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Description
Primary Function:
Under CNO supervision, the Utilization Coordinator provides utilization review, Amkai chart surveillance and denials management for the inpatient case load. This role utilizes the nationally recognized Milliman...
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Part time
Worldwide
...Utilization Management Nurse
Why Choose Jefferson Health Plans?
We are an award-winning, not-for-profit health maintenance organization offering... ...inpatient setting (i.e.,SNF/Rehab). Also, responsible to review clinical information provided by facilities and communicates...
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Remote job
Flexible hours
Shift work
...education - these concepts are at the core of Hampton Behavioral Health Center's mission.
We are looking for a Full Time Utilization Review Coordinator . In this role you will assist in screening patients to ensure that criteria are met, perform admission clinical...
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Full time
Local area
...In collaboration with the patient/family, physicians, and the interdisciplinary team, the Case Manager facilitates the patient's progress through the acute episode of care in an efficient and cost effective manner. Monitors the level of care, initiat Case Manager, Manager...
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...Weekly training opportunities
~ Advancement opportunities within the organization
Job Description
The Utilization Review Case Manager requires effective communication and coordination with the Director of Utilization Review, insurance companies, and treatment...
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Full time
In collaboration with the patient/family, physicians, and the interdisciplinary team, the Case Manager facilitates the patient's progress through the acute episode of care in an efficient and cost effective manner. Monitors the level of care, initiating evidence based protocols...
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...and recognize medical conditions, as well as medications and the association to specific medical conditions. Provides feedback to management for provider education and correction purposes. Ensures that the patient records are complete in a timely manner according to the...
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...Compliance
Job Description:
The Compliance Manager manages assigned compliance functions for... ...part of Marketing's new Copy & Content Review team and will be a critical component to... ...management process for any vendors utilized by assigned team
Oversees the planning...
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Holiday work
Work experience placement
Work from home
Flexible hours
...chemical dependency treatment. We are currently seeking a Utilization Management (UM) Coordinator to join our team.
Utilization Management... ...is seeking a Utilization Management (UM) Coordinator to reviews patient medical records to determine severity of patient's...
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Relief
Local area
...Administrator will assist the Senior Director of Health Information Management and Director of Coding and Data Operations with the development of coding policies and procedures. Coordinates and conducts reviews of targeted cases to assure timely billing process and correct...
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Utility Foresters needed! Take ownership of your future. Grow your career in a dynamic industry! Our client has a unique culture that... ...do:
Successfully contribute to all aspects of vegetation management planning and analysis.
Utilize innovative technology and practices...
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Holiday work
Local area
Outdoor
...and buying group, and a leader in digital communications.
Web: | Facebook: | Twitter:
Job Description
The Manager, Regulatory Review manages a team of Associates and Senior Associates to ensure marketing materials for a client (or group of clients)...
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Full time
Flexible hours
Shift work
3 days per week
...and summarizing information and trends
• Perform conceptual, schematic, and design development budgets
• Review plans for consistency and accuracy
• Manage all levels of take-offs while applying unit prices
• Collaborate with others on the preconstruction team...
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For contractors
Local area
...Position Title: Medical Claims Review Nurse
Type: Fully Remote
Schedule: Monday... ...clinical appeals experience.
One year of utilization review experience.
Candidates with... ...complaints regarding utilization management and long-term services and supports....
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Remote job
Local area
Monday to Friday
...Responsibilities:
What you will get to do as a Dishwasher/Utility at Brightview?
You'll wash and clean equipment and supplies so... ...community (if relevant), certifications/training, etc. Brightview reviews and adjusts compensation ranges at least once a year....
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...Contemporary Staffing Solutions is seeking a dedicated and experienced Utilization Management Registered Nurse (RN) to join our client in Philadelphia, PA... ...state regulations, as well as accreditation standards.
~Review submitted materials such as policies, files, program...
Contract work
Temporary work
...Values guide the way we do business.
Leidos Engineering is seeking experienced Project Managers to oversee and coordinate Transmission-Level projects for large electric utility clients in Boston MA, Philadelphia PA and Richmond, VA.Ideal Candidates will have a...
Work experience placement
For subcontractor
...Bruno Bros. - JobID: 100-135685474 [Janitor / Porter / Cleaner] As an Utility Associate at Di Bruno Bros., you'll: Perform general clean up of all areas of the retail store & corporate office space; Manage routine upkeep of interior and exterior areas; Remove garbage and...
Immediate start
...proximity to the Wissahickon Valley Park, offering a beautiful, peaceful setting with all the conveniences of the city nearby.
The Utility Worker is responsible for maintaining a clean and sanitary kitchen and dining room area, assumes dishwashing and pot...
Temporary work
Local area
...Your Job
Georgia-Pacific is looking for safety-orientated individuals to join our team as Production Utility Operators in Camden, NJ . Utility Operators create value by working as a team to manufacture high quality, commercial grade flooring underlayment, in...
Holiday work
Flexible hours
Shift work
Night shift
Afternoon shift
