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Facilitate weekend huddle to address discharge barriers, Kepro/Medicare appeals and any other escalations. Registered Nurse (RN) or Licensed Master Social Worker (LMSW) and current license in state of GA.
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Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient services and equipment, within their scope. May also engage in grievance and appeals reviews.
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Assist the Civil Division with appeals work, including writing and editing appellate court briefs, defending clients at oral argument when scheduled, and helping other attorneys in the office by preparing appeals and arguments.
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Perform clinical reviews of Medicare Part A and Part B claims for Medical Review, Redeterminations/Appeals (Appeals), and Prior Authorization requests (collectively, the “Services”) in accordance with CMS (Centers for Medicare & Medicaid Services) requirements.
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Deputies can expect frequent oral arguments in the Third and Fifth Appellate District of the California Court of Appeal, as well as occasional appearances in the California Supreme Court, the United States District Court, Central District of California and the Ninth Circuit Court of Appeals.
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Our Strategy, Writs, and Appeals Team - nicknamed the “SWAT” unit - includes experts in matters of appellate litigation, the Supreme Court: and law and motion. From assisting in devising litigation strategy at the inception of a case to developing cogent law-and-motion strategy to maximize the potential of prevailing on dispositive and non-dispositive motions to performing trial support and extraordinary writ back-up, our Strategy, Writs, and Appeals Team is actively involved long before a notice of appeal is ever filed.
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Assistant County Attorney, Appeals/Adult Prosecution, Duluth, Minnesota. St. Louis County Attorney’s Office. We are hiring for three openings for Assistant St. Louis County Attorneys in the Criminal Division.
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Performs daily routine duties associated with the County floodplain management programs including issuance of permits, review of applications, and processing of appeals. Performs daily routine duties associated with the County floodplain management programs including issuance of permits, review of applications, and processing of appeals.
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The U.S. District Court for the Northern Mariana Islands has one justice and one magistrate, and appeals are heard by the United States Court of Appeals for the Ninth Circuit. Outside of the office, the CNMI offers warm weather year-round; beautiful beaches with crystal-clear blue waters; world-famous scuba diving; and affordable direct flights to Guam, Japan and South Korea.
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The Reimbursement Analyst is responsible for providing cost report preparation, cost report appeals, audit preparation and other duties related to the regulatory reimbursement services of Dignity Health.
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Working in a fast-paced, high volume, dynamic environment, the Clinical Authorization Specialist will bring clinical expertise to the prior authorization and appeals processes and serve as a liaison and patient advocate between Dana Farber Cancer Institute and various health plans.
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Provide case management for patent litigation in federal district courts, appeals before the Federal Circuit Court of Appeals, and actions before the U.S. International Trade Commission, USPTO, and Patent Trial and Appeal Board.
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Experience with national guidelines such as MCG or InterQual + Internal Medicine, Family Practice, Geriatrics, Hospitalist, Emergency Medicine clinical specialization + Advanced degree such as an MBA, MHA, or MPH + Exposure to Public Health principles, Population Health, analytics, and use of business metrics.
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The AANT secures the majority of its income from individual donors, through major gifts, appeals and a nationwide membership program of over 300 supporters with levels from $1,000 - $20,000, but has a mixed model of support which includes corporate sponsorship and grants from US Foundations.
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Medical Director - Southeast Region - Work from Home at Humana in Boise, Idaho, United States Job Description Become a part of our caring community and help us put health first The Medical Director relies on medical background and reviews health claims.
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