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Behavioral Health RN - Medical Claim Review - FULLY REMOTE POSITION. The purpose of this position is to review AHCCCS claims, both prepayment and post-service, to identify if the claim is essentially fraudulent or not.
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Perform document review of compounding activities such as cleaning records, line clearance forms and inventory sheets: Verify that raw materials meet specification Verify and account for labeling Review temperature and BMS alarms Verify that product test results meet specification limits Verify that all documentation is complete Document non-compliance and work with supervisor/lead if further investigation is needed.
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Graduate of an X-ray technician program accredited by the Joint Review Committee on Education in Radiologic Technology (JRCERT) or another accrediting agency approved by The American Registry of Radiologic Technologists (ARRT.
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Identify and attend neurosurgeon clinics to review brain tumor patient visits and determine which patients may be considered for Phase 0 trials enrollment. The Phase 0 Clinical Trials Navigator will be responsible for reviewing Barrow Brain and Spine neurosurgeon clinics each week to identify individuals who may be clinical trial candidates and performing routine clinical research activities under the direction of the principal investigator, research nurse clinician, and research specialist.
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The FIU, when appropriate, files suspicious activity reports (SARs) with the Financial Crimes Enforcement Network (FinCEN), which is part of the U.S. Department of the Treasury, and/or refers matters to internal compliance partners for review and reporting globally.
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Candidates must have prior experience using 3D modeling systems (typically CATIA) to adequately review Engineering designs. · Must have experience with review of engineering drawings, researching and preparing calculations and writing stress reports.
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Review and approval of Quality Plans, ITPs, PQR, WPS, WPQ, inspection procedures, records for installed pipe which would include weld map log, PMI, slope checks, and traceability logs, and other associated records of installed pipe.
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Mark-up Process and Instrumentation Diagrams (P&IDs) for instrumentation and controls related changes and review drawings from the drafting team. Design low-voltage (up to 480V) electrical controls drawings, panel drawings, loop sheets, I/O drawings, and network drawings and review drawings from the drafting team.
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The IAM Analyst II will analyze, design, support, and maintain security controls for appropriate and minimum necessary access and review access control reports to identify potential risks. The IAM Analyst II is responsible for the day-to-day administration of user accounts and access privileges in the organization's identity management system, working closely with all stakeholders to ensure that the right people have the right access to the right resources at the right time.
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Review vendor statements and request any invoices that are not shown in Sage 300 system – Weekly. Any third-party recruiting agreements for Legence and its affiliate companies may only be executed by Legence Holdings LLC’s CHRO or Director of Talent Acquisition, without exception.
$21ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Assist in developing scopes of work for review and approval of MEP Project Manager. Prepares or review reports on progress, materials used and costs, and adjusts work schedules as indicated by reports and/or direction from MEP Project Manager.
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Actively manage all aspects of APP care: medical decision making, specialty consults, home health and hospice referrals and review minimum of 5% of APP charts for clinical care (emphasis on medication optimization, palliative care/advance directives) and appropriate HCC/HEDIS exclusion documentation.
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Basic data gathering and research methods, data review and reporting. Must be currently enrolled as a full-time student in an accredited college or university in Urban Planning, Urban Design, Geography, Landscape Architecture, or a related field.
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Job Seekers can review the Job Applicant Privacy Policy by clicking HERE. (-applicant-privacy-policy)\ We are immediately hiring a remote Transportation Management Continuous Improvement Engineer for our Supply Chain Solutions division.
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B) Receives and reviews third-party payer requests for concurrent review and notifications of denied hospital days; routes to appropriate Utilization Management nurse. d) Determines third-party payer coverage/benefits and obtains insurance pre-authorization for home health services, post-discharge medications, rehabilitative therapy, durable medical equipment, medical transportation, and other post-discharge needs.
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