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Knowledge of external review organizations (i.e. Managed Care, Medicare, Medicaid, State gatekeeper for Medicaid). Demonstrated knowledge of medical necessity criteria for all levels of care including inpatient, outpatient and SUD/detox services.
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The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services.
$28.81 - $47.53 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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We have over 1,800 employees and have been in business for over 26 years with operations in over 38 cities across the U.S. We provide a range of services geared toward litigation and corporate office support including e-Discovery services such as processing, hosting, court reporting, collections/forensics, managed review, and managed services.
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The part-time (20-25 hours per week) Service Coordinator, based on-site at a condominium association in Avon managed by Imagineers, will work in close concert with the Property Manager, Site Superintendent, the Board of Directors, Accounting Staff and the Imagineers office-based Property Assistant.
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In the support of clinical operations, this role works with centrally managed MFA departments for budgeting, financial planning and analysis, decision support, provider compensation plan administration, and information technologies.
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RiverSpring Living provides a full range of care solutions including nursing home care, managed long term care, assisted living programs, senior housing, rehabilitation services and specialized services such as elder abuse prevention and memory care.
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The Audiovisual Technician reports to the Technical Services Manager/Supervisors and is primarily responsible for providing labor for all technical aspects of production at Pinnacle Bank Arena and Pinewood Bowl Amphitheater.
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This role requires prior experience with leading and growing a security operations center, delivering managed security services, and supporting incident response activities particularly in compliance with HIPAA, PCI DSS and HITECH requirements.
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Under general direction of the Behavioral Health Services Assistant Director, to oversee a program of the Behavioral Health Services Department; to plan, organize, direct, and manage functional areas such as: mental health, alcohol and drug, children's services, adult services managed care, administration (including but not limited to personnel, budget, contracts, accounting, purchasing, and facilities) and/or other Department programs; and to do related work as required.
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The Pre-Authorization Specialist is a member of the Pre-Authorization Department who is responsible for verifying eligibility, obtaining insurance benefits, and ensuring pre-certification, authorization, and referral requirements are met prior to the delivery of outpatient and ancillary services.
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Key Words: Billing, Claims, Reconcile, IHS, Indian Health Services, Tribal Liaison, Medicaid, MCO, Managed Care, Tribal, Value Added, Community, Tribal 638, Tribal Governments, TCBOs, HSD/MAD, Claims Examiner, Auditor, Claims Processor.
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Here are just a few of the certifications from our list of 80+ vendors: Amazon Partner Network (APN) Premier Consulting Partner (with seven competencies), NetApp Star Partner, Cisco Gold Certification, Cisco Cloud and Managed Services Master, Juniper Elite Partner, Microsoft Gold Partner, AT&T Premier Partner, Palo Alto Networks Diamond Partner, and VMware Premier Partner to name a few.
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MetroPlus Health provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc.
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RECENT RECOGNITIONBarron’s 100 Most Sustainable CompaniesCDP DiscloserDow Jones Sustainability IndicesEthisphere’s World’s Most Ethical CompaniesFortune World’s Most Admired CompaniesGreat Place to WorkSustainability Yearbook S&P GlobalPOSITION SUMMARY: The primary purpose of the Field Services Technician is to ensure that scheduled and Emergency Response Calls are answered in a timely manner Field Technicians are responsible for clean ups, spills, COVID and Hazmat Decon work.
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TITLE: Food Service Supervisor SEASON: Austral Winter LOCATION : Palmer Station, Antarctica SECTOR/DEPT : Gana-A'Yoo Services Corporation (GSC) Antarctica REPORTS TO: Culinary Manager ESSENTIAL DUTIES: Responsible for preparation and development of all items on a 35-day menu cycle, (or variations thereof), holiday menu items and food required for special occasions.
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managed services jobs Title: engineer Company: Clearscale
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