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Title: RN Utilization Review II
Description: The RN Utilization Review II is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This RN is responsible for performing a variety...
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...utilization initiatives and is essential to managing conflicting priorities and multiple projects. As part of the Medical Expense Review (MER) team, you will prepare for monthly presentations, and manage both long and short-term projects, working collaboratively with...
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Temp to Perm - Local Candidates only. Current RN Compact license required
Summary:
The RN Utilization Review II is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services....
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Local area
...JOB SUMMARY:
Under general supervision, performs all title review functions in support clearing titles for AL, GA, MS, and TX. This person will perform tasks that require knowledge/skill to identify curative issues. The position requires substantial coordination with...
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...Job Description
Job Description POSITION SUMMARY
The Demand Review Nurse Auditor is responsible for conducting a comprehensive review of the submitted documentation to ensure that all services billed are supported by the medical records. The Nurse Auditor will...
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...Job Description
TRS Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Irving, Texas.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Start Date: 05/27/2024
~ Duration: 12 weeks
~40...
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...Be the spark that brightens days and ignite your career with TTEC's award-winning employment experience. As an Image Review Clerk working remotely in Texas , you'll be a part of bringing humanity to business. #experienceTTEC
What You'll be Doing
Do you have...
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...as a liaison between managed care organizations and the facility’s behavioral health clinical treatment team.
Conducts clinical reviews in accordance with certification requirements of insurance plans or other managed care organizations.
Monitors patient length of...
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Flexible hours
...indicators for tracking covenant compliant obligors, industry and subsegment research and consolidation of KPI/KRI for the Risk Directed Reviews and implement Tableau visualization. While working on these priorities the analysts is expected to use SAS, Python, Advanced Excel,...
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...required to work onsite for quarterly meetings.
~3, 12 hour shifts. Saturday, Sunday, Monday.
JOB SUMMARY
The Utilization Review Registered Nurse (RN) provides a clinical review of cases using medical necessity criteria to resolve the medical appropriateness...
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...you are a person with a disability and need a reasonable accommodation to use our search tools and/or apply for a career opportunity review Accessibility at Citi .
View the " EEO is the Law " poster. View the EEO is the Law Supplement .
View the EEO Policy...
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...Global Risk Review (GRR) provides independent, objective, reliable, valued and timely assurance to the Boards, the Committees, the Citigroup Chief Risk Officer, the Citigroup Chief Credit Officer, senior management and regulators over the effectiveness of credit, capital...
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...established standards and processes are followed and consistently applied. GWM Management use the results of the quality assurance reviews to assess the quality of the group's policies, procedures, programs, and practices as relates to end-to-end risk analysis. The results...
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...Worth 4630 N. Beach Street , Haltom City, TX, 76137 USA Position Role Type:
Onsite Collins Aerospace is looking for a Material Review Board (MRB) Engineer, Military Programs to work alongside Senior MRB Engineers and learn Landing Gear MRB Engineering roles and...
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...developing and tracking risk remediation plans across our various business units.
Serve as subject matter expert and manage Risk Reviews / Risks / Risk Exception Requests
Assess our control effectiveness and conduct control gap analysis against key Frameworks/...
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...emergency cart.
Able to ensure customer satisfaction by limiting wait times, providing courteous service, remaining professional, reviewing patient satisfaction scores and developing action plans when required.
Demonstrates and maintains current knowledge, continued...
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...emergency cart.
Able to ensure customer satisfaction by limiting wait times, providing courteous service, remaining professional, reviewing patient satisfaction scores and developing action plans when required.
Demonstrates and maintains current knowledge, continued...
Holiday work
Immediate start
Relocation package
Flexible hours
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...and reconcile the project accounting system to the general ledger monthly.
Oversee accounts payable activities which includes reviewing corporate and pre acquisition invoices for proper approvals, coding invoices, remitting invoices for payment and processing checks...
For subcontractor
...is essential. This job is not a good fit for people who experience claustrophobia.
Visit the Navy SWCC PST Calculator to review the current minimum Navy Physical Screening Test (PST) requirements for Navy Challenge Programs.
General qualifications may...
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...respectful, compliant and effective manner
• Ensure staff is meeting the goals assigned and Key Performance Indicators (KPI)
• Review accounts in order to provide feedback to their team
• Participate in the interviewing and hiring process
• Participate in appraising...
Full time
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