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The Utilization Management Coordinator possesses knowledge of Substance Use Disorders and diagnosis, as well as the ability to articulate those indicators professionally. Oversees utilization review activities to ensure reimbursement for services.
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The Utilization Review Specialist manages daily operations, which include supervising the staff performing benefit enrollments and utilization management activities. The Utilization Review Specialist review functions as the internal resource on issues related to the appropriate utilization of resources & services, coordination of care across agency and utilization review and management.
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In depth knowledge of acute care Case Management to include medical necessity, utilization review, LOS management, readmission reduction, denials management and effective transitions of care impacting revenue cycle.
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The Missile Defense Agency (MDA) Command, Control, Battle Management, and Communications (C2BMC) Program has responsibility to acquire critical Foreign Military Sales (FMS) Cross Domain Solutions (CDS) for utilization within FMS Command, Control, Communications, Computers (C4) Intelligence, Surveillance and Reconnaissance (ISR) systems, as well as other FMS programmatic efforts.
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For further information please visit the Equal Employment Opportunity Commission website EEO is the Law Poster and Pay Transparency. Experience in requirements management and verification.
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Current working knowledge of discharge planning, utilization management, case management, performance improvement and managed care reimbursement. The Utilization Review - RN is a registered nurse who is responsible for facilitating appropriate lengths of stay and reimbursement for all hospital admissions in accordance with its goals and objectives.
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Acentra is currently looking for a Utilization Management Appeals Nurse - LPN/RN to join our growing team. Our Utilization Management Appeals Nurse - LPN/RN will help orchestrate the seamless resolution of appeals in line with health regulations.
$24 - $35 an hourFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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MedPro Healthcare Staffing , a Joint Commission-certified staffing agency, is seeking a quality CT Tech for a contract with one of our top healthcare clients. MedPro Healthcare Staffing is a Joint Commission certified provider of temporary and contract staffing services.
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You can also take advantage of a comprehensive array of services at our Palms Springs medical center, including a Commission on Cancer accredited Comprehensive Cancer Center, Joint Commission accredited comprehensive perinatal care services, a Joint Commission accredited Joint replacement program, the El Mirador Imaging Center, the Center for Weight Management, the Wound Care clinic, and inpatient and outpatient rehabilitation.
$160,000 - $230,000 a yearFull-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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The Utilization Management Nurse collaborates as necessary with other members of the health care team to ensure the above according to the mission of CHRISTUS. The Utilization Management Nurse III is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services.
$33.3 - $44.49 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Additional Joint Commission-certified services include behavioral health care, spine surgery, wound care, and primary care medical home (PCMH). What’s more, Overlook Medical Center has advanced certification from The Joint Commission for perinatal care and is designated an Advanced Comprehensive Stroke Center.
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REGULATORY: Two (2) years of the General Experience must have been in the assessment of the quality and propriety of health care services as required by Joint Commission on Accreditation of Healthcare Organizations (JCAH) and/or Medicare and Medicaid standards and regulations at the level of Utilization Review Nurse.
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Posted job title: Case Manager Utilization Rn-Per Diem Mid-Shift About Kaiser Permanente At the heart of health care, you'll find Kaiser Permanente. Kaiser Permanente is seeking a Registered Nurse (RN) Case Management for a nursing job in Woodland Hills, California.
$60 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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MedPro Healthcare Staffing is a Joint Commission certified provider of contract staffing services. Key Words: CT Technologist, CAT Scan Tech, Computerized Axial Tomography, CT Tech. MedPro Healthcare Allied Staffing is seeking a travel CT Technologist for a travel job in Olive Branch, Mississippi.
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Paraoptometric Assistant Certificate within 24 months of hire from American Optometric Association OR Ophthalmic Technician Certificate within 24 months of hire from The Joint Commission on Allied Health Personel in Opthomology OR Paraoptometric Technician Certificate within 24 months of hire from American Optometric Association OR Ophthalmic Assistant Certificate within 24 months of hire from The Joint Commission on Allied Health Personel in Opthomology.
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joint commission utilization management jobs Company: Kaiser Permanente in Bayview, Idaho
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