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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.
$45 - $70 an hourPart-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Utilization Review Specialist will also coordinate with appropriate discharge planning processes, providing feedback on documentation processes; and functions as a resource to the clinical team regarding approved criteria, practice guidelines and alternative treatment options.
$29.52 - $44.28 an hourPart-timeExpandApply NowActive JobUpdated 24 days ago - UpvoteDownvoteShare Job
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Knowledge of Milliman/MCG guidelines or other nationally accredited utilization review criteria or standards. Conduct clinical review to ensure effective and appropriate utilization of benefits and services for prospective, concurrent and retrospective appeals within regulatory turnaround requirements for all SCFHP lines of business.
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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.
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Examples of qualifying law enforcement experience include conducting criminal investigations involving federal tax and/or money laundering violations including one or more of the following: Indirect methods of proof; utilization of multiple nominees, bank accounts, and/or entities; utilization of alter ego and/or sham corporations; multiple judicial districts and/or targets; and/or other financial investigations (money laundering.
Part-timeExpandApply NowActive JobUpdated 13 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.
Full-timeExpandApply NowActive JobUpdated 4 months ago - UpvoteDownvoteShare Job
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System Utilization: Leverage Adaptive Insights and recently implemented Tableau for data visualization. The Corp Financial Planning & Analysis Manager sets the direction and develops strategies for worldwide financial planning.
$70 - $90 an hourTemporaryExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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POSITION SUMMARY: The QA/QC Field Engineer will champion the quality control efforts on site, including document review during preconstruction and construction. POSITION SUMMARY: The QA/QC Field Engineer will champion the quality control efforts on-site, including document review during preconstruction and construction.
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Principles and techniques used in the development and utilization of emergency response and disaster preparedness systems, including but not limited to the Incident Command System (ICS), State Emergency Management Systems (SEMS), and the National Incident Management System (NIMS.
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This will involve working closely with the Senior Fellow directing the Accelerator, the Editor-in-Chief of the Stanford Emerging Technology Review, Hoover’s special events team, and participating scholars and guest speakers, both in the U.S. and internationally.
$189,000 - $241,000 a yearFull-timeExpandApply NowActive JobUpdated 25 days ago - UpvoteDownvoteShare Job
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Review FEA and MFA mesh modeling and analyze result using ABAQUS, COMSOL or ANSYS. Using NX/Creo CAD program to review 3D database and drawings. Conduct Mechanical Design Review with customer which includes detail in dimensional tolerance analysis, basic FEA calculation, DFM and manufacturing assembly flow and fixture design.
ExpandApply NowActive JobUpdated 18 days ago - UpvoteDownvoteShare Job
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Review and analyze contractor prepared CPM schedules in Primavera P6, baseline schedules, using the schedule specifications as a basis of writing a summary report recommending approval, approved-as-noted, or revise-and-resubmit, or reject disposition; similarly with the review and analysis of contractually required monthly update schedules.
$129,000 - $200,000 a yearFull-timeExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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Under the direction of the Manager/In-Charge Technologist and Medical Director the nuclear medicine technologist will perform a variety of technical procedures that require a high degree of independent judgement and initiative in the utilization of radionuclides for the diagnosis and the therapy of disease in humans.
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The ideal candidate will possess a proven background in FPGbased video/image processing with exposure to typical image processing algorithms and image sensor interfaces – implementation and evaluation with the trade-offs between visual quality, performance, and FPGA resource utilization in mind.
$118,500 - $200,600 a yearFull-timeExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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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 data structures. Strong knowledge of Teamcenter and AWC architecture, including knowledge of its server components such as Database Server, Application Server, Web Server, active workspace gateway, and File repo.
Full-timeExpandApply NowActive JobUpdated 25 days ago
utilization review jobs Company: Crowdstrike in Sunnyvale, CA
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