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Posted job title: RN Utilization Review Full Time Days About Detroit Medical Center The Detroit Medical Center (DMC) is the leading academically–integrated hospital system in Metro Detroit, and one of the largest health care providers in Southeast Michigan.
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We are hiring a Utilization Review Coordinator to work with medical professionals, payors, and healthcare providers to ensure each patient has access to the appropriate level of care and length of stay to provide them with the best chance at recovery.
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In partnership with the school principal and broader school community, the community school coordinator will assess the needs of the designated community school and will form strategic school-community partnerships based on the identified needs to help eliminate barriers to academic success for students and families.
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Case management, utilization review, or discharge planning experience in an acute, rehabilitation, skilled nursing or outpatient setting is required. Preferred - Health plan experience in utilization review and case management will be considered.
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Job Summary:The Utilization Review Specialist is responsible for the pre-certification, concurrent, and discharge review process for clients at all levels of care, resulting in the approval of their admission and continued treatment.
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Mentors Behavioral Health Care Management staff by assisting in training, attending utilization management rounds, and serving on interdepartmental initiatives; assists in developing a program around psychological and neuropsychological testing.
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Must have extensive contact with: Medical Staff, Nursing Personnel, DME Providers, Home Health Agencies, Community Agencies, referral resource providers, Utilization Review Manager, patients, and family members.
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Posted job title: Rn Utilization Review, Clinical About VNS Health VNS Health is one of the nation’s largest nonprofit home and community-based health care organizations. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 09/23/2024 Duration: Ongoing Employment Type: Staff Resolves grievances, appeals and external reviews for one of the following VNS Health Plans product lines – Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health.
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We are seeking a Part-Time Nuclear Medicine Technologist to c oordinate and participate in a variety of technical tasks, tests and determinations involving the utilization of radioactive materials and measurement instrumentation.
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VNS Health is seeking a Registered Nurse (RN) Clinic Utilization Review for a nursing job in Manhattan, New York. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 09/23/2024 Duration: Ongoing Employment Type: Staff Resolves grievances, appeals and external reviews for one of the following VNS Health Plans product lines – Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health.
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Community Role: Represents the County and department in the community; informs and advises community groups, as well as the County Administrator and Board of County Commissioners, on local and regional community development, environmental and infrastructure planning issues.
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This means that although you are applying on the Wake Forest Baptist Health Career Site, you receive communications from the Atrium Health Recruitment Team. Please know that this is an expected process, and thanks in advance for your flexibility.
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Sodexo is seeking a Part-Time Registered Dietitian to work 24 hours a week for a large hospital in Downtown Los Angeles, CA. PIH Health Good Samaritan Hospital is in Los Angeles, California and accredited for 408 beds with an average census of 120 patients.
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3 RN Case Managers, 1 Social Worker, 1 Lead Case Manager, 1 Case Manager assistant and 1 Utilization Review Nurse. Utilization Review RN's. Will you accept a first-time traveler.
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The Audrey Herman Spotlighters Theatre (Spotlighters Theatre) seeks an Artistic Director (part-time) to lead it in a time of growth and innovation. The Artistic Director (AD) is responsible for developing and implementing the artistic vision and focus of Spotlighters Theatre in conjunction with the Artistic Team. The AD works with the Managing Director, Technical Director, and Board of Directors to ensure that Spotlighters Theatre is guided by its mission, vision and values and realizes its goals for artistic excellence, community service, education, financial stability, fundraising and audience engagement.
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