LTC Utilization Review Specialist
Presbyterian Healthcare Services
Presbyterian Healthcare Services in Albuquerque, NM is hiring a LTC Utilization Management Reviewer to conduct facility level of care determinations and LTSS reviews. The role involves coordinating with medical directors, reviewing documentation, and ensuring care plans meet regulatory criteria. Full-time, days shift, based at Reverend Hugh Cooper Administrative Center. Strong candidates will hold an active NM nursing license (RN/LPN) or compact license and have experience in utilization #J-18808-Ljbffr Presbyterian Healthcare Services
$50k
...Responsibilities The Career Transition Specialist Supervisor is responsible for organizing... ...activities in program areas. Prepares and reviews reports and records of activities to... ...Eckerd Connects is a drug-free workplace and utilizes E-Verify to confirm employment...SuggestedContract workTemporary workLocal areaRelocationFlexible hours$18.65 - $19.9 per hour
...experience The Senior Patient Access Specialist is responsible for performing admitting... ..., and processing physician orders while utilizing an overlay tool and providing excellent... ...implemented for future services. Reviews eligibility responses in insurance verification...SuggestedWork at officeLocal areaRemote work$70.45k
...Productivity Analyst and Workforce Optimization Specialist Summary: Presbyterian Healthcare... ...targets. Support position control review processes through workforce analytics and... ...Maintain workforce productivity reports utilizing Premier OperationsAdvisor, Workday, API,...SuggestedFull timeTemporary workLocal areaImmediate startShift work- ...includes the evaluation of many diverse sources of information utilizing multiple intelligence information systems in order to develop intelligence... .... Opens in a new windowLearn more about federal benefits. Review our benefits Eligibility for benefits depends on the type of...SuggestedFull timeTemporary workPart timeWork experience placementWork at officeTrial periodRelocation packageShift workNight shiftRotating shiftAfternoon shift
- ...A Brief Overview The Leasing Specialist has the primary responsibility of coordinating all... ...charge for damages and delivery of the final utility bill (where applicable). Receives and... ..., and security. Completes lease by reviewing contract requirements; negotiating terms...SuggestedContract workWork at officeLocal areaFlexible hours
$17 - $18.15 per hour
...are searching for the next Patient Access Specialist champion. This role is responsible for... ...receiving, and processing physician orders, and utilizing an overlay tool while providing... ...forms implemented for future services. Reviews eligibility responses in insurance...Work at officeLocal areaRemote work- ...responsibilities vary and may increase according to grade level Utilize knowledge of IT principles, methods and security regulations... ...Access Program (CAP). Conduct semi-annual functional reviews of all COMSEC user accounts, inspecting COMSEC facilities, reviewing...Local area
- ...ASDE, ITWSS, ATISS, LLWS, and communication systems. Experience utilizing Event Manger and NOTAM Manager applications to document and... ...disqualification. HOW YOU WILL BE EVALUATED : Applications will first be reviewed to determine if minimum qualification requirements are met....Full timePart timeLocal area
- ...motivated, full-time Strength and Conditioning Specialist to join our team in support of our... ...Participate in periodic meetings to review and evaluate physical training programs... ...administrative duties such as maintaining records of utilization, workload, conducting or participating...Full timeWork at officeLocal areaRemote workFlexible hours
- ...Job Description Process Control Specialist in Albuquerque, NM Build your future at Curia,... ...Specialist is responsible for the timely review of manufacturing batch records (MBR) and... ...foundation and proven capability in effectively utilizing diverse software tools to streamline the...Contract workWork experience placementWork at officeShift work
- ...monitor compliance, provide guidance on policy implementation, and recommend specific countermeasures based on accreditation reviews; and utilizing a wide range of IT and communication security techniques, procedures, and methods to address technical requirements and...Full timePart timeFor contractorsWork experience placementWork at officeTrial periodShift workNight shift
- ...Ultrasound Specialist Join our dynamic imaging team as an Ultrasound Specialist, where... ...general and vascular ultrasound examinations, utilizing advanced imaging technology to provide... ...(ABI) testing. Assess patients, review clinical histories, and correlate findings...Temporary workPart timeRelocationShift workNight shiftWeekend work
$47.26k
Judicial Specialist 2 #00054609-24400, Full-Time, Perm in Albuquerque, NM # of Positions: 1... ...deferment and probation compliance records; review files for sentence deferments. Maintain... ...and report writing; ability to utilize a computer effectively in word processing...Hourly payPermanent employmentFull timeTemporary workWork at officeTrial periodFlexible hoursShift work$70.1k - $147.4k
