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Assists in collaboration with the assigned team to identify patients most likely to benefit from care coordination services to include assessing the patient's risk factors and needs for care coordination, clinical utilization management services, and preventative services.
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The RN Care Manager provides education to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care coordination.
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Lead coordination with other USAID bureaus/offices and other USG, United Nations (UN), and/or multilateral agencies/donors, particularly in relation to Agency Construction Policies and Construction Risk Management.
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Lead the implementation and management of Adobe Experience Manager (AEM) Assets workflows, enhancing technical capabilities and asset utilization. - Proficient in Adobe Experience Manager (AEM) administration with a solid understanding of digital asset management and site performance optimization.
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Experience with NCQA, HEDIS, Medicaid, Medicare, quality improvement, utilization management, and risk adjustment. Monogram’s innovative, in-home approach utilizes a national nephrology practice powered by a suite of technology-enabled clinical services, including case and disease management, utilization management and review, and medication therapy management services that improve health outcomes while lowering medical costs across the healthcare continuum.
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To perform quality control construction observations for various highway roadway and bridge construction, general site work, maintenance and protection of traffic, drainage, earthwork, paving, concrete work, reinforcement steel placement, utility relocation work, coordination, and safety.
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Disney’s Enterprise Technology Identity and Access Management (IAM) Group is responsible for providing a Core IAM ecosystem of products and platforms in use across the company by cast members, employees, and partners within Disney’s Business segments and Corporate functions.
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KEY AREAS OF RESPONSIBILITY:Develop a keen understanding of primary care practice requirements for optimal, coordinated population healthWork as an effective team member of the care teamCollaborate with care teams to establish population-appropriate, pre-visit, and point of care processesWork with the Phamily Chronic Care Management platform to support patients with multiple chronic diseases and assists in coordination of the patients care continuum.
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We're seeking a future team member for the role of Vice President, Data Management and Design to join our Capabilities & Data Design team. Vice President II, Data Management and Design. Elicit and document requirements from Financial Crimes Compliance (FCC) stakeholders accountable for processes related to Bank Secrecy Act / Anti-Money Laundering (BSA/AML) regulations e.g., Know Your Client (KYC), Transaction Monitoring, Investigations, and Sanctions.
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These responsibilities may include utilization review, pharmacy oversight and care coordination. Five (5) years of related experience or equivalent combination of education and experience required to include two (2) years of direct clinical care OR two (2) years of case management/utilization management required.
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Wellness Program and Resources including: A dedicated Accolade Care Coordinator for personalized care management support of all your healthcare needs Telemedicine Program Type 2 Diabetes Management Program via Virta Health A complete Joint and Spine Program with concierge services via Nimble Orthopedics.
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Provides excellent inpatient and outpatient cardiovascular care as well as, care coordination, echocardiogram reading, population management of market's members, and oversight of PCP's cardiovascular skills.
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Ensure the update and maintenance of hospital plans, including the Provision of Care/Scope of Services, Leadership, Information Management, Utilization Review, Infection Control, and Patient Safety plans.
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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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Master the BIM/VDC processes including clash detection and embedded data and polish your technical communication skills as an industry leader in coordination and collaboration. Works with BIM/VDC Manager, Project Management, and Field Leadership to read and understand specifications and contract documents and to establish a plan of attack on your project(s) within the framework of your BIM budget.
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care coordination utilization management jobs in Casselberry, FL
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