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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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Remote Utilization Review Nurse (for LTSS services) (RN). Remote Utilization Review Nurse (for LTSS services) (RN). Requirements : Active RN in NY (LTSS / MLTC experience conducting reviews using CMS guidleines.
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Preferred Skills-Ability to prioritize project review for a high volume of engineering projects with a high attention to detail. Plan Review Section review the engineering proposals for various types of projects submitted by different City and State Agencies, Private Developer, Transit/MTA, Port Authority, EDC, etc.
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Experience in first-line underwriting and second-line credit risk management/ adjudication or loan review is required. The Credit Risk Review (“CRR”) team fulfills the responsibilities of the Credit Review (or Loan Review) function of Lendistry, consistent with the May 2020 Interagency Guidance on Credit Risk Review Systems.
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Utilization RN - Utilization Review RN - Travel Utilization Review RN, Part-Time, Contract, Travel, Temporary, 13 Weeks, Temp. Tier5, Travel Utilization Review RN Registered Nurse.
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Knowledge of Milliman/MCG guidelines or other nationally accredited utilization review criteria or standards. Perform clinical screening to determine the expedited review of grievance and appeals.
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The Utilization Review Specialist manages daily operations, which include supervising the staff performing benefit enrollments and utilization management activities. The Utilization Review Specialist participates in department development and unit performance improvement.
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Ensures compliance with principles of utilization review, hospital policies and external regulatory agencies, Peer Review Organization (PRO), Joint Commission, and payer defined criteria for eligibility.
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Review Project with Controller & Project Accountant - Project Duration, Scope, Heavy Job Reporting Format, Davis-Bacon Wages, Per Diem needs, Billing Cycle, Project Budget, Profit Goals & Project Risks - Can be handled during turn over meeting.
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If applicable, answers donor recovery screening questions as needed on an on-call basis on behalf of the DCIDS Tissue Bank Assists in training and mentoring of new Quality Review Coordinators. As needed, meets with the DCIDS Tissue Bank Medical Director(s) to review, and answer questions pertaining to the information and documentation within the donor record.
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The Quality Review Coordinator performs ocular and tissue donor record quality assurance review in compliance with DCIDS, FDA, EBAA, and AATB policies, procedures, regulations, and standards.
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Review aging accounts receivable with Project Controls Specialist and Operation Manager to determine who will follow up with clients for payment status. Meet with Project Controls Specialist and Operation Manager to review, discuss, and resolve issues with invoicing and documentation provided.
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Manages professional/technical engineering projects including, engineering design and review, standards, survey work, inspections, and other engineering project components. Site Development provides technical review of all construction plans, both public and private sector, which involve “earth disturbing activities” within the City Limits of Atlanta.
$56,614 - $75,451 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Arizona State University Fire Inspector EHS Fire Safety Campus: Tempe 102651BR Job Description Provides Fire Safety compliance in the forms of existing building inspections, special event plan review and permitting, construction plans review and permitting.
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We seek attorneys to assist with document review, privilege review, expert testimony, legal research, and foreign language translation. Unlike other eDiscovery vendors, Contact fosters a culture where every project manager, programmer, engineer, reviewer, and analyst sees themselves as an extension of the projects' team.
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review job Title: manager project technical Company: Archer Daniels Midland Company
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