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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 |
Comments: |