clinical appeals nurse

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DataAnnotation

<div>
 We are looking for a Nurse to join our team to train AI models. You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of each model.
 
 
 
 Physicians &amp; Advanced Practice Clinicians
 
 
 
 In this role you will need to be an expert in healthcare. We are interested in a wide range of expertise, so relevant backgrounds include:
 
 
 Physicians of all specialties (e.g., Internists, Cardiologists, Oncologists), Physician Assistants, Nurse Practitioners, Certified Nurse-Midwives, Certified Registered Nurse Anesthetists, Clinical Nurse Specialists, Registered Nurses.
 
 
 
 Therapists
 
 
 
 Physical Therapists, Occupational Therapists, Speech-Language Pathologists, Respiratory Therapists, Athletic Trainers, Massage/Recreational Therapists.
 
 
 
 Diagnostic &amp; Laboratory Professionals
 
 
 
 Radiologic Technologists, Sonographers, MRI &amp; Nuclear Medicine Technologists, Medical Laboratory Scientists, Phlebotomists, Histology &amp; Genetics Technicians.
 
 
 
 Public Health &amp; Specialized Roles
 
 
 
 Dietitians/Nutritionists, Genetic Counselors, Epidemiologists, Public Health Nurses.
 
 
 
 Benefits
 
 
 
 <ul>
 <li>
 This is a full-time or part-time REMOTE position
 </li>
 <li>
 You&rsquo;ll be able to choose which projects you want to work on
 </li>
 <li>
 You can work on your own schedule
 </li>
 <li>
 Projects are paid hourly starting at $50-$60 USD per hour, with bonuses on high-quality and high-volume work
 
 
 </li>
 </ul>
 
 Responsibilities
 
 
 
 <ul>
 <li>
 Give AI chatbots diverse and complex healthcare related problems and evaluate their outputs
 </li>
 <li>
 Evaluate the quality produced by AI models for correctness and performance
 </li>
 <li>
 Ensure the medical accuracy of model performance
 
 
 </li>
 </ul>
 
 Qualifications
 
 
 
 <ul>
 <li>
 Fluency in English (native or bilingual level)
 </li>
 <li>
 A current or in progress medical degree
 
 
 </li>
 </ul>
 Notes: Payment is made via PayPal. We will never ask for any money from you. PayPal will handle any currency conversions from USD. Only applicants in the United States will be considered for this role. This is an independent contract position.
 
 
 #medicine
</div>

Nurse

<div>
 We are looking for a Nurse Practitioner to join our team to train AI models. You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of each model.
 
 
 
 Physicians &amp; Advanced Practice Clinicians
 
 
 
 In this role you will need to be an expert in healthcare. We are interested in a wide range of expertise, so relevant backgrounds include:
 
 
 Physicians of all specialties (e.g., Internists, Cardiologists, Oncologists), Physician Assistants, Nurse Practitioners, Certified Nurse-Midwives, Certified Registered Nurse Anesthetists, Clinical Nurse Specialists, Registered Nurses.
 
 
 
 Therapists
 
 
 
 Physical Therapists, Occupational Therapists, Speech-Language Pathologists, Respiratory Therapists, Athletic Trainers, Massage/Recreational Therapists.
 
 
 
 Diagnostic &amp; Laboratory Professionals
 
 
 
 Radiologic Technologists, Sonographers, MRI &amp; Nuclear Medicine Technologists, Medical Laboratory Scientists, Phlebotomists, Histology &amp; Genetics Technicians.
 
 
 
 Public Health &amp; Specialized Roles
 
 
 
 Dietitians/Nutritionists, Genetic Counselors, Epidemiologists, Public Health Nurses.
 
