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The BH Utilization review specialist will be a multifunction position with duties split between outpatient utilization management and compliance review. Experience in a behavioral health or other healthcare organization that reflects knowledge of Case Management/Utilization Review techniques or has certification as a Case Manager and/or Utilization Review Specialist.
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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.
$48,000 - $52,000 a yearRemoteExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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As an ICT Senior Technology Consultant, you'll be a cornerstone in our projects, providing unparalleled technical guidance throughout all project phases by leveraging your extensive industry knowledge.
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Preferred:-Leadership experience in a utilization management clinical operations business inside a health plan or a UM/benefits management firm-Utilization management or clinical experience with post-acute care, especially home health and DME-Experience managing productivity with operational tools such as WFM software, Excel, Tableau, Smartsheet, dashboard and report-buildingFor candidates working in person or remotely in the below locations, the salary.
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Ensure effective utilization and optimization of the Epic Tapestry system to support managed care operations and population health management. Epic certification in one of the following Tapestry modules: AP Claims and Contracts, Enrollment and Eligibility, Referrals and Authorization, Utilization Management.
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About Conviva: Conviva Care Centers provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more.
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The Clinical Care Coordinator will play a vital role in overseeing Case Management, Utilization Review, and Infection Preventionist functions within this small hospital. Experience in Case Management, Utilization Review, and Infection Preventionist roles within a healthcare setting.
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Understand how utilization management and case management programs integrate. Utilization Review RN - remote position. Two (2) years of acute hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1 year experience.
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The Registered Nurse or LCSW Director's responsibilities include developing local care and utilization management systems, monitoring hospital department activities related to discharge planning and clinical quality improvement, and addressing resource utilization matters.
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Job Description:General Summary: With direct supervision from Director, ICT + Security Group or senior staff, provide design for telecommunications, LAN, CCTV, fire alarm, access control, and wireless LAN for new construction and/or renovation of industrial or commercial structures in conformance to client requirements and applicable codes.
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Experience in leadership and oversight of segment leaders and strategic direction of clinical, quality, and population health programs across care management, utilization management, quality, and value based care.
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Umana S.p. A. cerca FRONT-END DEVELOPERS e BACK-END DEVELOPERS per un'importante azienda del territorio operante nel settore ICT. Ti occuperai della progettazione, sviluppo e manutenzione di applicazioni web, collaborando con il team di sviluppo per migliorare l'usabilità e l'efficienza dei sistemi informativi.
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We are providing MEP services, security, ICT, lighting, sustainability, noise & vibration monitoring, fire, acoustics & air quality. Centralised ground source heat pumps and PV. AECOM are providing MEP services, fire, acoustics, sustainability, transport, air quality, lighting, ICT & security.
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Other turf management duties as required, such as herbicide sprayer application, small mower utilization, trimmer applications, etc. Description :Position SummaryThis position assists in turf management for our clients with professional level quality mowing, maintenance & upkeepPrimary Duties and ResponsibilitiesTurf maintenance such as large machine, slope and small machine mowing, via the use of heavy equipment/mowing machinery.
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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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utilization management ict jobs Company: Metroplus Health Plan
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