...& Engineering Support NAVWAR Assessment Specialist supporting the Joint Navigation Warfare... ...regarding PNT threats and successes. You will utilize advanced modeling and simulation tools,... ..., and conferences. Prepare, route, and review all documents required for JNWC...Contract workWork experience placementInterim roleLocal areaFlexible hoursShift work- ...Complete calibration certificates in an orderly and neat manner Review calibration data ensuring the accuracy of calibration, dates,... ...Qualified candidates must possess basic computer skills including utilizing software such as calibration manager Ability to enter...Contract workWork experience placementWork at officeRemote work
- Overview The Asset Protection Specialist is primarily responsible for preventing financial... ...their assigned store/multiple stores. They utilize tools to minimize loss to the Company,... ...identifying incidents of theft and fraud, reviewing CCTV and exception reports, monitoring...Local area
- ...annual salary or hourly compensation range for this opportunity is accurate and reasonable at the time of posting. The Acosta Group utilizes E-Verify for validating the ability to work in the United States for all job candidates. If you want more information on what this...Hourly payPart timeLocal areaImmediate start
- National Park Service in Albuquerque, NM seeks a Supervisory Exhibits Specialist to lead a team within the Historic Preservation Training Center... ...for national parks and partner facilities. You will draft and review contract documents, advocate project positions, and ensure high...Contract work
- ...WKS KRISPY KREME, LLC Position : Production Specialist / Doughnut Maker Brand : Krispy Kreme Reports To : General Manager... ...compliance with Krispy Kreme operational standards and procedures. Utilize proper food handling, labeling, storage, and rotation...All shiftsFlexible hoursShift workNight shiftWeekend workDay shiftEarly shift
- ...ERM is hiring a Construction Safety Specialist to support day-to-day construction field verification activities in Santa Teresa, NM... ...guidance, and actionable feedback to support safe work practices. Review JHAs, permits, and activity briefings for completeness and...Full timeFor contractorsLocal areaImmediate start
- ...emergency or psychiatric treatment facilities. · Provides individual therapy and formulates treatment plans for patients under care utilizing professional counseling standards. · Provides timely written documentation of assessments, therapy sessions, etc., including all...Full timeReliefShift work
$17 - $17.5 per hour
...our apartment communities. We are looking to add a Leasing Specialist Floater to our team in Albuquerque, NM. Benefits and Perks... ...notes to prospective residents Pre-qualify applicants Review pending applications to be submitted for approval Notify applicants...Hourly payWork at officeLocal areaRelocation package- ...Prior Authorization Specialist Southwest Women's Oncology + Optimum Infusion | Albuquerque, New Mexico Why This Role Matters... ...work closely with: Providers and clinical staff on order review, documentation completeness, and peer-to-peer coordination Nurses...Full timeWork at office
- ...* REGULATORY AGENCIES - Develop and implement strategies that ensure the organization maintains a state of perpetual readiness for reviews by regulatory agencies and to achieve a level of quality and service that exceed regulatory requirements * KNOWLEDGE - Maintain knowledge...Full timeFor contractorsLocal areaShift work
$17 - $17.5 per hour
...Leasing Specialist Floater - Albuquerque, New Mexico NALS Apartment Homes believes that an apartment is not simply a place to live, but... ...thank‑you notes to prospective residents Pre‑qualify applicants Review pending applications for approval Notify applicants of application...Hourly payWork at officeLocal area$23 per hour
...superpower? Join Goodwill Industries of New Mexico as a Safety Specialist and help keep our team members safe, our operations smooth, and... ...maintain incident reports and take appropriate action as needed. Review and revise safety policies and procedures. Make recommendations...Full timeImmediate start- ...curriculum designers, course writers, instructors, and subject-matter specialists to coordinate system analysis leading to producing equipment,... ...objectives, providing project guidelines, making periodic review of progress including final review of completed work, and...
$60k - $85k
...Community Engagement Specialist The role of Community Engagement Specialist, part of the Public Information Group within the Education... ...Manage stakeholder databases and track engagement activities, utilizing CRM or similar systems as appropriate. Facilitate...Hourly payWork experience placementCasual workH1bWork at officeLocal areaRemote workVisa sponsorship$61 - $66.66 per hour
...Job Title: Continuous Improvement Specialist Location: Albuquerque, NM Type: Contract Compensation: $61-$66.66 Work Model: Onsite –... ...Demonstrated ability to apply foundational systems and drive system utilization. Effective verbal and written communication skills. Proven...Contract workLocal area- ...Rotating Position Summary: Entry level position within maintenance specialist series; perform a variety of standard facility and ground... ...and child abduction programs; participate in annual competency reviews, tests and in-services ASSISTANCE - Assist other department...Full timeNight shiftRotating shiftWeekend workDay shiftWeekday work
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