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The Utilization Management (UM) RN performs utilization review activities, including, but not limited to, precertification, ensures appropriate level of care and status (Inpatient, Outpatient, and Observation) throughout admission and performs concurrent reviews/retrospective reviews according to guidelines.
$40.28 - $66.78 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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From admission to post-discharge, our Care Management team is there to assure care is appropriate, timely, cost-effective, and of high quality. Our Care Management team provides stream-lined coordination of patient care services to Hoag patients and families.
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The Case Management process facilitates communication and care coordination along a continuum through effective transitional care management and utilization management. The goals of Case Management include the achievement of optimal health, access to services, advocacy, appropriate utilization of resources, collaboration with post-acute care providers to ensure patient's needs are met in the community, and to provide timely clinical reviews to payers.
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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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Primary duties of the Trash Collector include: - Operating garbage trucks - Collecting and dumping trash receptacles - Following route assignments as directed Waste Management offers an excellent benefits package that includes medical, dental, vision, life, 401(k) savings and more.
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The RN Care Coordinator consistently conducts the utilization review process and the discharge planning process as required by hospital policies standards of practice and Federal and State regulations.
$50.34 - $68.35 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Cedars-Sinai placed in the top 20 on Newsweek’s “” list, which highlights hospitals that have excelled in the utilization of electronic functionalities, telemedicine, digital imaging, artificial intelligence and robotics.
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Utilization of Systems Engineering, PLM, and collaboration tools such as DOORS, JIRA, Confluence, Windchill, Creo, and SharePoint. Basic project management skills including labor estimating and schedule management.
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Review and monitor procedures for identifying quality of care issues and work collaboratively with multiple departments (Claims, Provider Network Operations, Utilization Management, Pharmacy) to appropriately address and resolve member and provider grievances.
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Reporting to the Director of Library Special Collections, the Team Leader for Collection Management is the Librarian who manages a team responsible for acquiring, accessioning, and cataloging special collections materials.
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The Design Director shall oversee design support management, scope of work management (contracts, cost and schedule), design review and approval, permitting, agency coordination support, and building information modelling (BIM) coordination.
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Enhances the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integration of functions of case management, utilization review and management, and discharge planning.
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Build relationships with teams within Sales & Account Management and our closest stakeholders within Customer Success, Automation, Marketing, and Product. 5+ years of experience in a program management, product management and/or strategy & operations role at a technology company.
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May also be responsible for identifying said population via provider/clinic referral, utilization management referral, disease registry reporting mechanisms and patient self-referral. The LVN Case Manager may provide daily care coordination, case management, coaching, consultation and intervention to patients with one or more chronic diseases.
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The Corporate Counsel will provide legal project management and guidance relating to a variety of topics including California Education Code interpretation and charter school law, charter school operations, for-profit and nonprofit company operations including governance and corporate formalities, and real estate acquisition and management.
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review utilization management jobs Title: sales in Los Angeles, CA
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