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Three to Five (5) years experience in Case Management/Utilization Review (as either CADC, LAADC, LCSW, LMHC, LMFT, or Utilization Review Coordinator). The Utilization Review Specialist will also perform pre-certification reviews, concurrent reviews and will perform appeal reviews as needed.
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You have hands-on experience with Infrastructure as Code (IaC) and configuration management tools for efficient infrastructure provisioning and management like Terraform, Ansible, or CDK.
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Job Overview: The Utilization Review Specialist is responsible for all aspects of the authorization of treatment via insurance and managed care companies. The Utilization Review Specialist provides appropriate client information to third party payers regarding the medical necessity of treatment in a timely manner.
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Utilization Review Specialist/Behavioral Health Substance Abuse. Prior Utilization Review experience in a Substance abuse environment is mandatory. Performs other duties as assigned by the Director of Utilization Review.
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Hands-on experience with IAM tools and platforms, such as Microsoft Azure AD, Okta, SailPoint, BeyondTrust, CyberArk or similar is required. Extensive knowledge of IAM solutions such as Identity Governance and Administration (IGA), Single Sign-On (SSO), Multi-Factor Authentication (MFA), and Privileged Access Management (PAM.
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Strong security skills that would include hands-on experience with Bluecoat, Symantec, McAfee, Checkpoint, Cisco, Juniper along with other appropriate certifications (e.g. CISSP, CCSK, CCSP, CCSE, GCFW, PCNSE, JNCIS-SEC/JNCIP-ENT, GCIH, etc.
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2+ years of hands-on experience implementing an enterprise metadata management programs, including deployment of enterprise taxonomy and ontology, and delivering enterprise metadata and/or content management solutions.
$82,500 - $123,700 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Please rate your hands-on experience with the following from 1-5: managing commercial GEOINT utilization, tradecraft, and architecture advancement, across the National System for Geospatial Intelligence (NSG), the Allied System for Geospatial Intelligence (ASG) and across third-party partnerships.
$80,000 - $85,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Evidence of analytic and interpretation skills, with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post-acute services (such as inpatient rehabilitation.
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Fire Training- Prepares for and participates in interagency training classes and hands-on courses in wildland firefighting tactics, fire behavior recognition, safe chainsaw operation, use of tools, pumps, and water delivery systems, working around helicopters, and assessments of hazards.
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Landfill gas and LFG utilization (or other biogas management) Work with multidisciplinary teams to undertake solid waste management and other infrastructure projects related to planning, design, and construction.
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Utilization management, quality management, network management and claims. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology.
$144,206.41 - $237,931.2 a yearFull-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Incumbent will work with the PMO Director to plan and manage utilization, including responsibility for hiring and management of consulting resources as needed. The PMO Manager will lead day to day operations for the UC Health IT Project Management Office's applications portfolio, including accountability for the delivery of projects and programs to set scope, time and budget targets.
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Demonstrated hands-on proficiency in the following areas: Subject matter expertise and hands-on experience with the IT Service Management (ITSM), IT Operations Management (ITOM), Service Catalog, Service Portal, and scoped applications.
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Data Management: Oversee the collection, processing, and utilization of data for training the chatbot, ensuring sensitivity and compliance with data protection regulations. Minimum of 5 years of experience in cloud infrastructure design and management, with a strong focus on Microsoft Azure.
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utilization management hands on jobs Company: Metroplus Health Plan
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