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Maintaining appropriate utilization of resources during and post hospitalization. On-site Wellness Centers at our Irvine and Newport Beach campuses that include discounted services for massage therapy, acupuncture, meditation and mindfulness, yoga, Pilates and fitness coaches.
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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.
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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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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.
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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. Experience with software tools such as DOORS, MATLAB/Simulink, Confluence, JIRA, Git, Creo, and Windchill.
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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. Posted job title: Case Manager Utilization Rn-Per Diem Night.
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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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Maintaining strong backlog and efficient sales forecasting for management review. Generating proposals, negotiating contracts, receipt and review of purchase orders and scheduling production with Client and CWT operations.
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License, Certification, RegistrationRegistered Nurse License (California)Basic Life SupportAdditional 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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Support development and financing/investment team members with review and oversight of 3rd party revenue models like Aurora, Guidehouse, ICF, etc. Lead review of EPC drawing packages, commissioning documents, interconnection documents, contract exhibits and relevant technical materials.
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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 will be responsible for identifying (California Children Services) CCS cases, handle transfers, and retro reviews.
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Job sites typically will include uneven surfaces and may require climbing ladders and scaffolding to review site safety equipment. The Division Safety Manager will work with the Division Vice President or Division Manager, General Superintendent, Project Manager’s, Superintendents, and other field staff working on various projects throughout the region.
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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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Applications Team Receive training and guidance on the application process for Supplemental Security Income (SSI), Social Security Disability Insurance (SSDI), and Cash Assistance Program for Immigrants (CAPI) Works directly with clients to process, complete, and submit initial SSI, SSDI applications to SSA and/or CAPI applications to DPSS. Collaborates with CBEST Legal Services providers for quality assurance review of applications.
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review utilization jobs Title: sales representative in Los Angeles, CA
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