Search Results: 9,789 vacancies
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Responsibilities:
The Utilization review tech essentially works to coordinate the utilization review and appeals process as part of the denial management initiatives. This position will also serve as a liaison and own the...
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...their journeys of recovery.
We are actively seeking a utilization review specialist to work in our corporate office in Pasadena, CA.... ...abuse benefits, community treatment resources, mental health managed care programs and company policies and procedures and criteria...
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...case, and creating a clinical impression to present to all managed care representatives.
Establish and maintain positive effective... ...working in a psychiatric or chemical dependency setting, with two years of utilization review experience preferred.
Registered Nurse...
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...Responsibilities
Utilization Review (UR) Coordinator Opportunity.
Position: PRN (as needed)
This position is on-site and cannot... ...before applying, please contact Loretta Gaspar , HR Manager at: ****@*****.***
What do our current employees...
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...Description
Job Title: Director, Utilization Management
Department: Health Services - UM
About the Role:
Leads and shapes the Utilization... ...functions, including prior authorizations, concurrent review, medical claims review, and appeals and grievances. Directs...
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...Continuous
GENERAL PURPOSE
City of Upland is recruiting for Utilities Manager!!
APPLY TODAY!!
Utilities Manager , under the... ...water resources planning and management; regulatory compliance; reviews water, recycled water, and wastewater land development;...
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...JOB SUMMARY: Support the Utilization Management (UM )Program and required regulatory deliverables for Imperial Health Plan of California, Inc. / Imperial Health Holdings Medical Group. May support the NCQA Accreditation Program and oversight processes, accreditation...
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...our corporate team!
Prime Healthcare Management, Inc. offers competitive compensation and a... ...Responsibilities:
The Corporate Director of Clinical Utilization Management (UM) provides comprehensive oversight of the Utilization Review process for the self-insured Employee...
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Full time
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Part time
...than a job. It's the calling of our lives and it compels us to keep moving forward.
Job Overview
The Physician Reviewer of Utilization Management will provide routine review of authorization requests from all lines of business using respective national/state, health...
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Flexible hours
...Community Hospitals by Beckers Hospital Review in 2018 and as among the 100 Top Hospitals... ...:
The working Lead of Case Management is responsible for providing supervision... ...workers, coordinators/discharge planners, utilization review coordinators and utilization review...
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...We are looking for an experienced Project Manager to join our Underground Division. This... ...years of experience managing underground/wet utility projects, and will be comfortable bidding... ...aspects of a project and scope.
Reviews deliverables prepared by team before submitting...
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...operations and the way we do business
The Opportunity
The QA Reviewer is responsible for a variety of Quality activities to ensure... ...groups.
Work with manufacturing and laboratory management to ensure activities comply with regulatory requirements....
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...therapist, registered nurse, or a clinical social worker to perform utilization reviews at our corporate office in Pasadena, California. We believe... ...benefits, community treatment resources, mental health managed care programs, and company policies and procedures and...
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.... It's the calling of our lives and it compels us to keep moving forward.
Job Overview
The LVN Utilization Management Nurse (UM Nurse) will provide routine review of authorization requests from all lines of business using respective national/state, health plan, nationally...
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Hourly pay
Holiday work
Flexible hours
...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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Local area
Relocation bonus
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...based in Montebello, CA to fill a UM Coordinator position. Please consider applying if you come with a minimum of 2 years of Utilization Management and Prior Authorization experience.
Job Details
Title: UM Coordinator
Schedule: Monday – Friday, 8AM to 5PM...
Temporary work
Monday to Friday
...Hospital is currently seeking a compassionate and talented Utilization Review Specialist to join our team.
At Canyon Ridge Hospital... ...Degree in nursing, social work, psychology, health information management or other healthcare related field is preferred or related...
Local area
...Nature and Scope
The position is responsible for reviewing Quality Control Laboratory data which may include raw material, in-process... ...Responsibilities
Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to...
...Job Description 2yrs Contract assignment in Montebello! Utilization Management Nurse, LVN Opportunity!
Schedule: M-F 8/5
Location: Montebello... ...Management Nurse (UM Nurse) will provide a routine review of authorization requests from all lines of business using respective...
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...Driver
IMPACT YOU MAKE:
The Warehouse Utility is empowered to keep our communities... ...Perceptiveness, Stress Tolerance, Support, and Time Management.
Our commitment to excellent... ...a wide range of factors that are reviewed in making compensation decisions including...
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