 
 
 Benefits
 
 
 
 <ul>
 <li>
 This is a full-time or part-time REMOTE position
 </li>
 <li>
 You&rsquo;ll be able to choose which projects you want to work on
 </li>
 <li>
 You can work on your own schedule
 </li>
 <li>
 Projects are paid hourly starting at $50-$60 USD per hour, with bonuses on high-quality and high-volume work
 
 
 </li>
 </ul>
 
 Responsibilities
 
 
 
 <ul>
 <li>
 Give AI chatbots diverse and complex healthcare related problems and evaluate their outputs
 </li>
 <li>
 Evaluate the quality produced by AI models for correctness and performance
 </li>
 <li>
 Ensure the medical accuracy of model performance
 
 
 </li>
 </ul>
 
 Qualifications
 
 
 
 <ul>
 <li>
 Fluency in English (native or bilingual level)
 </li>
 <li>
 A current or in progress medical degree
 
 
 </li>
 </ul>
 Notes: Payment is made via PayPal. We will never ask for any money from you. PayPal will handle any currency conversions from USD. Only applicants in the United States will be considered for this role. This is an independent contract position.
 
 
 #medicine
</div>

Nurse Practitioner

Centene Corporation

<div>
 You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
 
 
 
 RN Strongly Preferred - Compact RN License Required
 
 
 
 
 100% Remote
 
 
 
 
 Business Hours are 8a - 6p CST. Shifts include one day on the weekend
 
 
 
 
 Position Purpose
 
 Performs clinical reviews needed to resolve and process appeals by reviewing medical records and clinical data to determine medical necessity for services in accordance with policies, guidelines, and National Committee for Quality Assurance (NCQA) standards.
 
 
 <ul>
 <li>
 Prepares case reviews for Medical Directors by researching the appeal, reviewing applicable criteria, and analyzing the basis for the appeal
 </li>
 <li>
 Ensures timely review, processing, and response to appeal in accordance with State, Federal and NCQA standards
 </li>
 <li>
 Communicates with members, providers, facilities, and other departments regarding appeals requests
 </li>
 <li>
 Generates appropriate appeals resolution communication and reporting for the member and provider in accordance with company policies, State, Federal and NCQA standards
 </li>
 <li>
 Works with leadership to increase the consistency, efficiency, and appropriateness of responses of all appeals requests
 </li>
 <li>
 Partners with interdepartmental teams to improve clinical appeals processes and procedures to prevent recurrences based on industry best practices
 </li>
 <li>
 Performs other duties as assigned
 </li>
 <li>
 Complies with all policies and standards
 
 
 </li>
 </ul>
 
 Education/Experience
 
 Requires Graduate from an Accredited School of Nursing or Bachelor&rsquo;s degree in Nursing and 2 &ndash; 4 years of related experience.
 
 
 Knowledge of NCQA, Medicare and Medicaid regulations preferred.
 
 
 Knowledge of utilization management processes preferred.
 
 
 
 License/Certification
 
 
 
 <ul>
 <li>
 LPN - Licensed Practical Nurse - State Licensure required or
 </li>
 <li>
 LVN - Licensed Vocational Nurse required or
 </li>
 <li>
 RN - Registered Nurse - State Licensure and/or Compact State Licensure required or
 </li>
 <li>
 LCSW- License Clinical Social Worker required or
 </li>
 <li>
 LMHC-Licensed Mental Health Counselor required or
 </li>
 <li>
 LPC-Licensed Professional Counselor required or
 </li>
 <li>
 Licensed Marital and Family Therapist (LMFT) required or
 </li>
 <li>
 Licensed Psychologist required
 
 
 </li>
 </ul>
 Pay Range $27.02 - $48.55 per hour
 
 
 Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
 
 
 Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
 
 
 Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
</div>

Clinical Review Clinician - Appeals

<div>
 We are looking for a
 
 Clinical Appeals Nurse
 
 to join our team to train AI models. You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of each model.
 
 
 In this role, you will need to be an expert in healthcare. We are interested in a wide range of expertise, so relevant backgrounds include Clinical Documentation &amp; HIM, Medication Management (PharmD), Laboratory Medicine and Pathology Services (MLS, MD), Quality Improvement &amp; Patient Safety, Regulatory Compliance, Accreditation &amp; Medical Staff, Care Coordination &amp; Case Management, Population Health &amp; Value-Based Care, and Managed Care &amp; Utilization Management.
 
