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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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Lead Tenet Utilization Review Teams market structure and operations management to effectively support utilization review and authorization confirmation functions to promote an appropriate level of care and prevent payer denials.
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The Difference You Will Make: The Operations Review Specialist helps to protect the integrity of the State of Florida’s Reemployment Assistance Program while helping the citizens of Florida prosecute ID theft claims.
$45,000 - $52,500 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The RN Utilization Review II is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services.
$31.7 - $42.35 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Key words: real estate paralegal, commercial title review, reviewing surveys, review surveys, drafting deeds, commercial escrow officer, closing agent, closing officer, commercial title officer, commercial escrow agent, reviewing titles, review titles, commercial loan underwriter, commercial examiner, commercial loan examiner.
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The Utilization Review Specialist coordinates and assesses the inpatient census for appropriate alternate health care service needs. The Utilization Review Specialist will also coordinate with appropriate discharge planning processes, providing feedback on documentation processes; and functions as a resource to the clinical team regarding approved criteria, practice guidelines and alternative treatment options.
$45 - $70 an hourPart-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Skilled Inpatient Care Coordinator (SICC) plays an integral role in optimizing patients’ recovery journeys. The SICC completes weekly functional assessments and engages the post-acute care (PAC) inter-disciplinary care team to coordinate discharge planning to support the members PAC journey.
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Collaborates with the Trauma Program Manager, Trauma Medical Director, and other hospital personnel to evaluate and problem-solve variations in care identified during chart review.
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We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
$79,200 - $174,200Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Enforce City of Atlanta Stream Bank Buffer requirements, review for and enforce State of Georgia Stream Bank Buffer requirements, coordinate with other agencies as necessary, e.g. Georgia Department of Natural Resources, Georgia Soil and Water Conservation District.
$56,614 - $75,451 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Graduate of an X-ray technician program accredited by the Joint Review Committee on Education in Radiologic Technology (JRCERT) or another accrediting agency approved by The American Registry of Radiologic Technologists (ARRT.
$2,694 a weekExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Utilization Review Specialist review functions as the internal resource on issues related to the appropriate utilization of resources & services, coordination of care across agency and utilization review and management.
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The Department of Homeless Services is recruiting for one Administrative Community Relations Specialist NM-II to function as the Director of Packet Review and Processing who will:-Be responsible for overseeing the day-to-day work operations of the HPD referral team.
$69,826 - $100,000Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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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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Coordinates Plan of Care with clinical team. The Registered Nurse Assessment Coordinator (RNAC) is responsible to coordinate fulfillment of regulations relative to the MDS and associated forms, coordinate the interdisciplinary Plan of Care, to ensure appropriate utilization of services relative to levels of care, and to assist the Lead RNAC in ensuring that the highest degree of quality care is maintained at all times for each of the residents.
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review care jobs Title: manager clinical Company: Cvs Health
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