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Participate in the development of a utilization management monitoring process that provides the MTF with a “warning system” that can help identify at-risk patients (e.g., patients with diabetes, asthma, other chronic conditions, etc.
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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 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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Utilization Review RN Case Management. As a Utilization Review Nurse/Integrated Care Manager RN with Sentara, you work together intensely with the patients, families, and members of the medical team to provide patients with the resources they need and help prevent them from being readmitted to the hospital.
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Piper Companies is currently seeking a Remote Utilization Management Nurse for a remote opportunity within a health insurance organization. Responsibilities of the Remote Utilization Management Nurse:Responsible for performing medical reviews to assess, and coordinate quality care for patientsDetermine medical necessity utilizing MCG criteria and medical policy/contractual benefits.
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Support on the Unit: Case Management Assistants, Lead Case Managers, Social Work Complex Psychosocial patient consultants Utilization Review RNs, Hospitalist. Typical staffing support during the weekend shifts:3 RN Case Managers, 1 Social Worker, 1 Lead Case Manager, 1 Case Manager assistant and 1 Utilization Review Nurse.
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RN Coordinator - Utilization Management & Discharge PlanningSummaCare - 1200 E Market Ave, Akron, OHPart-Time / 20 Hours / Days (2 days one wk / 3 days next wk)RemoteSummary:While taking direction from the Manager of UM, the UM Coordinator helps daily to prioritize, coordinate, and implement utilization, discharge planning, regulatory and compliance activities with the UM team.
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Prepare agenda and backup information for management of space requests for the KCTCS Space Utilization Committee. The Asset Management Specialist - Real Estate / Space Utilization (Administrative Associate III) assists with acquisitions and dispositions of real estate, including issuing Intent To Purchase Agreements, ordering surveys, environmental assessments, title searches, review of legal documents and coordination of transaction elements.
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Minimum three years progressive professional experience in health care, including a minimum of two years in a grievance and appeals or related area such as medical or utilization management required.
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Creating overall brand strategy including partnerships, utilization of earned, traditional and paid media. The role requires marketing, public relations and management skills. the Deputy Director, the Chief of Destination Marketing and Communications is responsible for promoting tourism development, leading destination initiatives and campaigns for the Department of Economic and Workforce Development in accordance with the strategic plans for the County and the Department.
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Axient is seeking a Senior Management Analyst to join our team at the Headquarters of the United States Air Force Deputy Chief of Staff for Strategy, Integration and Requirements in Washington DC.
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Leading and implementing a pricing, rebate and process strategy that is collaboratively developed across the organization for the Baldor *Reliance channel. Leading go-to-market strategy for Baldor *Reliance products for US distribution.
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Strategy Engineering & Consulting, LLC is a leader in providing project management, engineering, drafting/design, procurement, inspection, construction management, technical writing and computerized maintenance management systems for onshore and offshore oil and gas projects.
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About Us: Synergy Management Group is a premier boutique consulting firm that specializes in providing outsourced/fractional corporate finance and growth strategy consulting services to institutional investors (private equity & venture capital), portfolio companies, and growing businesses across various industries.
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Knowledge of Information Security strategy, organization, policy and GovernanceBasic knowledge in utilization of network and application security assessment tools and methodologies to manage and address security and control issues with the following technologies: UNIX, Windows Servers, databases (Oracle, SQL, DB2, etc.
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Support the Maturity of the Third-Party Risk Management Program by providing recommendations and helping to provide strategy deliverables. Minimum 7 years of knowledge of Third-Party Risk Management methodologies and regulatory guidance and or risk management at a fintech organization.
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strategy utilization management jobs Company: Elevance Health
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