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Case management, utilization review, or discharge planning experience in an acute, rehabilitation, skilled nursing or outpatient setting is required. Preferred · Health plan experience in utilization review and case management will be considered.
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Health plan experience in utilization review and case management will be considered. Examples are Nursing, Physical Therapy, Occupational Therapy, Speech/Language Pathology, Respiratory, LCSW/LICSW, LMHC, or Rehabilitation Counselor including CRC with plan for LRC within six months of hire.
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The position focuses on process improvement related to clinical care, patient access, staffing, utilization management, and patient scheduling. Renowned for its cultural richness and academic institutions, Boston offers iconic landmarks like Fenway Park. Plymouth, a coastal town, is steeped in Pilgrim history, featuring landmarks such as Plymouth Rock and Mayflower II, creating a unique blend of past and present.
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Review and evaluate immunoassay bioanalytical results supplied by external CROs to ensure quality; review GLP and clinical BA assay validation protocols and reports. Review and edit GLP and clinical BA assay validation protocols, and reports.
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DPS Group is seeking a qualified Senior Quality Assurance Operations professional to perform batch disposition, batch record review, deviation, CAPA and change control support at the Boston, MA client site.
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Perform manual, regression, performance, stress, load, and UAT testing and QA for enterprise applications, deliver testing strategies, review source control and coded test frameworks, collaborate with development team, work with client SDLC, maintain tools in test development, including release systems.
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The Commercial Real Estate Paralegal will assist attorney(s) by providing support services including document preparation and review for commercial real estate closings, diligence and leasing. Analyzing and summarizing documents, zoning ordinances and statutes for review by attorneys.
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Select vendor reviews; product-specific samples and reviews; focused review and internal controls testing and assurance; SOX/SOC/MAR testing and assurance; external and regulatory audit management, support, facilitation and reporting; CAP remediation oversight, support, facilitation and reporting; and GRC tool/solution, technology and data analytics implementation and utilization, among other department activities.
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Additional responsibilities include working in close contact with research staff, Institutional Animal Care and Use Committee (IACUC), Partners’ Institutional Review Board (IRB), and fiscal/legal groups within and outside of Partners, as necessary.
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This role will be a 50% split between time on review of FDOT access and drainage connection permits and 50% in a design role on highways, flood mitigation, and PD&E projects for FDOT and municipal clients.
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Job DescriptionThe Encore Boston Harbor Coordinator – Group & Specialty Desk is responsible for coordinating and supporting the daily operations for group business and special events arrivals and check in experience which includes but is not limited to: Group Arrivals/Departures, Private Access Operations, Guest Relations Operations, Casino Revisions Review, and group Lounge Operations.
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Examples are Nursing, Physical Therapy, Occupational Therapy, Speech/Language Pathology, LCSW, or Rehabilitation Counselor. From the vantage point of having multi-entity knowledge, the Case Manager – Network Float will advise the Senior Directors as to where standardization of case management practice across the Network is feasible and will assist in implementing approved changes.
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Humana is seeking a Senior Economist to lead the development and management of advanced econometric models to forecast and understand drug utilization trends and costs. Role Responsibilities Advanced Econometric Modeling - designing and maintaining sophisticated time series models that capture the nuanced structures underpinning macro trends in drug utilization and costs by product category, mix, and therapeutic areas, potentially including approaches like VARMAX, UCMs, etc.
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Implement regulatory requirements required by the Tufts Medical Center/Tufts University Health Sciences Institutional Review Board, CITI and Good Clinical Practice. The Clinical Research Nurse is responsible for knowledge of Code of Federal Regulations and Good Clinical Practice, policies and procedures of the Tufts Medical Center/Tufts University Health Sciences Institutional Review Board and all other guidance documents for the conduct of human clinical trials and human research participant protection.
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Assign appropriate staff to preconstruction assignments (PX and/or VP of Operations) Review and approve preconstruction agreements. Review monthly KPIs, evaluate trends, and drive continuous improvement.
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utilization review jobs Title: regulatory Company: Unitedhealth Group in Somerville, MA
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