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...Utilization Management Coordinator (RN)
Under the general supervision of the Director of Health Services, the position is responsible for appropriately and successfully executing clinical and administrative health plan denials in accordance with regulatory guidelines...
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...Description Position Purpose : Works in partnership with physicians, nurse case managers, and other disciplines to ensure the appropriateness for the corresponding level of care utilizing evidence-based criteria.
Responsibilities:
Uses a collaborative...
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Department: Utilization Management
Daily Work Times: 7:00am-3:30pm
Shift: Days
Scheduled Bi-Weekly Hours: 40
Position Summary: Responsible for determining the appropriate patient status based on the regulatory and reimbursement requirements of various commercial and...
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...duties necessary to direct and oversee the daily operations of Utility Billing and related Field Services. Represents the City in... ...distribution, receipt and reconciliation of billing statements; records management; cash management; banking transactions; and field support and...
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...and continue to obtain authorizations through ongoing clinical reviews until patient discharges from treatment.
Evaluate the utilization operation for compliance with mandatory policies and procedures.
Review clinical documentation from denied stays against criteria...
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Tier: 2
Department: Administration
Supervisor: General Manager of Tribal Operations
Location: 16281 Q Road, Mayetta KS 66509... ...program.
Questions before applying? (***) ***-****
Role:
The Utility Manager will be responsible for oversight on PBPN's goal of...
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...Works Department
Opening Date: 03/20/2024
Closing Date: Continuous
GENERAL PURPOSE
City of Upland is recruiting for Utilities Manager!!
APPLY TODAY!!
Utilities Manager , under the general direction of the Public Works Director/City Engineer, plans,...
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...over 30 countries.
Job Description
W.R. Grace & Co. a leading manufacturer of Specialty Chemicals has an immediate need for a Manager responsible for the site facilities services. Powerhouse operations (Boilers, Air compressors, Air Dryers, Combined Heat and Power...
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...Company:
Our client is an established and rapidly growing heavy civil company specializing in earthwork and underground utilities. The company manages more than $150 million in annual revenue, and has been a leader in heavy civil construction across southern Wisconsin...
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...needsLead, coach and advise a small project team in addition to managing their performance (depending upon the structure of a project)... ...You NeedMinimum of 4 years of experience working with Oracle Utilities Industry Solutions (Customer Experience, Customer Operations,...
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Utility Project Manager - ( 240001FD )
Description
We create the connections that get people and goods moving-whether by car, bus, train, plane, or their own two feet. Working within the context of the communities we serve, we provide planning, engineering...
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...employees. Here, youll join gifted colleagues who make a lasting difference in peoples lives every day.
Overview:
The Utilization Manager plans, coordinates, implements, and finalizes projects according to the specifications, deadlines, and budget. The role...
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...Description
Comprehensively plans for case management services for a targeted patient population. Carries out activities related to utilization management, discharge planning, care coordination and referral to other levels of care. Works with physician, Social Worker...
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...We are seeking an experienced Utilization Management RN to join our esteemed surgical center in the one and only, Dallas, TX!
This Nurse should have a minimum of 5 years INPATIENT clinical nursing experience in an acute care hospital setting and minimum of 2 years Utilization...
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...Overview
Our Utilization Management Assistant receives, processes, facilitates and documents all payer communications. This position supports denial mitigation by sending documentation within the contracted time period, following up on accounts lacking authorization...
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Exciting Opportunity for experienced RN Utilization Management Leaders! As a Full Time Director of Utilization Management at VillageCare, you will have the unique opportunity to showcase your expertise in driving operational efficiency and ensuring quality patient care...
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...Impact Recruitment has partnered with a successful Civil Engineering and Land Surveying company in their search for a Utilities Project Manager.
Our client has an excellent team, solid ability to execute, and true understanding of what it takes to build world class...
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...engineers, scientists, consultants, program and construction managers leading the change toward a more sustainable and equitable future... ...Job Description**
**AECOM** is seeking a **Project Manager - Utilities** to be based in **Sacramento, California.**
**JOB SUMMARY:**...
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...protected classification in accordance with applicable federal, state and local law.
PURPOSE OF THE JOB:
The Projects and Utilities Manager will manage the Project Management, Engineering and Utilities function within Avient Protective Materials. They will provide...
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...Job Details
Level
Management
Job Location
Jacksonville Office - Jacksonville, FL
Position Type
Full Time
Education... ...Job Category
Management
Description
SCOPE:
The Utility Project Manager is responsible for the many phases of the utility...
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