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1-3 years: Experience in any of the following areas: biofuels, hydrotreating, carbon capture, carbon utilization, plastics recycling, pyrolysis, delayed coking, distillation, electrolysis, clean hydrogen, biomass conversion.
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Acentra is currently looking for a Utilization Management Appeals Nurse – LPN/RN to join our growing team. Our Utilization Management Appeals Nurse – LPN/RN will help orchestrate the seamless resolution of appeals in line with health regulations.
$24 - $35 an hourFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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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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Candidates must have Utilization Review and Discharge Planning experience. Must possess strong critical thinking skills, have an ability to perform clinical/chart review and abstract information efficiently.
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LifeBridge Health includes Sinai Hospital of Baltimore, Northwest Hospital, Carroll Hospital, Levindale Hebrew Geriatric Center and Hospital and Grace Medical Center, as well as our Community Physician Enterprise, Center for Hope, Practice Dynamics, and business partners: LifeBridge Health & Fitness, ExpressCare and HomeCare of Maryland.
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Provide timely responses and detailed clarification for all utilization review specialist requests. Engage clinical team, administrative staff, and the utilization review department upon admission and for duration of treatment to provide detailed medical necessity criteria to drive authorization and retention through individualized care.
Full-timeExpandApply NowActive JobUpdated 15 days ago - UpvoteDownvoteShare Job
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A) Assists in the development, utilization, and enhancement of IT Service Management standards and best practices for the institution, including incident management, problem management, change management, knowledge management, service catalog, asset management, and CMDB (configuration management database.
Full-timeExpandApply NowActive JobUpdated 1 month 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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In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate admission status based on the regulatory and reimbursement requirements of various commercial and government payers.
Part-timeExpandApply NowActive JobUpdated 3 months 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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In addition to leadership, the Preconstruction Manager is responsible for all aspects of the estimating function, including initial bid analysis through a go/no go review, plan review, subcontractor qualification, assembling bid information, assessment of both winning and losing bids, and maintaining estimating systems to include B2W Estimate and Salesforce.
ExpandApply NowActive JobUpdated 8 days 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 1 month ago - UpvoteDownvoteShare Job
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Extraction and utilization of finite element analysis internal loads data. Ability to generate and review detailed analysis reports and aircraft type certification documents. Joby Aviation is seeking a passionate stress engineer who believes in the ability of urban air mobility to positively impact our cities.
$102,500 - $168,600 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Ten or more years of financial services credit review/credit risk management experience through: past work in credit/loan review, credit risk management, internal audit credit risk coverage, commercial loan underwriting departments at large banking institutions; regulatory agency credit review/credit risk experience; or credit review/credit risk experience at a large consulting firm.
$145,180 - $187,880 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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CPSO must review,verify, edit, draft, and submit security paperwork to accredit facilities andAutomated Information Systems (AIS) in accordance with applicable policies. CPSO will review andprocess PERSEC documentation, to include SAP nomination paperwork, loadingaccesses and documents into access management databases, and brief/debriefpersonnel to/from SAP programs.
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utilization review jobs Company: Anthem
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