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Conducts review of all inpatient, partial hospitalization, and outpatient records as outlined in the Utilization Review/Case Management plan to (1) determine appropriateness and clinical necessity of admissions, continued stay, and or rehabilitation, and discharge; (2) determine timeliness of assessments and evaluations; i.e. H&Ps, psychiatric evaluation, CIA formulation, and discharge summaries; and (3) identify any under-, over-, and/or inefficient use of services or resources.
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Lead Tenet Utilization Review Teams market structure and operations management to effectively support utilization review and authorization confirmation functions to promote an appropriate level of care and prevent payer denials.
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Keywords : clinical research, CRC, clinical research coordinator, clinical trials, orientation, training, informed consent, central lab management, data management, expectancy reports, visit preparation, low institutional risk trials, IRB submission, IRB approval, GCP, good clinical practice, train, supervise, institutional review board, regulatory, grants, quality control, QC, clinical trial data, EDC, patient data, admin, administrator.
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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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This position is responsible for timely review of request for post-acute services and based on established clinical guidelines and/or coverage benefits limitations, determine appropriateness of requested services.
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Cell therapy, t cell, GMP, batch record, batch record review, biologics, tcr, validation, manufacturing technician, Lab Technician, Laboratory Technician, cell biology, flow cytometry. Performs batch record review, procedure revisions, and work order generation.
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As a member of the CPRT team, the Vice President will provide independent review and challenge across the capital management and planning continuum encompassing business-as-usual capital management, ongoing and quarterly business and capital planning forecasts (including CCAR/DFAST.
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Participates in outpatient clinical documentation review on emergency, ambulatory surgery and ambulatory care visits to identify documentation opportunities to support accurate reporting of HCCs, HEDIS/QUAR, CRGs and providing education to the care team.
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Posted job title: Rn Utilization Review, Clinical. VNS Health is seeking a Registered Nurse (RN) Clinic Utilization Review for a nursing job in Manhattan, New York. Conducts review of requests for prior authorization of health services, as required in certain product lines, and prepares written responses consistent with regulatory requirements.
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We seek attorneys to assist with document review, privilege review, expert testimony, legal research, and foreign language translation. Experience with electronic document review technology.
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Obsidian Solutions Group (OSG) is seeking a Senior Technical Design Review Specialist to work with the Bureau of Diplomatic Security (DS), the security and law enforcement arm of the U.S. Department of State (the Department.
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Collaborate with Project Control to review purchase requisitions in Deltek Costpoint prior to approval for procurements. Review prime contract to determine proper flow down of clauses to subcontractor.
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Prepare, review, and negotiate Non-Disclosure Agreements (NDAs), Teaming Agreements (TAs), and Subcontract Agreements. Post project development you will draft, issue and review RFP/RFQs, proposals, bids, Subcontract Agreements, Purchase Requisitions and Purchase Orders.
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Review proposals received from potential offerors for Government regulation adherence and internal policy compliance; and potential need to add risk mitigation language. Assist in the development and implementation of the Procurement Policy; Deltek Costpoint Manage Subcontracts, Procurement Planning, Purchasing and Supplier Portal Applications.
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Prepare and distribute RFP and/or RFQs to potential offerors utilizing Deltek Costpoint. Prepare and approve purchase orders for procurements utilizing Deltek Costpoint. Knowledge and experience with Deltek Costpoint.
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review job Title: manager clinical Company: Acentra Health
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