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Director Care Coordination- Major Responsibilites Criteria A: Establishes and coordinates communication with all Utilization Regulatory Agencies i.e. Qualidigm, NGS, etc., State and Third Party Payers to address Utilization Management Issues and Denials.
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About Conviva: Conviva Care Centers provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more.
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Founded in 1981, TETRA Technologies, Inc. ( NYSE: TTI ) is a geographically diversified industrial and oil and gas products and services company, focused on completion fluids, calcium chloride, water management solutions, frac flowback and production well testing services.
Full-timeExpandUpdated 29 days ago - UpvoteDownvoteShare Job
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Utilization review, prior authorization, Care management, medicare, referral coordinator, utilization management, Case management, interqual, ncqa, ncqa standards. As a part of the Utilization Management team the LVN Case Manager is a member of the Care Coordination team.
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Low carbon energy initiatives include commercialization of TETRA PureFlow®, an ultra-pure zinc bromide clear brine fluid for stationary batteries and energy storage; advancing an innovative carbon capture utilization and storage technology with CarbonFree to capture CO2 and mineralize emissions to make commercial, carbon-negative chemicals; and development of TETRA’s lithium and bromine mineral acreage to meet the growing demand for oil and gas products and energy storage.
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Must have working knowledge of discharge planning, utilization management, case management, performance improvement, and managed care reimbursement. The CM is responsible for identifying, initiating, and managing optimal patient flow/throughput to enhance continuity of care, smooth and safe transitions, patient satisfaction, patient safety, and length of stay management.
ExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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Supervised experience in working with Populations of Focus: child, youth and adults experiencing homelessness, at risk or frequent utilization of hospitals and emergency rooms, serious mental health and/or substance use, children involved in child welfare, and/or birth equity (pregnant and postpartum individuals.
ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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The UM Nurse Specialist provides organizational support in the Utilization Management Department; efficiently processes Pre-Service Authorization Requests. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nations top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology.
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Enable Asset Performance Management (APM) tools to improve the utilization of data analytics to implement predictive maintenance strategies, identifying potential equipment failures before they occur based on historical data patterns.
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Key Words: RN Travel, Travel Nurse, Contract Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager, Case Management, Utilization Review, Case Manager RN. MedPro Healthcare Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Austin, Texas.
$1,512 a weekExpandUpdated 1 month ago - UpvoteDownvoteShare Job
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Additionally, the Manager of Behavioral Health Revenue Management assists with the resolution of revenue generating issues and contract utilization related to both in-house systems, managed care, and Los Angeles County DMH system, with an emphasis on data interactions and data analysis as it relates to utilization management.
$80,000 - $95,000 a yearFull-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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This experience typically includes: monitoring building occupant space utilization, energy and water conservation, sustainability and environmental hazards programs; coordinating building alteration and renovation projects; gathering information to assess the level of customer satisfaction, i.e., surveys, interviews with tenant contacts, focus groups; monitoring real property budgetary and financial data; and, administration of building repair and/or operation and maintenance contracts.
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Drive Computerized Maintenance Management System (CMMS) acceptance and usage to capture and quantify true costs of ownership, completion of recommended PM tasks, and regulatory compliance, prioritizing Watco's mission critical assets.
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Please note that this position is based on our campus in Madison, WI, and requires relocation to the area.
Full-timeExpandUpdated 29 days ago - UpvoteDownvoteShare Job
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Please note that this position is based on our campus in Madison, WI, and requires relocation to the area.
Full-timeExpandUpdated 29 days ago
utilization management jobs
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