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As the nations leading not-for-profit, integrated health plan, we make a difference in the lives of members, patients, and communities across the country. Adheres to internal and external regulatory and accreditation requirements and compliance guidelines including but not limited to: TJC, DHS, HCFA, CMS, DMHC, NCQA and DOL.Educates members of the healthcare team concerning their roles and responsibilities in the discharge planning process and appropriate use of resources.
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Registered Behavioral Tech, RBT, ABA, DSP, Case Manager, Case Management, Tasks, Entry Level, Mental Health Worker If job posting references any sign-on bonus internal applicants and applicants employed with Telecare in the previous 12 months would not be eligible.
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Conducts internal investigations that are satisfactorily resolved in a timely manner, without creating any issues of liability for the company. Conducts comprehensive audits of financial reporting including but not limited to bank deposits, cash shortages, cash refunds, all receipt media review and analysists in an effort to uncover internal fraud.
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Adheres to internal and external regulatory and accreditation requirements and compliance guidelines including but not limited to: TJC, DHS, HCFA, CMS, DMHC, NCQA and DOL. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical necessity for Inpatient hospitalization.
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Partner closely with internal data engineering teams to improve data assets, quality, metrics and insights and proactively identify opportunity areas for deep dive investigations and future program development.
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Recruit for assigned open positions leveraging a full range of sourcing channels including but not limited to referrals, internal employees, company career site/ATS, social media, online job boards and web-based searches.
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Structures cross-border solutions including but not limited to global credits, treasury management, trade and FX solutions. Provides cross-border market intelligence and insight to assist with the internal solution/product development.
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Coordinates the interdisciplinary approach to providing continuity of care, including Utilization management, Transfer coordination, Discharge planning, and obtaining all authorizations/approvals as needed for outside services for patients/families.
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Collaborates with the Internal Audit and Compliance Team to ensure CM case audit thresholds are met and compliance issues are identified for prompt resolution. Other duties include but are not limited to: staff hiring and retention, performance management, reviewing or gathering of data to promote performance improvement, health plan reporting, and participation in or facilitation of meetings or projects related to departmental functions.
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Pay will be determined by several factors, including but not limited to: applicant's education, relevant work experience, knowledge, skills and abilities, as well as internal equity and alignment with geographic market data.
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Act as the central point of contact for Area hub and market DCs for all internal sales inquiries related to product, specifications, availability, scheduling, and substitutions. Ability to research, escalate and follow up on inquires with a great sense of urgency including times when that communication requires input from internal resources not located in the same building.
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Provides network and database administration, device management, and administers processes, services and technical support for hardware and software for both the organization's internal and external clients.
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Supporting Diversity, Inclusion and Belonging is not only the right thing to do; it is the right thing to do for our business. Communicate clearly, compassionately, and with empathy when speaking with residents and internal team members.
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Additional Job Functions Performs other duties as assignedComplies with regulatory compliance and assigned training requirements including but not limited to BSA regulations corresponding to their specific job duties.
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Envista will consider unsolicited referrals and/or resumes submitted by vendors such as search firms, staffing agencies, professional recruiters, fee-based referral services and recruiting agencies (Agency) to have been referred by the Agency free of charge and Envista will not pay a fee for any placement resulting from the receipt such unsolicited resumes.
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internal not for jobs in Placentia, CA
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