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Under the guidance and direction of the UM department RN Manager or Director, the Utilization Management Review Nurse (LVN) performs prospective and retrospective clinical review for inpatient and outpatient authorization requests in compliance with all applicable state and federal regulatory requirements, SCFHP policies and procedures, and applicable business requirements.
$108,578 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Spearhead ADAS innovation strategy prioritization, execution at Audi NAR level with a focus on evolution of current innovation project (Audi Level 2+ program) and new innovation projects business activities (i.e., Utilization Group data collector for massive customer data acquisition, Mobileye Level 3 program rollout, connection & data optimization projects.
$213,800 a yearFull-timeExpandApply NowActive JobUpdated Today - 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.
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San Jose Behavioral Health currently has an opportunity for a Utilization Review Specialist Per Diem , at our new 133 bed Acute Psychiatric Hospital, located in South San Jose, CA. The Utilization Review Specialist coordinates and assesses the inpatient census for appropriate alternate health care service needs.
$70 an hourPart-timeExpandApply NowActive JobUpdated 25 days ago - UpvoteDownvoteShare Job
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Interns may be assigned to specific projects in the sub-disciplines of urban village planning, development review, zoning, urban design, transportation, economic development, housing, sustainability, historic preservation, Geographic Information Systems, and data analytics.
$28.98 an hourPart-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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This position provides primary leadership and knowledge regarding communication methods, such as phones, email, text, mass messaging, social media, Chatbot, and other technology such as virtual advising and CRMs. The Communications Counselor Lead collaborates with Enrollment Management units and University constituents to implement shared business processes and meet deadlines.
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Experienced in utilization of array of Desktop Imaging and MDM tools, such as Intune, SmartImager, Imperious, SmartDeploy, JAMF, DeployStudio, Deep Freeze. Reporting to customers and management on status, resource needs, and projected outcomes.
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Familiarity with BMIDE (Business Modeler Integrated Development Environment) and its utilization for configuring and customizing Teamcenter data models, data types, and. Knowledgeable about Teamcenter's diverse Modules such as Access Control, Workflow, and Change Management to effectively leverage their functionalities within the system.
Full-timeExpandApply NowActive JobUpdated 19 days ago - UpvoteDownvoteShare Job
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With TPMG partner, directs development and implementation of quality and utilization standards across the continuum of care to ensure coordinated plans of treatment, patient focused delivery of services and cost effective utilization of necessary services.
ExpandApply NowActive JobUpdated 16 days ago - UpvoteDownvoteShare Job
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Direct, coordinate, review, and participate in the work of professional and technical employees in assigned areas of responsibility including data collection, analysis, plan formulation, and implementation of a wide variety of planning, zoning, and environmental review activities.
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With TPMG, implements and monitors disease management programs and processes across the continuum of care. 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 5 months ago - UpvoteDownvoteShare Job
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The Aviation Program offers four options: Professional Flight (Pilots), Aviation Management (Management), Flight Operations (Operations), and Maintenance Management (Maintenance.
$9,854 a monthInternExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Proficiency in Microsoft Office 365 and familiarity with project management software such as Prolog, Procore, E-Builder, and Primavera Project Planner (P6) Founded in 2003, iParametrics is a recognized leader in emergency management, homeland security, cost estimating and data analytics for federal, state, and local clients, including the Department of Homeland Security (DHS), the Federal Emergency Management Agency (FEMA), the Department of Energy (DOE), the Department of Defense (DOD.
$64 an hourFull-timeExpandApply NowActive JobUpdated 15 days ago - UpvoteDownvoteShare Job
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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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Assist the Assistant Athletic Director for Sports Medicine in budget planning and management. Assist Assistant Athletic Director of Sports Medicine in conducting annual review of current policies and procedures.
Full-timeExpandApply NowActive JobUpdated 14 days ago
review utilization management jobs Title: sales in San Jose, CA
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