Responsible for completing maintenance and repair work orders, supporting workspace modifications and office relocations,...

Compensation Specialist Regular Exempt GENERAL DESCRIPTION: Provided professional guidance and support in the effective and consistent application of staff job classification and compensation administration policies and practices in accordance with applicable state and federal laws and regulations. Perform effective and consistent job evaluations and salary...

Representante De Servicio Al ProveedorGENERAL DESCRIPTION:Responsible for answering and making telephone calls to participating and non-participating providers offering services in the service area and outside the plan service area, as well as to policyholders. Guarantees that situations or service needs are solved at the time of the call and, if necessary,...

Regular Non-Exempt **GENERAL DESCRIPTION:** Responsible for answering and making telephone calls to participating and non-participating providers offering services in the service area and outside the plan service area, as well as to policyholders. Guarantees that situations or service needs are solved at the time of the call and, if necessary,...

Regular Non-Exempt **GENERAL DESCRIPTION:** Performs preventive and corrective maintenance activities to ensure the safe, efficient, and functional operation of MCS Plaza, Service Centers, and other company facilities. Responsible for completing maintenance and repair work orders, supporting workspace modifications and office relocations, and...

Regular Exempt **GENERAL DESCRIPTION:** Monitors and oversees the integrated administrative operation of clinical services. Complies and manages adequately and effectively the organization's Precertification process. Measures compliance with operational and quality processes as established. Provides direct supervision to Utilization Management...

Regular Non-Exempt **GENERAL DESCRIPTION:** Responsible for receiving, registering, and forwarding requests for organizational determination and/or any associated clinical documentation or documentation for the clinical management of the insured. Works with the authorizations of services already predetermined through the automatic process using...

Regular Non-Exempt **GENERAL DESCRIPTION:** Responsible for managing administrative tasks, coordinating services, and maintaining compliance with established protocols. Serves as a vital link between members, healthcare providers, and the multidisciplinary team within the organization. Facilitates the delivery of services to members in an...

Trabajador(a) Temporero de AlmacenTempoero - AEPNon-ExemptGENERAL DESCRIPTION:Responsible for supporting warehouse operations through the receipt, storage, inventory handling, and distribution of materials, supplies, and equipment while maintaining inventory accuracy, safety standards, and organized warehouse conditions.ESSENTIAL FUNCTIONS:•Receive,...

Lider en CompensacionRegularExemptGENERAL DESCRIPTIONThe Compensation Lead supports the development, alignment, and evolution of the company's compensation strategy, including salary structures and job level frameworks. Reporting to the Total Rewards Manager, this role works closely with and under the direction of the Talent & Rewards Director and the HR VP,...

Tecnico(a) De Farmacia SeniorRegularNon-ExemptGENERAL DESCRIPTION:Conducts comprehensive reviews of all cases in the quality review tray within the Pharmacy Benefit Management (PBM) systems, including the request processing and pharmacy claims adjudication tools. Ensures accurate case handling in accordance with Coverage and Organizational Determinations...