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Consults with the Office Administrative Director, Senior Manager, Support Oversight, and Human Resources Manager regarding employment law issues, policy and procedural changes and specific personnel/employee relations issues.
$120,000 - $140,000 a yearFull-timeExpandApply NowActive JobUpdated 26 days ago - UpvoteDownvoteShare Job
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The Field Community Health Worker, (Care Management Support Professional 1), contributes to the administration of Care Management and Utilization Management. Community Health Worker collaborate with Case Managers, (CMs), and Utilization Management, (UM), Nurses to address co-occurring physical health, behavioral health, and social factors affecting members.
$44,200 - $60,900 a yearExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Field Community Health Worker, (Care Management Support Professional 1), builds visibility and credibility of Humana's products and services throughout the community via chats, posts, and interactions.
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Collaborates with staff/departments, including, but not limited to: Executive Management, Resource Management, Medical Records, Patient Administration, Group Practice Managers, Health Care Integrators, Coders/Coding Auditors, Population Health Nurse Consultants, Medical Management, Referral Management, TRICARE Operations, patient care teams, Quality Improvement, and the Managed Care Support Contractors.
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Ensure effective utilization and optimization of the Epic Tapestry system to support managed care operations and population health management. Support system enhancements to align with population health management and value-based care initiatives.
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An Appeals Nurse Coordinator II will have experience with utilization management, DRG clinical validation, understand the state and federal regulations, have knowledge/experience with the denials and appeals process and have experience with physician documentation and electronic health records.
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General Description The Associate Dean, Student Success & Engagement supports the Associate Vice President/Dean of Students in the management of administrative and operational efficiencies with the Student Support & Engagement division.
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Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function.
Full-timeExpandApply NowActive JobUpdated 18 days ago - UpvoteDownvoteShare Job
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The Utilization Management Nurse collaborates as necessary with other members of the health care team to ensure the above according to the mission of CHRISTUS. The Utilization Management Nurse III is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services.
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This position is responsible for promoting the utilization of the Novo Nordisk Inc., (NNI) Procurement Methodology through Category Management and Strategic Sourcing activities. Proficient with PCs, Microsoft Office Suite, Project Management Tools, Ariba or other eSourcing and contracts management systems.
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Utilization management to include processing offsite referrals, appointments, patient registrations and transport requests With NaphCare, you'll play a critical role in our continuing mission to be the leading provider of quality healthcare in the correctional industry.
Full-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Duties also include, but are not limited to,assistance with preparing Village Board agenda materials; Village website content development and maintenance; program evaluation/research; project management;assistancewith the development and production of the annual budget; and policy/procedure development by performing routine administrative support functions, conducting research and detailed program analysis, researching best practices and industry trends, and identifying process improvements.
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Progressive municipal government seeks a Management Analyst with exceptional analyticaland interpersonal skills to provide administrative support to administrativestaff within the Village's Fire Department.
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Clinical and administrative supports include Lab Services, Behavioral Health, Recovery Services including OBAT, community outreach, HIV prevention and support services and on-site Dental Services.
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Director Care Coordination- Major Responsibilities Criteria A: Establishes and coordinates communication with all Utilization Regulatory Agencies i.e. Qualidigm, NGS, etc., State and Third Party Payers to address Utilization Management Issues and Denials.
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utilization management administrative support jobs Company: Metroplus Health Plan
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