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The Clinical Appeals Nurse will review each case identified/referred for appeal based on Milliman Care Guidelines (MCG), InterQual, and/or other relevant guidelines, determined the viability of the appeal, and manage the appeal process.
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What You Will Do In Your RoleUnder the general supervision of the Director of Risk Management and in coordination with the Infection Control Committee, the Manager of Employee Health Perform as the Employee Health Nurse and Injury Coordinator.
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Develops and Performs needs assessments in collaboration with management/ clinical Nurse specialist / nursing staff to determine developmental and educational needs. Utilizes Prophecy Assessments to identify learning needs and assists the nurse managers, clinical nurse specialists, clinical educators, quality coordinators, and preceptors in planning learning activities to meet those needs.
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Upon commencement of your employment, Solomon Page offers automatic enrollment into ReviveHealth, which offers concierge, membership-based access to virtual primary care, urgent care, mental health therapy, a vision program, and prescription medications.
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Help provide the System Management Team support for the Environment Health System (EHS), Health Maintenance System (HMS), and Radiation System (Rad) including the System Manager Deputy, System Management Integrator and other technical support required to provide strategic and tactical planning support and issue management.
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Review governmental contractors response letter in comparison to the medical records. Completes data entry in the Denial database for tracking, trends, and analysis. RN License in state of employment or compact.
$33.3 - $44.49 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Provides regular and timely information about Post Acute Medical services to referral sources and the community through in person visits, presentations, tours, conferences and health screenings.
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The ideal Event & Catering Manager candidate is a person who takes pride and ownership of their work and one who positively reflects the Club’s highest service standards. Support the Director of Events in booking private member functions.
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The Education Institute also oversees continuing medical education and graduate medical education, and supports more than 1,000 trainees in residence for medical, nursing, allied health and research education programs.
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This position be involved in various projects including research workflow optimization, innovative tracking, predictive analytics, clinical and operations decision support, advanced analytics, outcomes measures, cost reduction, quality improvement, population health management, statistical and advanced modeling techniques to different types of health, cost, and media data, and coordinate with clinicians and developing recommendations and presentations for a variety of audiences and stakeholders.
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The Mental Health Counselor (MHC) would provide individual, and family therapy services, while coordinating services with the clinical team, namely the psychiatric provider. Provide clinical consultation to clinical staff about mental health issues for various patient populations, including geriatric and substance use disorders.
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Texas combines a beautiful landscape with endless things to do, making it one of the most entertaining states in the USA. As a travel allied professional or a traveling nurse with CoreMedical Group, you are eligible for some of the best benefits in the industry, including: Free Private Housing or a Generous Housing Allowance Health Insurance coverage, Medical/Dental/Vision $50K in Free Life Insurance coverage Travel Reimbursement Licensure Assistance & Reimbursement Matching 401K Referral Bonus.
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Robust technical training programs, in person and virtual, on diesel, gas, compressed air, electrical, controls, oil free air compressors, HVAC, microgrid & storage and more. 2-3 years of relevant work experience in construction or heavy industrial field.
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Soleo Health is seeking a Clearance Specialist/Intake Coordinator to support our Home Infusion Specialty Pharmacy in Houston, TX. About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care.
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Jerry is building the first AllCar™ super app to help people optimize all aspects of owning a car – insurance, buy/sell, registration, loans, safety, repairs, parking, etc – a $2T market in the U.S. We started with insurance in 2019, and since then we’ve launched loan refinancing, real-time driving insights, a repair marketplace, car diagnostics, and a GenAI-powered chatbot and voicebot.
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mental health in person jobs Title: registered nurse case manager in Houston, East-hartford, Connecticut
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