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Position Title: Medical Claims Review Nurse Type: Fully Remote Schedule: Monday to Friday, 9:00 AM to 5:00 PM PST/PDT Candidates must live in Pacific Time Zone Daily Responsibilities: Reviewing medical patient records against standard medical criteria.
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Collaborate with Vendor Management for third party privacy compliance, Consumer Complaints to review complaints. It is a plus to have AIPP CIPM, CIPP or other privacy certification (s) Collaborate with Vendor Management for third party privacy compliance, Consumer Complaints to review complaints.
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Conversant knowledge and experience with case management, care coordination, and/or utilization review. Listed among Americas Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange Countys only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center.
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License, Certification, Registration Registered Nurse License (California) Basic Life Support Additional Requirements: Demonstrated ability to utilize/apply the general and specialized principles, practices, techniques and methods of utilization review/management, discharge planning or case management.
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Periodically review effectiveness of resources and make modifications as needed. Act as a liaison between the SSVF grantee and the VA or community medical clinic and other healthcare providers, coordinating care for a population of Veterans with complex needs who require assistance accessing health care services or adhering to health care plans.
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Review and maintain diary on all cumulative traumas, joint coverage, serious & willful, 132a claims and subrogation claims. Review and pre-approve all delays and denials. Review and approve all investigation, subrosa and litigation referrals.
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Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care.
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Interpret, and review provided architectural plans for concurrence to the organization’s Technical Information Library (TIL), standards and equipment specifications as used for the basis of current construction.
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Review the work of Informatics Analysts to ensure accuracy, quality and timely delivery to clients. Demonstrated ability to effectively interact with, and present findings to customers at all levels of the organization including operational managers, medical directors and executives.
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Review customer PO upon receipt and compare with quotation. Excellent medical, dental and vision benefits. Astrophysics Inc. is a leading global designer and manufacturer of X-Ray security inspection systems.
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Direct mentorship is provided towards responsibilities that include site research and recommendations; RFP development, review, and recommendation; budget development, management, and reconciliation; contract input; meeting logistics management; and management of a variety of outside vendors providing special event transportation and décor services.
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Review pertinent mental health history documentation and provide one-time, non-treatment behavioral health compensation and pensions exams for Veterans. Join our team of talented Clinical Psychologists who provide health care services to our Veterans at the Medical Disability Examinations MDE) facility in Long Beach , CA Come Home to Matrix.
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Tax Managers provide review of returns, planning, research and compliance and developing and sustaining excellent client relationships are priorities for this position. Tax Manager - Non Profits Our client, a regional California CPA firm is seeking a dynamic Tax Manager with NPO experience to join their growing office near Lakewood The Tax Manager will be responsible for owning the client relationships with a variety of clients within the practice.
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Administration+ Oversees the preparation for and participation in federal examinations, independent audits and all internal audits by the OCC and Loan Review. + Oversees loan activities which include the review of reports (e.g., Loan Activity Reports, Past Due Reports, Trial Balances) for unusual transactions and appropriate loan grades, timely submission of financial statements, borrowing base, compliance certificates and compliance with financial covenants and address violations (waiver, forbearance, default letters.
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Coordinate review and update of all internal Global Trade Compliance policies and procedures to ensure compliance with US and Global import/export regulations including Anti-Boycott, Export Controls, Denied Parties Screening, Valuation, Classification and Country of Origin.
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review job Title: medical in Long Beach, CA
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