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Job Vacancy Announcement Detail


Employer: StayWell Saipan Inc.
DBA: StayWell Saipan Inc.
Address: PO Box 502050
Saipan, Northern Mariana Islands
96950 United States
Phone: 671-477-5091
Other Number: 670-323-4260
Contact StayWell Saipan Inc. via email

Job Vacancy Announcement JVA
JVA Type: Renewal
Island Saipan
FLSA Covered? Yes, covered
DOD related? No
PERM related? * No
VEVRAA related? No
Original Number of Openings: 1
Number of Openings Currently Available 1
Specific Worksite location: Sadog Tasi, Saipan, Chamoru Islands
Job Classification: Healthcare Support Occupations
Job Title: Medical Case Manager/Underwriter
Announcement Number: 18-11-63510
Job Classification: Healthcare Support Occupations
Opening Date: 11/29/2018
Closing Date: 12/14/2018
Salary Range: $15 to $28 / Hourly
Job Title: Medical Case Manager/Underwriter
Job Duties: This is a highly responsible and complex professional work in medical case management, utilization review and underwriting. Case Management work involves a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual’s and family’s comprehensive health needs through communication and available resources to promote quality, cost-effective outcomes. Medical underwriting work involves the screening, collection and analysis of medical or health information in the evaluation of an applicant for health insurance coverage. The typical work schedule is 40 hours per week plus Saturday duties from 9am to 1pm. This position reports to the Director of Medical Care Management and UM-Informed Choice/Quality Assurance Manager.
High School Diploma Required? Undetermined
Qualification Requirements: Any combination of education and experience providing the required skill and knowledge for successful performance would be qualifying. Typical qualifications would be equivalent to: • Doctorate Degree in Medicine or a current RN License (may be foreign equivalent) or post-graduate degree in medicine; plus • Minimum of two (2) years’ experience in medical case management and underwriting; and • Proficiency in Milliman Care Guidelines (MCG) / Medical Society Guidelines.
Full or Part Time: Full Time
Hours per Week: 40
Hours per Day: 8
Payment Frequency: Bi-Weekly
Overtime Available: No
Overtime Rate: $0 - $0
Rate x 1.5 per hour Exempted: No
Specify All Payroll Deductions: None
Required tools, supplies and Equipment to be provided: None
Anticipated starting date of employment: 11/30/2018
Anticipated closing date of employment: 12/14/2018
Housing Provided: No
Food Provided: No
Transportation required: No
If transportation is required, daily transportation to and from the worksite(s) will be provided to the workers. Daily pick-up place(s) will be at: 0
Fringe Benefits: None
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