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Prepares semiannual consent decree reports and submits all data to the Legal Department for review. Assists public with water, sewer, and drain questions including question relating to BWSC Stormwater fee and credit program.
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Follows all cases throughout the duration of the admission, working with Utilization Review (UR) Department every few days in Ontrac to send concurrent review clinicals. Must connect with Payer continually throughout the admission for updated authorization days, alerting UR to any medical necessity denials so they can conduct in-house Peer to Peer Review.
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Lead a team of Transition of Care Managers following patients in TCU and post-acute care programs to ensure proactive discharge planning and care management of patients, identify challenges with facilities or agencies, review specific care delivery challenges, and escalate concerns with facility performance as indicated.
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The Clinical Research Coordinator II works within the clinical research program and support the research team in the overall conduct of clinical trials using Good Clinical Practice under the auspices of the Principal Investigator(s) and the DF/HCC Clinical Trials Office and/or Partners HealthCare Institutional Review Board (IRB.
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This investigation includes but is not limited to a criminal, civil litigations and regulatory review, employment, education, and credit review (role dependent). Where permitted by federal or state law, Fidelity will also conduct a pre-employment drug screen, which will review for the following substances: Amphetamines, THC (marijuana), cocaine, opiates, phencyclidine.
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In collaboration with Global (and Local) Business Development (GBD), Center for External Innovation (CEI) and New Products Planning (NPP), identify, monitor and review near-term (within 3 years of regulatory approval) oncology partnering opportunities that meet the Takeda Oncology BD strategy.
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Conduct data review, analyses, and interpretation of clinical trials data together with the GDL, Clinical Safety, and Biostatistics. Responsible for scientific leadership and execution of clinical studies and delivering on innovative clinical study designs, high quality trial execution, investigator engagement, data review, safety assessment, and interpretation of clinical study results.
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Emerson College's Office of the General Counsel (OGC) is looking for a part-time law clerk to, under attorney supervision, review and propose edits for affiliation agreements, assist with legal research, perform other legal work, and help generally support the office's operations.
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Determines eligibility for admission/treatment in compliance with hospital policy, utilization review criteria, and State and Federal regulations and/or guidelines. Interacts directly with physicians/clinicians/physicians' office staff via EPIC, phone calls and Outlook to identify what is missing and to collect further complete and appropriate patient data and clinical information necessary to submit to Medical Insurance to review for authorization of services scheduled.
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Review plans for new retail and pop-up locations to ensure optimized set-up of locaitons & potentialy for factory space planning. Must Haves" 3D Modeling Experience ("Sketch up/Fusion 360) Strong Project Managment Skills, Retail & Environments Design Knowledge, Agency & Vendor Managment, Event Design & Execution, Office 365, Smartsheet, Adobe Creative Design, Strategy Design.
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Each type of surgery, as well as each insurance company has different needs for information required to authorize the surgery, and review and understanding of all is needed to get an approval for services.
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The Prior Authorization Specialist (PAS) is an essential role responsible for facilitating exceptional patient experience, by securing authorizations for all scheduled services related to medical and surgical admissions across entities, including BWH OR procedures, BWFH OR procedures, FXB OR procedures and BWH/BWFH Endoscopy Suite procedures in accordance with standards established by the Department, Hospital, Medical Staff, and outside regulatory and accreditation agencies.
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The RE will review daily field reports recording the construction activities, manpower, equipment, materials, and quality and safety issues; and review and process contractor payment requisitions via the MBTA's Enterprise e-Builder system.
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They will edit various stages of video projects, and make revisions, based on review input from the project's Video Producer, as well as assist with the file management, backups, and archiving of assets.
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Meets regularly with RBT supervisor to review behavior plans, data collection and analysis. Maintain required documentation according to DDS, DMH, MassHealth, HUD, DPH, CARF and all applicable regulatory standards as well as Bridgewell policies and procedures.
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review job in Boston, MA
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