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...Provides utilization management review of worker's compensation claims . Accesses medical documentation and information provided by medical... ...of treatment, setting and length of treatment required. Essential D Nurse, Consultant, Insurance, Healthcare, Treatment, Medical...
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...Registered Nurse Case Manager - Utilization Management
Overview
Join an award-winning team of dedicated professionals committed to our core values of quality, compassion, and community! Knapp Medical Center, a member of the Prime Healthcare Foundation, offers incredible...
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Work experience placement
...Registered Nurse - Utilization Management - Full Time
* Graduate of an accredited school of nursing required.
* Current licensure as a Registered Nurse in the State of New Jersey
POSITION SUMMARY
The RN Utilization Management Days is responsible for the overall Utilization...
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Full time
Overview:
ERP International, LLC is seeking a Registered Nurse - Utilization Managment for a full-time position supporting Medical Managment in... ..., Coders/Coding Auditors, Population Health Nurse Consultants, Medical Management, Referral Management, TRICARE Operations...
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Department: Utilization Management
Daily Work Times: 7:00am-3:30pm
Shift: Days
Scheduled Bi-Weekly Hours: 40
Position Summary: Responsible... ...projects as needed.
Required:
* State licensure as a registered nurse (RN)
* Bachelor's degree in nursing from accredited...
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Part time
Shift work
Weekend work
...Utilization Management Clinical Registered Nurse (RN)
Job Summary
We are searching for a Utilization Management Clinical RN -- someone who works well in a fast-paced setting. In this position, you will provide precertification of inpatient hospitalizations and all...
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Local area
...Description
~ Job Title: DERMS Functional Consultant (Remote)
Overview:
As a DERMS... ...Functional Consultant, you will be at the forefront of managing distributed energy resources (DERs) within an electric utility. Your expertise will contribute to optimizing...
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Role: Utilization Management Nurse
Location: Remote/ Work from Home
Term: Contract Ideal candidates will have a few years of Major payor experience... ...and sought-after career opportunities to our potential consultants and employees. We invite you to review the position...
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...development of new skills and certifications.
Overview:
This position will be an essential part of our team to grow the consulting practice. Sample projects could include Grid modernization technology roadmaps, requirements gathering and documentation, IT/OT integration...
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...wholesale rate design and analysis, cost of service analysis, risk management, forecasting, regulatory compliance, and more.
In this... ...communication, and organizational skills
* Is experienced in the utility industry (5+ years preferred)
* Has a thorough understanding...
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Full time
...Works in partnership with physicians, nurse case managers, and other disciplines to ensure the... ...for the corresponding level of care utilizing evidence-based criteria.
Responsibilities... ...obstacles for safe discharge. Seeks consultation from appropriate disciplines/...
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ECI is looking to add a Consulting Utility Forester to our team! If you are an energetic professional who enjoys working outdoors, values... ...of a rewarding profession, consider a career in vegetation management with ECI.
Some of the most important characteristics of an...
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Weekly pay
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Full time
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For contractors
Local area
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Outdoor
Work alone
Gangs
...affordable.
Position Summary + Utilizes clinical experience and... ...and benefit utilization
+ Consults and lends expertise to other... ...administration of the utilization/benefit management function.
+ Typical... ...experience as a Registered Nurse
- Must have active current...
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Hourly pay
Holiday work
Full time
Temporary work
Monday to Friday
**Job Title:** Industry Consultant - Technology and Business Transformation - Utilities - DERMS
**Job Location: Houston, Dallas, Atlanta, Chicago**
**Job Summary... ...members, often serving as a proxy Product Owner/Manager
Lead cross-functional collaboration to ensure...
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Holiday work
Relief
Flexible hours
...growth.
ESSENTIAL FUNCTIONS:
Provide consultation and guidance regarding admissions and... ...from treatment.
Evaluate the utilization operation for compliance with mandatory... ...Education
Bachelor's or better in Nursing/Healthcare or Psychology.
Licenses &...
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For contractors
...Job Description
Job Description The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services are used efficiently and appropriately. They review medical records, treatment plans, and patient information to...
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-We Are:
Accenture Strategy & Consulting, Utility Industry, Power Generation Practice is providing power for a safe, connected, and sustainable... ...work experience
+ You have knowledge of nuclear work management, including work planning, scheduling, and maintenance...
Work experience placement
Local area
...Incumbent serves as an Outpatient/Inpatient Case Manager/Utilization Review Registered Nurse (CM/UR RN) for TCRHCC and is responsible for direct supervision... ...and linkages.
Consistent and on-going case consultation with all direct service providers.
Developing and...
Contract work
Work alone
Flexible hours
Shift work
Weekend work
...innovation and transformation consultancy, we are 3,300 specialists in... ...defence and security, energy and utilities, financial services,... ...team environment.
Ability to manage 5-10 projects concurrently and... ...match
Teladoc and informed Nurse line resources
Long term care...
Holiday work
Shift work
...innovation and transformation consultancy, we are 3,300 specialists in... ...defence and security, energy and utilities, financial services,... ...preferred but not required.
Managing client relationships and working... ...match
Teladoc and informed Nurse line resources
Long term...
Holiday work
Work experience placement
