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The Utilization Review Specialist is responsible for utilization management according to URAC-approved clinically valid criteria, ensuring compliance with regulatory standards and meeting daily deadlines to obtain authorizations and complete other pertinent processes.
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Our client is looking for a Utilization Review Nurse to provide first level clinical review or all outpatient and ancillary services requiring authorization. Position : Outpatient Utilization Review Nurse.
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The Utilization Management Coordinator is responsible for all utilization management activities for assigned cases from admission through discharge, including peer reviews and appeals, in accordance with the Utilization Review Plan, for patient population ages 5 years through 21 years, with significant behavioral health needs and Autism Spectrum Disorders or other developmental disorders.
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Our client, a growing, mid-sized pharmaceutical client is seeking a Global Document Management Specialist to manage medical affairs Veeva Vault submissions and approvals. Responsible for providing editorial support, ensuring the quality of content, with a focus on accuracy and consistency of slide kits developed by Medical Affairs before Veeva submission for PRC or MRC review.
ExpandApply NowActive JobUpdated 13 days ago - UpvoteDownvoteShare Job
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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.
Full-timeExpandApply NowActive JobUpdated 2 months ago - UpvoteDownvoteShare Job
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Span of control includes the following areas: Pre-Admission, Insurance Verification, Pre-Certification, Pre-Service Utilization Review, Centralized and De-Centralized Patient Scheduling, Hospital Registration, Financial Counseling.
Full-timeExpandApply NowActive JobUpdated 21 days ago - UpvoteDownvoteShare Job
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This position is located within the Agricultural Research Service (ARS), Southeast Area (SEA), at the Cotton Fiber Bioscience and Utilization Research Unit in New Orleans, Louisiana. Degree: Biological Sciences, Agriculture, Natural Resource Management, Chemistry, or related disciplines appropriate to the position.
Full-timeExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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Experience with value-based care models, quality improvement methodologies, and population health management initiatives preferred. Drive key clinic metrics that impact kidney care – Home Dialysis rate, permanent access, planned dialysis start in the outpatient setting and conservative kidney management.
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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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These services include Construction Management, Program Management, Owners Representation, Resident Engineering, Inspection, Preconstruction Consulting, Change Order Review, Value Engineering, Administration Assistance, Document Control and Staff Augmentation.
ExpandApply NowActive JobUpdated 16 days ago - UpvoteDownvoteShare Job
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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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If you are interested in this fully remote emote Contract Document Review Attorney opportunity, please apply today! LHH Recruitment Solutions is currently recruiting a Fully Remote Doc Review Attorney for our client.
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Review and validate designs for site layout, grading, power substations, stormwater management, utilities, and pavement. Coordinate with Due Diligence and Real Estate teams to establish site selection criteria and review Due Diligence reports.
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Hospital experience with Case Management, Utilization Review and Discharge Planning. Provide oversight of discharge planning and utilization review activity. In this role, you will be responsible for assisting to oversee the Case Management staff to enhance the throughput of patients, reimbursements, utilization, coordination of care and length of stay management.
ExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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The Utilization Management Nurse - Prior Authorization performs medical necessity reviews on prior authorization requests in accordance with national standards, contractual requirements, and a member’s benefit coverage while working remotely.
ExpandApply NowActive JobUpdated 9 days ago
review utilization management jobs Title: sales representative in New Orleans, LA
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