 
 
 Benefits
 
 
 
 <ul>
 <li>
 Full-time or part-time remote position
 </li>
 <li>
 Choose which projects you want to work on
 </li>
 <li>
 Flexible schedule
 </li>
 <li>
 Projects are paid hourly starting at $50+ per hour
 </li>
 <li>
 Bonuses available for high-quality and high-volume work
 
 
 </li>
 </ul>
 
 Responsibilities
 
 
 
 <ul>
 <li>
 Provide AI chatbots with diverse and complex healthcare-related problems
 </li>
 <li>
 Evaluate AI outputs for logic, accuracy, and performance
 </li>
 <li>
 Ensure the medical accuracy and overall quality of model responses
 
 
 </li>
 </ul>
 
 Qualifications
 
 
 
 <ul>
 <li>
 Fluency in English (native or bilingual level)
 </li>
 <li>
 A current or in-progress medical or healthcare-related degree
 
 
 </li>
 </ul>
 
 Notes:
 
 Payment is made via PayPal. We will never ask you for any money. PayPal will handle any currency conversions from USD. Only applicants in the United States will be considered for this role. This is an independent contractor position.
 
 
 
 #medicine
 
</div>

Clinical Appeals Nurse

SpaceX

<div>
 SpaceX was founded under the belief that a future where humanity is out exploring the stars is fundamentally more exciting than one where we are not. Today SpaceX is actively developing the technologies to make this possible, with the ultimate goal of enabling human life on Mars.
 
 
 
 CONSTRUCTION SUPERINTENDENT &ndash; WELDING (STARBASE)
 
 
 
 As a Construction Superintendent focused on welding at Starbase, you will own the day-to-day execution of field welding activities for fluid systems and infrastructure projects at Massey's test site. This role directs contractors, plans and sequences weld work, and delivers high-quality, safe, and efficient installations in a fast-paced test and operations environment.
 
 
 
 Responsibilities
 
 
 
 <ul>
 <li>
 Own day-to-day execution of welding projects on site
 </li>
 <li>
 Lead site logistics and operations for welding projects, including scheduling, progress tracking, quality control, and resource allocation
 </li>
 <li>
 Manage SpaceX construction asset material deliveries, storage, and site cleanliness to support welding activities
 </li>
 <li>
 Maintain construction barricades and the site stormwater pollution prevention plan for welding work areas
 </li>
 <li>
 Perform daily field coordination, conflict resolution, and schedule management for welding contractors and internal teams
 </li>
 <li>
 Oversee procurement and execution of welding construction projects
 </li>
 <li>
 Develop cost estimates, solicit bids, award contracts, and manage budget, schedule, and scope for weld packages
 </li>
 <li>
 Track progress, provide daily updates, and coordinate with end users and facilities teams on welding scopes
 </li>
 <li>
 Manage night shift weld contractors as required
 </li>
 <li>
 Directly supervise welders and fitters, set daily priorities, and drive productivity and accountability
 </li>
 <li>
 Plan and sequence welding work to align with the project schedule and operational constraints
 </li>
 <li>
 Identify and resolve blockers early for welding scopes, including material access and engineering issues
 </li>
 <li>
 Serve as the primary point of contact for all welding activities between contractors, engineering, and SpaceX teams
 </li>
 <li>
 Resolve field issues in real time for welding scopes, including fit-up interferences and design gaps
 </li>
 <li>
 Ensure all welds, fit-ups, and installations meet SpaceX quality standards
 </li>
 <li>
 Review drawings, isometric diagrams, and field changes for welding constructability
 </li>
 <li>
 Manage contractor badging and security access for welding personnel
 </li>
 <li>
 Proactively adjust welding operations to meet deadlines and escalate issues to engineering and project management as needed
 </li>
 <li>
 Assist with hands-on skilled trade work on welding scopes when required (approximately 10% of the time)
 
 
 </li>
 </ul>
 
 Basic Qualifications
 
 
 
 <ul>
 <li>
 High school diploma or equivalency certificate
 </li>
 <li>
 3+ years of professional experience in the construction or aerospace industries, with experience leading or coordinating a labor force
 </li>
 <li>
 3+ years of hands-on experience with a construction trade skill
 
