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The Utilization Review Manager (URM) serves as the liaison between Great Circle treatment teams, funding sources, and external partners to obtain and review all clinical and medical services for clients at Great Circle locations.
$50,000 - $55,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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German Document Reviewer Contact Review - Washington, DC Location: Remote Start Date: Negotiable EXPERIENCE & QUALIFICATIONS: Fluency in Hebrew Familiarity with document review workflows Examples: Privilege/Responsiveness Review, Redactions, Conceptual Searching, First and Second Review, etc.
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The Utilization Review Specialist manages daily operations, which include supervising the staff performing benefit enrollments and utilization management activities. The Utilization Review Specialist participates in department development and unit performance improvement.
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The Utilization Review coordinator performs activities which support the Utilization Management functions. The employee communicates with physician and case managers regarding payor approval/denial of admission and continues stay review.
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Experience with electronic document review technology Examples: Relativity, Concordance, ViewPoint, etc. Hindi Document Reviewer Contact Review - Washington, DC Location: Remote Start Date: Negotiable EXPERIENCE & QUALIFICATIONS: Fluency in Hindi Familiarity with document review workflows Examples: Privilege/Responsiveness Review, Redactions, Conceptual Searching, First and Second Review, etc.
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Opportunity: The Engineer Tech III position, under the direction of the Engineering Services Manager, will focus on the areas of development review, project design, and construction engineering/inspection.
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Team members typically specialize in either model validation or criteria validation/credit review but will have the opportunity to develop skills and experience across both disciplines. Conduct validation and credit review activities using both qualitative credit skills and statistical / quantitative analyses in the evaluation of ratings performance.
$58,300 - $115,850 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Category:Healthcare, Keywords:Utilization Review Nurse, Location:Mission Hills, C91346. Conduct clinical reviews and review medical records daily during admission for all payers, as required by the health plans.
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Geotechnical report review - dewatering, blasting, and excavation requirements. Geotechnical report review - dewatering, blasting, and ripping requirements. Earthwork flow, mass haul diagrams, project phasing.
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Health plan based utilization review. + Identify documents and refer cases to the Physician Advisor for medical review when services do not meet medical necessity criteria, the appropriate level of care, and/or potential quality issues.
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This position is for an Associate Project Manager I, serving in the Fabrication Engineering Unit within Quality Assurance / Bureau of Engineering Review and Support. Duties include the oversight of inspection agencies during their inspection assignments, the review of shop drawings, design drawings, weld procedure specifications, fabrication and repair procedures and evaluating Non-Destructive Testing Procedures along with their results.
$74,041 - $107,227Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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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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Hands-on technical work experience in eDiscovery, digital forensics, and/or document review technologies. 2 or more years of hands-on technical work experience in eDiscovery, digital forensics, and/or document review technologies.
$45,000 - $60,000 a yearExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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As a member of the CPRT team, the Sr. Vice President will provide independent review and challenge across the capital management and planning continuum encompassing business-as-usual capital management, ongoing and quarterly business and capital planning forecasts (including CCAR/DFAST.
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Review internal specifications and vendor compliance statements (CDE). + Review data analytics of operational trends (historian trend logs) to evaluate equipment health, remaining useful life and predictive failure models.
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review job Title: manager assistant project Company: The Liro Group
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