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The Utilization Review Specialist will also perform pre-certification reviews, concurrent reviews and will perform appeal reviews as needed. Three to Five (5) years experience in Case Management/Utilization Review (as either CADC, LAADC, LCSW, LMHC, LMFT, or Utilization Review Coordinator.
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Job Overview: The Utilization Review Specialist is responsible for all aspects of the authorization of treatment via insurance and managed care companies. The Utilization Review Specialist provides appropriate client information to third party payers regarding the medical necessity of treatment in a timely manner.
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Utilization Review Specialist/Behavioral Health Substance Abuse. Prior Utilization Review experience in a Substance abuse environment is mandatory. Performs other duties as assigned by the Director of Utilization Review.
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Team members typically specialize in either model validation or criteria validation/credit review but will have the opportunity to develop skills and experience across both disciplines. For Review and Validation of Criteria:Conduct validation and credit review activities using both qualitative credit skills and statistical / quantitative analyses in the evaluation of ratings performance.
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Solid State Devices, Inc. is seeking a skilled and detailed-oriented Preliminary Design Review Engineer to join our Semiconductor Manufacturing Team! As a PDR Engineer, you will be responsible for leading and coordinating Preliminary Design Review process for our semiconductor products.
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Candidates are urged to review guidelines on diversity statements (see before preparing their application. Applications will continue to be accepted until this date, but those received after the review date will only be considered if the position has not yet been filled.
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The CCPC also reports on discrete topics regarding the NYPD's anti-corruption efforts and the Examining Attorney will review and analyze the information used to support the findings in these reports, and will also assist in drafting and editing these reports.
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Responsible for creation and/or review of project specifications, schematic drawings, design and construction documents, submittals, sequence of operations, test and balance reports, CFD analysis, commissioning scripts.
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Must have experience from program award (kick-off) to Milestones such as: PDR (Preliminary Design Review), CDR (Critical Design Review), PRR (Production Readiness Review), SOF (Safety of Flight), EIS (Entry-into-Service.
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Experience from program award (kick-off) to Milestones such as PDR (Preliminary Design Review), CDR (Critical Design Review), PRR (Production Readiness Review), SOF (Safety of Flight), EIS (Entry-into-Service.
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Performs final review of detailed Design Drawings in Solidworks, Autodesk Mechanical Desktop, and PTC CREO for fabrication of Pratt Nuclear rated Water Valves compliant with ASME standards (Y14.5.
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Review California Building Code (DSA's Structural, Fire Life Safety and Access Compliance) to determine mandated scope of work. Review test reports and obtain A/E recommendations based on (Fire hydrant flow, geotechnical reports, building systems inspection, pest control and land surveys.
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To always review instructions from dispatchers and yardmasters, and discuss with locomotive engineer and train crew; To effectively understand and review instructions and effectively communicate these instructions with locomotive engineer and train crew.
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The Psychiatric ED Technician will effectively and efficiently coordinate with the ED attending to formulate a disposition plan and document it in the medical record Prior to discharge the ED technician will review the case with an ED Psych Screener (licensed practitioner.
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Conduct project code analysis for review by a Senior Fire Protection Engineer or the. Developing discipline specifications for review by a Senior Fire Protection Engineer or the. Perform discipline QA/QC review on assigned projects.
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review job Title: drivers Company: Boys Girls Clubs Of Middle Tn
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