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The Utilization Review coordinator performs activities which support the Utilization Management functions. We are Hiring at UofL Health Utilization Review Coordinators! The employee communicates with physician and case managers regarding payor approval/denial of admission and continues stay review.
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Experienced Document Review Attorney – Remote Great opportunity for licensed attorneys with significant document review experience interested in quality focused eDiscovery. JOB DETAILS Project-based eDiscovery document review (litigation and/or investigation) Fully remote work environment.
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The Loan Review Manager role provides leadership to our people and clients to deliver Crowe’s loan review and credit consulting services, including outsourced and co-sourced loan review, staff augmentation, credit consulting, and credit remediation.
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When naviHealth is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians for review and issuance of the NOMNC when appropriate.
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Good PCB design experience on high speed signals routing guideline and review, power copper routing and review, design for EMI/ESD protection. Simulate and analyze design proposals, review results and provide recommendations on optimal design practices to other design engineers.
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Analog design using simulation e.g. SPICE (or equivalent). Design for signal integrity, including SerDes, power and interconnect. Experience with PCB design tools (Cadence PCB design and analysis, including Si/Pi.
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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, Case Manager, or Utilization Review Coordinator.
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If you're an experienced clinician looking to forge a new career path where your clinical knowledge is valued, consider our Clinical Utilization Review Specialist position. As a Utilization Review Specialist, you will play a pivotal role in ensuring the efficient and effective utilization of healthcare resources.
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This investigation includes but is not limited to a criminal, civil litigations and regulatory review, employment, education, and credit review (role dependent). Where permitted by federal or state law, Fidelity will also conduct a pre-employment drug screen, which will review for the following substances: Amphetamines, THC (marijuana), cocaine, opiates, phencyclidine.
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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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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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Maintain a sufficient number of locations for review and approval by the Director of Real Estate or Division Real Estate Manager to achieve the goals of the Strategic Plan. Review with the Director of Real Estate or Division Real Estate Manager.
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Participate in the annualHEDIS andQARR hybrid medical record review project:Work with provider offices to facilitate request and review of charts Supports temporary staff in the review of medical records (electronic and paper-based) Serve as a final reviewer of HEDIS and QARR records Other duties as assigned by Quality Review Lead or QM Operations Director.
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Must have at least eighteen months’ worth of document review experience (preferably on the Relativity platform) during the last two years. Must have at least eighteen months’ worth of document review experience (preferably on the Relativity platform) during the last two years.
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Utilization Review Specialist | Highland Hospital | Charleston, West Virginia. Coordinates, performs, and monitors all utilization review/management activities of the hospital to continuously improve the collection, reimbursement, coordination, and presentation of utilization review information; Educates hospital staff about requirements and trends.
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review job Company: Campus Collection
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