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3+ years of experience post degree in psychiatric and/or substance abuse health care setting, including utilization review. Researches, develops and maintains manuals and documentation of procedures, training program and support materials, and training/job aids for customer accounts and prepares materials as necessary for customer review and audit.
Starting at $58,440 a yearFull-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Case Management, discharge planning and utilization review experience preferred. Under the general supervision of the Director, nurses in the Utilization Management Coordinator role provide clinically-based case management to support the delivery of effective and efficient patient care.
Full-timeExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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Ensure the accuracy and appropriateness of all prescriptions filled by completing Drug Utilization Review and Final Quality Assurance, applicable to state and federal Board of Pharmacy regulations.
Full-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Experience with Utilization Review and Discharge Planning. Experience with Utilization Review and Discharge Planning. Memorial Day: Falls Within: 12:00 AM day of - 12:00 AM day after. 2 years of Acute Care experience (can consider 1.5 years.
ExpandApply NowActive JobUpdated 2 months ago - UpvoteDownvoteShare Job
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Understand and comply with Patient Access/Utilization Review/Patient Finance procedures as they apply to financial resolution 7. The coordinator will work with patients and families beginning at the point of referral/pre-authorization to ensure all opportunities for financial resolution and communication are met.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.
RemoteExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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The duties involve responsibility for: 1) tracking/communicating key patient throughput metrics on a regional basis; 2) developing/overseeing a regional length-of-stay multi-disciplinary team (e.g. care management, utilization review, finance, etc.
$42.69 - $67.36 an hourFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Attend and/or participate in facility meetings as directed by the center manager (may include utilization review, infection control, disaster preparedness, etc.) We also provide physical therapy and athletic training services to professional sports teams, colleges, universities and high schools.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Incumbent serves as an Outpatient/Inpatient Case Manager/Utilization Review Registered Nurse (CM/UR RN) for TCRHCC and is responsible for direct supervision and supportive contact for the specific group of identified patient assignments and high-risk patients.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions. Participates in strategic planning for and evaluation of the Care ManagementThe successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Maternal - Fetal Medicine, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months.
RemoteExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Participates in strategic planning for and evaluation of the Care Management. Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.
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Utilize customer relationship management software (CRM) and other tools to review activities, drive utilization and provide feedback to achieve optimal sales performance and productivity.
ExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Gather Data. Monitoring and review of crusher testing to maximize product throughput, profile liners, and manage the cost utilization of liners. Review, track, and document different pit/plant setups for various modes, including blending, screen media, chute flow, crusher settings, and production rates of key products.
$75,000 - $90,000 a yearFull-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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The Director serves as the liaison for Campus Life departments and OPIER, Enrollment Management and Student Affairs (EMSA), Residential Colleges, and Institutional Review Board; and develops policies and procedures for project planning, review, data collection, analysis, interpretation, and dissemination of results.
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Participate in patient care planning and utilization review meetings. Provides professional treatment while using therapeutic techniques for the rehabilitation of patients with speech, language, hearing, oral motor, swallowing and cognitive disorders.
Full-timeExpandApply NowActive JobUpdated 2 days ago
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