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Preferred Qualifications: Minimum two (2) years of experience in utilization review, case management, and discharge planning preferred. Educates other healthcare team members on utilization and care coordination.
$95.54 an hourExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Essential Responsibilities: Utilization Management: Performs daily pre-admission, admission, and concurrent utilization reviews using guidelines, institutional policies/procedures, and other information to determine appropriate levels of care and readiness for discharge.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Previous experience in case management and/or utilization review preferred. Responsible for coordinating continuum of care activities for assigned clients and ensuring optimum utilization of resources, service delivery, and compliance with external agencies and referral source requirements.
$29 - $45 a year depends on experienceFull-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Thorough knowledge of quality assurance, quality improvement, utilization review, risk management, and accreditation and licensing requirements including The Joint Commission, NCQA, Knox-Keene Act, Federal HMO Act, CMS, Cal-OSHA, Public Employees Medical and Hospital Act, HIPAA and Medi-Cal regulations and standards.
ExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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As an agent of the Health Plan, works with member service directors to ensure the member grievance and complaint process has the appropriate level of qualitative and quantitative review to comply with all legal and regulatory requirements for Hospital/Health Plan.
Full-timeExpandApply NowActive JobUpdated 2 months ago - UpvoteDownvoteShare Job
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As a key member of the Public Sector Sales Operations team, the SLED Sales Operations Analyst will leverage a high degree of business acumen to: objectively partner with and guide the sales team on current performance and opportunities; be a key stakeholder in the deal review process; and actively engage in the largest commercial opportunities to deliver customer value and success while maximizing business yields for CrowdStrike.
Full-timeRemoteExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Review monthly commission sheets, productivity reports, salespersons’ monthly forecast, and profit performance with the Dealer by salesperson and as a department. Forecast monthly sales with each salesperson to establish objectives in terms of the number and type of customers coming into the dealership, closing percentages in each category, time utilization, prospecting efforts, unit sales, and projected income.
ExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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JOB SUMMARYThe RN Utilization Review coordinates care for OPIS patients who are high cost, complex, and at risk. · Review medical records for knowledge/understanding of situation and resource assessment.
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The Director - Utilization Management direct and manage the day-to-day operations of the Utilization Review Department. Act as a liaison between Medicaid reviewers and the staff completing required paperwork to facilitate the Utilization Review process.
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Engage with CrowdStrike Sales Enablement team to support sales onboarding and ongoing sales enablement activities and programs, including adoption and utilization of CrowdStrikes Sales Tools & Capabilities.
RemoteExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Tracks and evaluates program activities for grant compliance, reporting requirements, and utilization review. Works with department managers to ensure that Social Services are documented and maintained for grant compliance, UDS reporting, utilization outcomes, and effectiveness.
$68.61 an hourExpandApply NowActive JobUpdated 3 months ago
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