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...Job Description
Job Description Responsible for performing specific tasks required for an efficient and effective hospital utilization review program for Behavioral Health (Psychiatric or Addiction) Services. The incumbent is responsible for carrying out activities...
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The RN Utilization Specialist reflects the mission, vision... ...hospital utilization. The RNUS through regular reviews and audits and collaboration with the... ...care team assuring compliance with managed care contracts and payor guidelines while...
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...Credit Review Manager - Commercial Real Estate. The Credit Review Manager position is a team member in the banks third line Credit Review functions Commercial Real Estate team. The Credit Review team is an independent team reporting to the banks A Manager, Credit, Real...
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...providing infrastructure design, construction services and program management to a variety of agencies. Headquartered in Chicago, we also... ...work packages for various projects related to the Public Utilities Industry in Chicagoland Area.
The successful candidate must demonstrate...
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...design, construction services and program management to a variety of agencies.?Headquartered... ...solutions firm that specializes in utilities. transportation, aviation, rail and transit... ..., scheduling, budgeting, and execution.
Review and negotiate prime contracts, subcontracts...
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...Medical Reviewer II - RN (TX, OK, NM, MT & IL)
At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding...
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...leader in providing consulting services to the utility industry. Our team has a proven background in project management, project controls, construction management, engineering... ...and employment laws and regulations
• Review and vet resumes to ensure candidates meet job requirements...
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The Opportunity
Description
We're looking for a Physician Reviewer , working in Insurance industry in Chicago, Illinois, United... ...other areas of the organization.
Identifies opportunities to manage members' clinical situations with a view toward creative...
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...in other areas of the organization. Identifies opportunities to manage members' clinical situations with a view toward creative problem... ...Practices anticipatory case management for members whose cases come for review, in partnership with case managers. Participates in the...
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...Full job description
Hiring: Utilization Manager
Location: Woodridge Interventions | 2221 64th St. | Woodridge, IL 60517
Now... ...the Utilization Manager is to monitor and track concurrent reviews for timeliness and appropriate content to request additional...
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Description: This position requires an initial time commitment to undergo and complete training. After training, physician medical reviewer will provide weekend coverage, 8 hour shifts per Saturday and/or Sunday per month. This is a remote position.
Physician medical...
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...Responsibilities
JOB SUMMARY: Performs timely, daily clinical reviews with all payer types, to secure authorization for initial... ...payer’s criteria and in accordance with the hospital wide Utilization Management Plan. Serves as liaison to 3rd and 4th party reviewers,...
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Full time
...Extra Help Health Care Utilization Review Coordinator (HURC II) - Continuum of Care
This Position is temporary, non-benefits eligible,... ...required.
Preferred Qualifications
Hospital Case Management/Discharge Planning Experience Strongly Preffered
The University...
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...technology landscape of tomorrow.
About the role:
The Sr Manager, Utility Customer Success Management will be responsible for... ...risk clients and product issues
Conduct quarterly business reviews with assigned clients.
Serve as a subject matter expert for...
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Full time
Worldwide
...qualified volunteers to join the External Review Board (ERB) team. This is a fully remote... ...3 blinded Assessment Reports per month, utilizing the Guidelines and Evaluation Criteria... ...bi-monthly conference calls with BFUSA management and colleagues.
Maintain confidentiality...
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...Role: Grade Level (for internal use):
09 Title: Rating Analyst, Review & Validation
Grade (relevant for internal applicants only): 09... ...both disciplines.
Personal initiative, independence, strong time management skills, and an inquisitive mindset are emphasized, providing...
Full time
Work experience placement
Second job
Worldwide
Flexible hours
...questions.
And we're HIRING - join us at Knowable!
Document Reviewer: Specifically, we are looking for Swedish language contract reviewers... ...work product
Being a team player and working with Project Managers to meet on-time deliverables and support project budgets and deadlines...
Contract work
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Management Consulting Practice Director, Utilities
Chicago, IL or Remote with travel as required
Role Overview:
Voyage Advisory is actively seeking a seasoned and driven Practice Director with specialized knowledge in the utilities sector, especially electric utilities...
Remote job
...Responsibilities
JOB SUMMARY: Responsible for all denial and appeal activities for the Utilization Management department, including Expedited Appeals, Standard Appeals, External Independent Reviews, Retrospective Reviews, and State Fair Hearings. Review clinical information...
Full time
...We have an innovative organization looking to add a Lead Utilization Management Nurse to its team. Their main purpose is to enable... ...health plans, provider, or MSO settings and quality chart reviews
Registered Nurse (RN) with a current and active nursing...
