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Claims Review Specialist - Managed Care Providers 2600101 One of the most prestigious hospital and health care systems is seeking a Claims Review Analyst to conduct claims and biliing reviews, handle denials management and process Medicare, Medi-Cal and Commercial Payers.
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Prepare project schedules, financial analyses, and real estate documents for review by senior management. The Senior Manager will lead projects to a successful conclusion meeting established schedule and budget KPIs. This position will provide a leadership role with respect to strategic property reviews, real estate consolidations, corporate real estate transactions, strategy, and project management for a range of property types including office, industrial, studio, production, and specialty projects.
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Summary Under the direction of the Pathway Home Program Supervisor and Program Manager, the On-Site Case Manager is responsible for screening, on-site case management, eligibility, service coordination, and triage for Interim Housing placement and transition care to permanent housing case management Pathway Home participants.
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Provides training and consultation in conducting thorough history review based upon clients’ clinical documentation, electronic medical records, state hospital records, and court/legal records.
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Responsible for all employee activity such as hiring, promotions, performance evaluations, salary increases, and disciplinary actions with appropriate approvals from the Laboratory Associate Administrator and HR Administrator; includes all bonuses, performance reviews, employee performance management, compensation reviews, etc.
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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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Our firm has expertise in all aspects of population health, strategy, delivery system development, payment systems reform, workforce development and population health management support services, including peerless analytics and performance improvement.
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Strong campus route/switch technologies and best practices Understanding of policy driven infrastructure and prominent solutions in market (ClearPass, ISE) Working knowledge of RESTful API integration and infrastructure Experience with next generation firewalls / unified threat management platforms (Palo Alto Networks, Fortinet, Cisco, Juniper, etc.
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Review and prepare special assets reports for senior management and any additional requested reports. Ability to make effective and persuasive speeches and presentations on controversial or complex topics to top management, employees, regulators, or board members.
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Investment Management firm is seeking an experienced Associate Vice President of Treasury to join the Global Treasury Operations team within Investment Operations in Los Angeles. Minimum of 7 years of experience in top tier, global capital markets or investment management firms with experience in Treasury Operations, Cash Management, and/or Accounting.
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Overview East West Bank is currently seeking a Senior Bank Secrecy Act (BSA) Analyst for our Customer Risk Management Group. The Senior BSA Analyst will review new and existing customer accounts to ensure compliance with BSA and USA Patriot Act and to determine their risk rating profile.
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Credentials such as PMP (Project Management Professional), PRINCE2, or Agile/Scrum Master certifications, which demonstrate a formal understanding of project management methodologies preferred.
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The ED Clinical Social Worker, MSW will also be responsible for additional duties as assigned by the Director, including but not limited to clinical supervision for unlicensed social workers, review of documentation, precepting for MSW students, and education and training with staff regarding social work services.
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Qualifications Minimum QualificationsGraduate of an accredited RN School of NursingFour years recent acute care experience in a critical care setting (preferred) Two years Utilization Management/Case Management experience in an acute care setting (preferred)Working knowledge of Interqual, Intensity of Service/Severity of Illness criteria.
$47.58 - $60 an hourPart-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Revenue Management Assists the Community Director in maximizing revenue potential of the property through the management of lease expirations and timely turnoverAssists the Community Director with the management of monthly rent collections and delinquency to include timely deposit and security of funds according to FPI policiesAccurately processing vendor invoices and managing accounting month end.
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review utilization management jobs Title: sales representative in Los Angeles, CA
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