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Acentra is currently looking for a Utilization Management Appeals Nurse – LPN/RN to join our growing team. Our Utilization Management Appeals Nurse – LPN/RN will help orchestrate the seamless resolution of appeals in line with health regulations.
$24 - $35 an hourFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Demonstrated success overseeing and directing Talent Management system (e.g., LMS, CMS, HRIS) implementation, migration, integration, and administration. Develop and oversee Talent Management initiatives such as a talent review, leadership development, career programs, succession planning, and learning and development.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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A) Assists in the development, utilization, and enhancement of IT Service Management standards and best practices for the institution, including incident management, problem management, change management, knowledge management, service catalog, asset management, and CMDB (configuration management database.
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Additionally, the Manager of Behavioral Health Revenue Management assists with the resolution of revenue generating issues and contract utilization related to both in-house systems, managed care, and Los Angeles County DMH system, with an emphasis on data interactions and data analysis as it relates to utilization management.
$80,000 - $95,000 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Collaborate with other organizational departments responsible for functional aspects of the HIV Special Needs Plan, including, but not limited to Integrated Care Management, Behavioral Health, Managed Long-Term Care, Utilization Management, Quality Management, Credentialing, Regulatory Affairs, Compliance, Corporate Affairs, Provider Network Operations, Medicare Services, Information Systems, Finance, Claims, and Member Services and Eligibility.
$150,000 - $157,236 a yearFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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X) Experience on Cisco WebEx, MS Teams, WebEx Hybrid Mesh, VCS-C, VCS-E, TMS, ISDN Gateways, ClientUs, CMS, Conductor, MS-Teams -EV & Clients for Video conferencing is must. Knowledge on ITIL & SAFe Agile framework like SLA management with detailed understanding on classification of (P1, P2, P3, P4) Incidents(tickets), Change management.
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Expertise in Databricks and ADF: Utilizing deep expertise in Databricks for complex data analytics and ADF for sophisticated data integration, ensuring optimal utilization of these tools for business needs.
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Seeking an experienced hands-on Informatica MDM engineer with experience across all aspects of the Software Development Life Cycle (SDLC) including analysis, development, testing, deployment, and support for complex business applications that involve data management and utilization heavily.
$110 - $120 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Additionally, PacArctic provides program management of specialized IT services such as employee assistive technologies, photogrammetry utilization for native rock art recording, and geographic information systems (GIS) program management for transportation planning needs.
Part-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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UTILIZATION REVIEW / CASE MANAGEMENT RN - Part Time, Weekends. Position Summary: Conducts concurrent and retrospective chart review for clinical, financial and resource utilization information.
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Candidates must have Utilization Review and Discharge Planning experience. LifeBridge Health includes Sinai Hospital of Baltimore, Northwest Hospital, Carroll Hospital, Levindale Hebrew Geriatric Center and Hospital and Grace Medical Center, as well as our Community Physician Enterprise, Center for Hope, Practice Dynamics, and business partners: LifeBridge Health & Fitness, ExpressCare and HomeCare of Maryland.
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This Program Coordinator III for the Clinical Quality Management program (CQM) will be focused on Performance Measurement (PM) for Ryan White services in the Boston EMA. This individual would be responsible for creating and implementing a performance measurement plan for the Part A program in the Boston EMA, and using performance measurement data to drive quality improvement.
Full-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Must possess strong critical thinking skills, have an ability to perform clinical/chart review and abstract information efficiently. Additional Information Please note: As a condition of employment, if not already completed, all new hires are required to receive the first dose of the COVID-19 Vaccination Series prior to their Occupational Health pre-employment assessment, and scheduled to complete the Vaccine Series within the first thirty (30) days of employment.
Part-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Gather up to date sports/wagering information and statistics for utilization within the Sportsbook. Communicate information effectively and quickly to Sportsbook Management. Ability to communicate effectively with guests, team members, and management in both written and verbal form.
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Extraction and utilization of finite element analysis internal loads data. Joby Aviation is seeking a passionate stress engineer who believes in the ability of urban air mobility to positively impact our cities.
$102,500 - $168,600 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago
utilization management cms jobs Company: Metroplus Health Plan
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