 
 </li>
 </ul>
 
 Preferred Skills And Experience
 
 
 
 <ul>
 <li>
 Structural welding experience on large-scale industrial or aerospace projects
 </li>
 <li>
 Experience estimating labor hours and managing budgets for welding scopes
 </li>
 <li>
 Strong field experience managing weld contractors, fitters, and multi-disciplinary crews in fast-paced technical environments
 </li>
 <li>
 Ability to read and interpret piping and instrumentation diagrams, isometric drawings, fabrication drawings, and redlines
 </li>
 <li>
 Experience with fit-up, system tie-ins, modifications, and resolving constructability issues in the field
 </li>
 <li>
 Solid understanding of weld quality requirements, visual inspection, and nondestructive evaluation (NDE) methods (including radiographic testing)
 </li>
 <li>
 OSHA 30 certification
 </li>
 <li>
 Experience coordinating work around active test and operations environments
 </li>
 <li>
 Current CWI (Certified Welding Inspector) certification
 
 
 </li>
 </ul>
 
 Additional Requirements
 
 
 
 <ul>
 <li>
 Ability to work multiple shifts and change shifts with minimal notice; flexibility required
 </li>
 <li>
 Ability to travel to different sites, as needed, up to 20% travel
 </li>
 <li>
 Ability to perform job duties that require standing, kneeling, crouching, twisting the upper body, working in cramped positions in small openings, and climbing hand-over-hand
 </li>
 <li>
 Typically exposed to work in extreme outdoor environments &ndash; heat, cold, rain
 </li>
 <li>
 Work performed in an environment requiring exposure to fumes, odors, and noise
 </li>
 <li>
 Stand: Up to 10 hours per day
 </li>
 <li>
 Sit: Up to 10 hours per day
 </li>
 <li>
 Push/Pull: Up to 75lbs. (unassisted) between 1 to 2 hours per day
 </li>
 <li>
 Overhead reach: Up to 10 hours per day
 </li>
 <li>
 Walk: Up to 10 hours per day
 </li>
 <li>
 Lift/Carry: Up to &le; 50 lbs. (unassisted) between 1 to 2 hours per day
 </li>
 <li>
 Climb (ladder/stairs): Up to 6 hours per day
 </li>
 <li>
 Kneel/Crouch: Up to 10 hours per day
 </li>
 <li>
 Upper body twist: Up to 6 hours per day
 </li>
 <li>
 Ability to work in temperatures over 80 degrees for 6 hours or greater per day
 </li>
 <li>
 Candidate must be capable of safely working at heights (up to 500ft), in confined spaces, operating heavy equipment and machinery, and performing the physical requirements of the job listed in the job description. Candidate may be required to complete a pre-employment questionnaire and/or physical to confirm these capabilities, which may include a medical history review.
 
 
 </li>
 </ul>
 
 Itar Requirements
 
 
 
 <ul>
 <li>
 To conform to U.S. Government export regulations, applicant must be a (i) U.S. citizen or national, (ii) U.S. lawful, permanent resident (aka green card holder), (iii) Refugee under 8 U.S.C.
 </li>
 <li>
 1157, or (iv) Asylee under 8 U.S.C.
 </li>
 <li>
 1158, or be eligible to obtain the required authorizations from the U.S. Department of State. Learn more about the ITAR here.
 
 
 </li>
 </ul>
 SpaceX is an Equal Opportunity Employer; employment with SpaceX is governed on the basis of merit, competence and qualifications and will not be influenced in any manner by race, color, religion, gender, national origin/ethnicity, veteran status, disability status, age, sexual orientation, gender identity, marital status, mental or physical disability or any other legally protected status.
 
 
 Applicants wishing to view a copy of SpaceX&rsquo;s Affirmative Action Plan for veterans and individuals with disabilities, or applicants requiring reasonable accommodation to the application/interview process should reach out to EEOCompliance@spacex.com
 
 .
 
</div>

Construction Superintendent – Welding (Starbase)

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Nurse

Nurse Practitioner

Clinical Review Clinician - Appeals

Clinical Appeals Nurse

Construction Superintendent – Welding (Starbase)