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The RN Utilization Review Nurse collaborates as necessary with other members of the health care team to ensure the above according to the mission of CHRISTUS. RN, Registered Nurse Utilization Review - Case Management - PRN.
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Monogram’s innovative, in-home approach utilizes a national nephrology practice powered by a suite of technology-enabled clinical services, including case and disease management, utilization management and review, and medication therapy management services that improve health outcomes while lowering medical costs across the healthcare continuum.
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Applies critical thinking and is knowledgeable in clinically appropriate treatment, evidence based care and clinical practice guidelines for Behavioral Health and/or medical conditions based upon program focus.
$29.1 - $62.31Full-timeExpandApply NowActive JobUpdated 22 days ago - UpvoteDownvoteShare Job
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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.
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Responsible for oversight of defined Health Services programs, services, and functions which may include, but not be limited to, health management, behavioral health services, care management, utilization management, grievance and appeals, claim review, and policy/procedure development.
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The Medical Director of Behavioral Health oversees the inpatient/concurrent review process, care integration efforts, and all levels of behavioral health care provided to IEHP Members.
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San Jose Behavioral Health currently has an opportunity for a Utilization Review Specialist Per Diem, at our new 133 bed Acute Psychiatric Hospital, located in South San Jose, CA. The Utilization Review Specialist coordinates and assesses the inpatient census for appropriate alternate health care service needs.
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You will be a member of our Turnaround and Restructuring (TRS) practice, specializing in our Case Management services. The TRS Case Management Director role supports our client engagement teams.
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WHAT YOU'LL DO We are seeking strong candidates with experience to fill a Knowledge Management Services (KMS) position within BCG's Knowledge Practice, with a business or academic background and a good understanding of US public sector concepts, including US Federal as well as State and Local agency operations.
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We have advised management, investors, and creditors around the world on many of the largest and most high-profile bankruptcies and restructurings over the past 40 years, including Enron, General Motors, and the Commonwealth of Puerto Rico and more recent engagements with Bed Bath & Beyond, Party City, and Pacific Gas and Electric, to name just a few.
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Our Turnaround and Restructuring (TRS) practice is widely recognized by corporations, executives and restructuring professionals as the standard for preserving value in urgent situations. Experience with a variety of key roles, including Chapter 11 Bankruptcy Administration, Plan Administration/Trustee, or in Claims Resolution Management.
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The RN Manager, Post Acute Services at Ascension Saint Agnes Hospital is responsible for overseeing the integration and management of Post Acute Care, Palliative Care, and Transitional Care Management (TCM) services.
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At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Ensures ongoing compliance and maintenance of the NYC Health + Hospitals policies and procedures with national standards and other applicable external regulatory requirements, guidelines and accreditation authorities as well as safety and quality management standards.
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Perform a variety of project administration support services involving data review, reporting, project coordination, budget review, and other related duties in support of the Project/Program Manager.
$86,000 - $138,000 a yearFull-timeExpandApply 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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review practice management health services jobs Title: medical director Company: Health Pei
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