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Immediate need for a talented Supervisor - Case Manager/Utilization Review . This is a 03+ Months Contract opportunity with long-term potential and is located in Los Angeles, CA(Onsite) . Please review the job description below and contact me ASAP if you are interested...
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...Responsibilities:
Responsible for the quality and resource management of all patients that are admitted to the facility from the point... ...perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service...
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Part time
Work experience placement
...Job Summary:
Manages the day-to-day operations of the Utilization Management Program in the Service Area or a Medical Center. Ensures cost effective... ...Provides direction to staff regarding utilization review, care coordination, discharge planning, and other services...
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Local area
...Pyramid Consulting is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Los Angeles, California.... ...are looking for Charge / Supervisor Nurse with experience in managing Case managers/utilization review nurse team and insurance...
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Local area
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...POSITION SUMMARY:
This position is responsible for the management of the daily operations of Utilization Management (UM) at APLA Health and Wellness (APLAHW).... ...tools and evidence-based criteria for utilization review.
Develop, implement and maintain compliance,...
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...indirect caregiver, patient advocate and manages patients in the most cost effective way... ...and appropriate community agencies.
Reviews, monitors, evaluates and coordinates the... ...providing continuity of care, including Utilization management, Transfer coordination, Discharge...
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$47.31 - $88 per hour
...The RN Float Case Manager and Utilization Review Nurse provides coverage for an RN Case Manager or RN Utilization Review Nurse. The RN Float Case Manager and Utilization Review Nurse is assigned to function in the role of either a RN Case Manager or RN Utilization Review...
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Full time
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...progressing rapidly, and we anticipate that our Colton Location in San Bernadino County, will be operational by Summer of 2024.
Utilization Review Coordinator Position Overview
Pay: $25 - $30 / Hour
Ocean View Utilization Review Coordinator in our psychiatric...
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Summer work
...of network and appropriateness of treatment setting reviews within scope of licensure by utilizing appropriate medical policies and clinical guidelines... ...quality, cost effective care throughout the medical management process.
Educates the member about plan benefits and...
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...Senior Project Manager - Utilities
We are looking for a Senior Project Manager to join our team of experienced professionals. The ideal candidate will have a strong understanding of the utilities industry and a proven track record of success in managing complex projects...
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...I. Job Purpose and Core Tasks
The Manager, Customer Success Utilization plays a critical role in: 1) managing overall customer satisfaction of installations 2) driving effective customer utilization of specific technology products post go live., within their respective...
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...into tomorrow. Provides overall project management involving Data Collection Unit's (DCU's)... ...clients (various municipalities and other utility companies in obtaining construction... ...needed for all compliance/quality/integrity reviews. Develops project plans, scope of work,...
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Full time
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3 days per week
...plays a critical role in our participant's journey and our Utilization Management team ensures we can provide timely, quality, compliant, and... ...operations within the designated UM team
Assist the team in reviewing prior-authorization requests for medical necessity and...
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...Job Description ManageAmerica is looking for an experienced Utility Rate Analyst to join our Submetered Utility Billing Service team... ...ManageAmerica:
ManageAmerica is a complete online property management, utility billing, and accounts receivable software suite with...
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Work from home
The RN Float Case Manager and Utilization Review Nurse provides coverage for an RN Case Manager or RN Utilization Review Nurse. The RN Float Case Manager and Utilization Review Nurse is assigned to function in the role of either a RN Case Manager or RN Utilization Review...
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Hourly pay
Full time
Work experience placement
Local area
Night shift
...Care Access and Monitoring team responsible for prior authorizations, inpatient/outpatient medical necessity/utilization review, and/or other utilization management activities aimed at providing Molina Healthcare members with the right care at the right place at the right...
...Job Description
Avata Partners is seeking a Document Review Attorney in The Los Angeles area.
What is a Document Review... ..., are necessary.
Great communication skills.
Project management skills to stay organized and move from task to task as asked....
Full time
...dynamic team!
Step Into Your New Role
Kleinfelder is looking for highly motivated and experienced Gas and Electric Utility Client Account Manager to join our fantastic team in the SoCal Region. We are excited to present a challenging opportunity for an experienced...
Holiday work
Local area
...Acentra seeks aUtilization Clinical Reviewer - LCSW/LMFT/LPCC/LCPC (Remote within California... ...our growing team.
Job Summary
Utilizing clinical expertise, this role involves reviewing... ...additional duties deemed necessary by management.
Required Qualifications/...
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....
Position in this function is responsible for the review and evaluation of specialty injectable information and documentation... ...supervision of an RN or MD. Function is responsible for utilization management which includes Concurrent Review (on-site or telephonic...
Remote job
Hourly pay
Minimum wage
Contract work
Work experience placement
Local area
