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The BH Utilization review specialist will be a multifunction position with duties split between outpatient utilization management and compliance review. Experience in a behavioral health or other healthcare organization that reflects knowledge of Case Management/Utilization Review techniques or has certification as a Case Manager and/or Utilization Review Specialist.
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Understand how utilization management and case management programs integrate. Utilization Review RN - remote position. Two (2) years of acute hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1 year experience.
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UTILIZATION REVIEW / CASE MANAGEMENT RN - Part Time, Weekends. Position Summary: Conducts concurrent and retrospective chart review for clinical, financial and resource utilization information.
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Three to Five (5) years experience in Case Management/Utilization Review (as either CADC, LAADC, LCSW, LMHC, LMFT, or Utilization Review Coordinator). The Utilization Review Specialist will also perform pre-certification reviews, concurrent reviews and will perform appeal reviews as needed.
$48,000 - $52,000 a yearRemoteExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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The Manager, Customer Success Utilization reports to the Surgical Sales Executive Director. Create a post install feedback loop between the Utilization Customer Success Manager and the Customer, audit delivery.
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The Data Management Specialist will be responsible for managing and optimizing our organization's data infrastructure, ensuring data quality, and implementing data solutions using PySpark, DataBricks, Snowflake, and/or Redshift.
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GM Advisory Group (GMAG) is an independent Registered Investment Advisor seeking a detail-oriented Wealth Management Associate to support its Client Service Team and Private Wealth Advisors. The successful candidate will provide exceptional customer service to high and ultra-high net worth clientele and assist in delivering financial planning and wealth management services.
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Prepare and present findings and proposals to both the working team and senior management (SVP, EVP, etc.) Develop and enhance business tools and processes that improve sailing management, increase efficiencies, support strategic projects and objectives, and enable better decisions.
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Confirm with the GM that weekly inventory is completed by store management before the first scheduled shift on Sunday. Assist in ensuring daily pre-shift “huddles” are being completed by store management.
$15 an hourFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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This individual is responsible for performing a variety of concurrent and retrospective utilization management-related reviews and functions and for ensuring that appropriate data is tracked, evaluated, and reported.
$15 - $18 an hourFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Records and Archives Management (RAM), within the Bureau of Business Information Technology, oversees the agency records management program in compliance with citywide policies and in coordination with the NYC Department of Records and Information Services.
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EPIC’s team of researchers, staff, and affiliated faculty from MSU and across the country EPIC’s track-record of securing grant funding to support research projects co-constructed with partners, as well as several existing external research and evaluation grants and contracts from a diverse array of philanthropic and government sources.
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Proactively maintain partnerships with stakeholders from various departments, such as enterprise risk management, product management, finance, and IT, to provide insight and support related to model risk management.
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Knowledge of medical terminology, healthcare finances, alternative care options, utilization management, health plan criteria, established criteria such as MCG formerly known as Milliman Care Guidelines and its applications required.
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Primary duties of the Trash Collector include: - Operating garbage trucks - Collecting and dumping trash receptacles - Following route assignments as directed Waste Management offers an excellent benefits package that includes medical, dental, vision, life, 401(k) savings and more.
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Title: utilization management Company: Allyalign Health
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