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Utilization Review Specialist Full Time. Utilization Review Specialist. Responsibilities include performing on-site and/or telephonic concurrent review of acute and sub-acute services, as well as pre-certification review for all services following the plans authorization guidelines.
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License, Certification, RegistrationN/AAdditional Requirements: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.
Full-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Provide application support to increase the utilization time of high throughput & resolution e-beam system for customer’s yield diagnosis and metrology measurement on advanced process technology.
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Clinical professional responsible for facilitating admissions, clinical intake assessments and utilization review processes to assure continuity for the most appropriate level of care for patients and their benefit/resources utilization.
$29 an hourFull-timeExpandApply NowActive JobUpdated 16 days ago - UpvoteDownvoteShare Job
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Minimum two (2) years of experience in utilization review, case management, and discharge planning preferred. 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.
$81.02 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Secondary responsibilities include but are not limited to: hardware specification and schematic review, embedded Linux infrastructure, regression and release systems, utilization tracking, regression/release systems, and manufacturing support for a cross-functional team.
$170,700 - $300,200 a yearExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Refer all x-rays and diagnostic services to PRIME for utilization review. Complete IMR (Independent Medical Review) and process in a timely and accurate manner. Review mail/bills daily paperless system.
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Assists in planning and monitoring managed care utilization review. Designs, implements, and reviews utilization management plans. The following certifications are required: BTLS Provider or Instructor certification, ACLS Instructor certification and PALS Instructor certification.
$102,000 - $125,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Experienced in E-beam tool, including Review SEM, TEM. Familiar with Semiconductor manufacturing and process flow. Experienced in E-beam tool, including Review SEM, TEM. Familiar with Semiconductor manufacturing and process flow.
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Working closely with customer and development engineering, application engineer is responsible for developing application using high resolution, high throughput e-beam systems to provide monitor and control solution for advanced nodes in semi-conductor industries.
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Working knowledge of laws, rules, and regulations regarding utilization review and discharge planning functions of government programs such Medicare, Medi-Cal, and CCS. Our client, a Medical Center facility under the aegis of a California Public Ivy university and one of largest health delivery systems in California, seeks an accomplished Clinical Documentation Specialist.
RemoteExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Familiar in wafer CD Metrology/Overlay and Litho process is a plus. Develop application for world’s most advanced e-beam inspection/metrology systems to enhance their value. New feature technical support, knowledge transfer for the field application engineer team and define application spec to make sure business progress and tool penetration is smooth.
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Performs utilization review of continuous care and inpatient levels of care for all patients on team. Monitors utilization of resources by every patient to assure cost effective delivery of services.
$80,275.505,625 - $133,792.509,375Full-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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The CPI team is tasked with critical infrastructure improvement projects to optimize utilization of space, power, and cooling within operation data centers around the globe. The Project Manager is ultimately responsible for project oversight and review of all disciplines including electrical, mechanical, controls, and architectural.
$73,900Full-timeExpandApply NowActive JobUpdated Today - 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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utilization review jobs in San Jose, CA
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