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The Utilization Review Specialist willwork as a part of the multi-disciplinary team (MDT) and is responsible formaintaining standards of care and competency, ethical treatment of patients,understanding of addiction and the medications used for detoxificationpurposes, managing symptoms of withdrawal with comprehensive triage, consistentdocumentation on care, review and implementation of treatment orders.
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Interact with drafting/design group to develop and review engineering drawings. Prepare, review and/or approve vendor drawings for compliance with project specifications. The Civil/Structural Engineer will Perform civil/structural engineering assignments associated with designing equipment, components, structures or systems.
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Actively promotes and supports LCMC Health’s performance improvement initiatives by consistently implementing infection control practices,maintainingthe environment of care consistent with Joint Commissionrequirementsandparticipatingin quality improvement activities and review/audit processes.
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Makes debit/credit adjustments as necessary; forwards necessary backup documents to lead and/or general accounting for review. Celebrating authenticity, originality, equity, inclusion and a little “come on in” attitude is the foundation of LCMC Health’s culture of everyday extraordinaryAbout East Jefferson General HospitalEast Jefferson General Hospital, a landmark of LCMC Health’s incredible community of care, has been the go-to hospital for health, wellness, and one-of-a-kind care in East Jefferson Parish for over years.
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River Oaks Hospital is seeking a dynamic and talented UTILIZATION REVIEW DIRECTOR to direct and serve within the Utilization Management team. Working Knowledge: Possesses knowledge of psychiatric care, utilization review, insurance reimbursement procedures, DSM-V, etc.
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Surgical Services - Nights New Grads WelcomeRegular Full-time and Limited BenefitsThe RN Staff Nurse assesses, plans, implements and evaluates patient care based on the standards of care and the policies of LCMC Health.
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Celebrating authenticity, originality, equity, inclusion and a little “come on in” attitude is the foundation of LCMC Health’s culture of everyday extraordinaryChildren’s Hospital, at the heart of LCMC Health’s incredible community of care, has been the go-to hospital for expert children’s health, wellness, and one-of-a-kind care in Louisiana and the Gulf Coast.
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With our academic partners, including Louisiana State University and Tulane University Schools of Medicine, we are training the next generation of healthcare professionals and leading research to find tomorrow's cures and treatments.
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As a Sports Bar General Manager, you'll be eligible for quarterly bonuses, an annual performance-based wage review and a comprehensive benefits program. You will lead your sports bar Management Team (OGM, To-Go and People Manager, Service and Profit Manager, Operations and Kitchen Manager) through performance, engagement and training initiatives.
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Knowledge to verify/review right of way requirements, conductor sags/tensions, transmission line plan and profile drawings and construction documents. Proficiency with PLS-CADD software to able to review transmission line models.
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Hold Preconstruction planning meetings with subcontractors to review site safety program and job hazard analysis for their scope of work and to establish and review risk mitigation plans.
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Strong understanding of analytical chemistry principles and their application to environmental data review. Participate as a senior team member in environmental and environmental forensic data review and interpretation projects.
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Critically review business relationship submissions in the Third Party Risk Management Gateway, the system used to clear potential business relationships within specified time frames. Document, review, and perform complex analyses and conclusions regarding potential business relationships.
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Coordinates utilization review activities with other departments to ensure reimbursement for services provided by the facility. 2-3 years experience in Utilization Review. Licensure/Certification: Licensed Therapist or Social Worker (LPC/LMSW/LCSW) preferred.
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Continuous Quality Improvement initiatives including administrative and clinical review of medical records, utilization management, outcome measurement, and generating statistical and narrative reports as requested.
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review job Company: Metlife in Harahan, LA
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