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In this role you will conduct clinical review of mental health and substance use authorization requests at various levels of care for medical necessity, coding accuracy, medical policy compliance and contract compliance.
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Collaborates with Academic Administration to review, edit, and upload syllabi before the start of each term. Manages room reservations for academic classes, TA office hours, review sessions, and faculty meetings on EMS database.
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Use a computer for tasks such as communicating via email and preparing reports and work schedule using Microsoft Office Review and analyze data and information concerning IFF Operations Plan, prioritize and monitor Training, Quality, & Security Complete (or oversee the completion of ) assigned tasks/projects in a timely manner.
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Produce P&L reports Commercial Roof Estimator Qualifications: 3+ years experience in Commercial Roofing Estimation Must possess a working knowledge of commercial roofing documentation General contracting knowledge Ability to write and review contracts Experience with EDGE estimating software is a plus BS/BA in Construction, Engineering, or Business is a plus Knowledge of various roof systems, materials, construction processes and theories.
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Current active DOD Secret clearance with an investigation date/periodic review within the last 5 years. Experienced in structural analysis methods including FEMAP/NASTRAN models of metallic and composite structures.
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Review all TMT tasks, assign them to the appropriate SSC/IA team and establish internal suspense dates for the tasks; and provide guidance on the level of final coordination. Review all completed products for format, quality task deliverable construction, completeness, and utilize critical thinking to ensure tasked requirements are accomplished for government review.
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Completion of a Joint Review Committee on Education in Radiologic Technology (JRCERT) accredited program in Radiology required. Awarded Best of Staffing 2022 and Top Workplace by the Orlando Sentinel, our team of recruiters will inspire you, cheer you on, and lead with kindness while helping you build an adventurous, life-changing, travel career.
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Oversee and review the preparation ad-hoc financial analysis as requested by the Controller, CFO and/or the client. Create, review and analyze hospital financial risk pools to ensure a complete understanding of the performance of each hospital risk pool and all factors that influence its performance.
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Review and monitor procedures for identifying quality of care issues and work collaboratively with multiple departments (Claims, Provider Network Operations, Utilization Management, Pharmacy) to appropriately address and resolve member and provider grievances.
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Pdf) to review information on some of the largest Designated Market Areas (DMAs). We remain steadfast in our belief for diversity, equity, and inclusion; therefore, we encourage success based on individual merit and ability without regard to race, color, religion, national origin, gender, sexual orientation, gender identity, age, disability, marital status, citizenship status, military/veteran status, or any other protected status.
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Position Title: Medical Claims Review Nurse Type: Fully Remote Schedule: Monday to Friday, 9:00 AM to 5:00 PM PST/PDT Candidates must live in Pacific Time Zone Daily Responsibilities: Reviewing medical patient records against standard medical criteria.
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The Change Manager will assist LACMTA Contract Administration with processing changes to the construction contract; coordinating technical documents, Requests for Change (RFC), and Cost and Schedule Proposal (CSP) analysis with the Resident Engineer, Project Controls Manager, and Change Committee; obtaining 3rd party review concurrence when necessary; and providing technical support on preparation of contract changes.
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Train and oversee NPs to ensure quality value based care (act as an attending and preceptor: review notes, provide education and feedback) The participants are approved by the state as nursing level of care and we approach their healthcare with an interdisciplinary team approach (NP PCP, social work, RN case manager, home health, PT/OT, engagement coordinator for socialization/activities, dietician etc.
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You will also be connected with a full support team that was rated #1 in Nursing Satisfaction by MIT Sloan Management Review. TravelNurseSource is working with Host Healthcare to find a qualified OB/GYN RN in San Francisco, California, 94158.
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Completes utilization reviews, oversees primary therapist process of utilization review and assists in the process of assuring that all client stays are covered in some way (i.e. insurance, private pay, etc.
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review job in Torrance, CA
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