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Experience from program award (kick-off) to Milestones such as:PDR (Preliminary Design Review), CDR (Critical Design Review), PRR (Production Readiness Review), SOF (Safety of Flight), EIS (Entry-into-Service.
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Preferred Area of Experience: Geology, Hydrology, Soil Science, Air Quality, Hazardous Waste, Environmental Law, Policy, or Regulations, Environmental Review. Environmental Due Diligence Project Management - Management of environmental due diligence process to include order, review, and critique of environmental reports, data, sampling plans, and cost proposals.
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The Utilization Review Specialist coordinates and assesses the inpatient census for appropriate alternate health care service needs. 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.
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HEDIS, medical record, quality improvement, member outreach, medicare, chart review, NCQA, insurance, case management, utilization management, data entry, medical terminology, health care.
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Department: Operating Room Schedule/Status: 8am-5pm; Full Time Standard Hours/Week: 40 Location: Titusville General Description: Under the supervision of the Operating Room Manager, the RN Clinical Review and Reconciliation Specialist will maintain charge reconciliation processes that ensure revenue capture and billing within regulatory and compliance guidelines.
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The Utilization Review RN is responsible for utilization management and utilization review for prospective, concurrent, or retrospective review. The Utilization Review RN performs reviews of current inpatient services, and determines medical appropriateness of inpatient and outpatient services following evaluation of medical guidelines and benefit determination.
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Participates in leadership team by actively contributing in decision making, grievance follow up, building and company-wide initiatives and attending leadership team meetings such as daily stand up, Managing Acute Care Conditions (MACC), Nutrition at Risk (NAR), Utilization Review (UR), Quality Assurance Performance Improvement (QAPI) and other meetings as required.
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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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Comprised of Tufts Medical Center, Lowell General Hospital, MelroseWakefield Hospital, Lawrence Memorial Hospital of Medford, Care at Home - an expansive home care network, and large integrated physician network.
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Participate in leadership team by activelycontributing in decision making, grievance follow up, building and company-wideinitiatives and attending leadership team meetings such as stand up, ManagingAcute Care Conditions (MACC), Nutrition at Risk (NAR), Utilization Review (UR),Quality Assurance Performance Improvement (QAPI) and other meetings asrequired.
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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.
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The RN Care Coordinator consistently conducts the utilization review process and discharge planning process per hospital policies standards of practice and by Federal and State Regulations.
$93.2 - $98.79 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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We offer many medical specialties, including emergency services, prenatal and postnatal obstetrical care, cardiac and pulmonary rehabilitation programs, nuclear medicine and walk-in, non-emergency care at Mission My Care Now Spruce Pine. Blue Ridge Regional Hospital has been named a 100 Top Critical Access Hospital by Becker’s Hospital Review and has achieved Pathway to Excellence designation by the American Nurses Credentialing Center.
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Referral services for child, elder and pet care, home and auto repair, event planning and more. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
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Natixis is searching for a director-level Loan Review Officer to join the New York team to help support the Managing Director and other team members in their various credit risk analysis and examination activities.
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review customer care jobs Company: Home Depot
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