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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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...achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness.
Qualifications:
EDUCATION, EXPERIENCE...
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...the issuance of adverse organization determinations. You will review for appropriate care and setting while working closely with denial... ...* Current CA LVN licensure required
* Two or more years of utilization review/utilization management experience in an HMO, MSO, IPA,...
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...Job Description
Pyramid Consulting is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Los Angeles, California.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Start Date: ASAP...
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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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...Duties and responsibilities
Conducts pre-certification, out of network and appropriateness of treatment setting reviews within scope of licensure by utilizing appropriate medical policies and clinical guidelines in compliance with department guidelines and consistent...
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...office/clinic setting.2
Preferred qualifications:
~ Bachelor’s Degree in Healthcare related field.
~3 years' Experience in utilization management or case management.
Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and...
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...Job Description
Position Summary:
The role of the Nurse Reviewer is to promote the quality and cost effectiveness of medical care... ...highest level of care, in the most efficient manner, while utilizing only the resources necessary for that episode of care.
Essential...
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...Description
Job Description Job Description: Manager of Clinical Utilization Management - Denial Compliance
Location: Burbank, CA... ...licensed denial unit staff, managing daily tasks, performance reviews, and any necessary disciplinary actions.
2. Foster effective...
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...medical groups.
Key Responsibilities:
1. Supervise licensed and non-licensed denial unit staff, managing daily tasks, performance reviews, and disciplinary actions.
2. Collaborate effectively with physician reviewers, medical directors, and other departments.
3....
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...Management
Job Function: Revenue Cycle
Job Schedule: Part time
Job Shift:
Career Track: Nursing
Department: 7000 UTILIZATION MGMT CA SOCAL
Address: CA Mission Hills 15031 Rinaldi St
Work Location: Providence Holy Cross Medical Ctr-Mission Hills...
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...health solutions in the public sector.
Acentra seeks aUtilization Clinical Reviewer - LCSW/LMFT/LPCC/LCPC (Remote within California) to join our growing team.
Job Summary
Utilizing clinical expertise, this role involves reviewing medical records against appropriate...
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...AA) and Equal Opportunity Employers (EOE) inclusive of veterans and those with disabilities.
California residents click here to review your privacy rights.
By applying to this position, you consent to receive an initial text message to collect your communication...
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...valued and respected. This is a unique opportunity for accomplished attorneys to work on sophisticated matters primarily supervising Review Attorneys that are performing second-level review or quality control on high volumes of complex litigation documents. This is a...
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...rewarding exceptional performance and offer competitive wages, profit sharing, 401k match, plus a complete benefits package.
The Utility performs housekeeping, material handling, and basic maintenance duties to assist in the efficient operation of the store....
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...technologies. In addition to providing technical support to critical Utilities areas, you may also perform the following responsibilities:... ...Utilities, and to be known as SME for related areas.
Review process and support equipment and systems design drawings and documents...
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...dignityhealth.org/northridgehospital for more information.
The RN Utilization Management Coordinator (UMC) is responsible for assessing... ...of the Behavioral Health Dignity Health Utilization Review Policy.
The UMC will participate on the Behavioral Health appeal...
...Job Description
POSITION SUMMARY
Our Utility Cleaners play an important role in support of a number of vital hotel functions. At our hotels these associates may work across departments (e.g., kitchen, food and beverage, laundry) to support cleaning needs. Whether...
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...Red Lobster - 3400 W. Century Blvd [Busser / Porter / Cleaning] As a Dishwasher/Utility at Red Lobster, you'll: Ensure the cleanliness of dishware, work stations, and restrooms so that the team can provide a refreshing seaside dining experience; Uphold the appearance standard...
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...to maintaining schedule adherence.
Building and Construction Knowledge & Planning: Applies building and construction knowledge, utilizing experience and current developments in the industry to prepare detailed construction sequence plans including all necessary...
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