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Case Management/Utilization Review skills required: Admission Criteria, Benefits Eligibility, Care coordination, Discharge Planning, Needs Assessment/ Order DME, Plan of Care, Pre-Cert Review, Prior Authorizations, Worker’s comp case management.
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Proctors/administers the Inter-rater Reliability Testing to applicable clinical staff - Conducts Utilization Management chart reviews to ensure that Clinical Screening Criteria (InterQual®) has been applied correctly.
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Msiworldwide.com. Project Summary: The Evidence Mapping, Systematic Review, and Impact Evaluation (EMSRIE) activity supports the United States Agency for International Development's (USAID) Bureau for Resilience, Environment, and Food Security (REFS) and buy-in clients across the agency with systematic reviews, evidence gap maps, and impact evaluations (IEs.
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The Interim Manager of Care Management & Utilization Review, under the supervision and in collaboration with the Director, is responsible and accountable for the operational management, leadership, professional development and quality assessment and improvement activities of the department, particularly the Care Managers.
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Monitor, review and coordinate CFIUS or Mergers and Acquisitions transactions with Army SMEs to determine impacts on specific capabilities or programs. Prior experience working in and/or managing any CFIUS functions (e.g., Case Management, Mitigations, Monitoring etc.
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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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BASIC QUALIFICATIONS Bachelor’s degree or equivalent professional experience Workday Financials and Human Capital Management implementation experience or two or more years of Workday HCM and Financials Administration experience Two or more years of people management experience including cross-functional and third party providers.
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PFA also liaises with the Grants & Contracts, Financial Planning & Analysis, Revenue Management, and Accounts Receivable teams to recommend finance and grant management process improvements and to review and develop IIE policies.
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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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Interact with insurance companies for pre-certification and utilization management. Clementine Twin Lakes, located in Clifton, VA is a residential treatment program exclusively for adolescents seeking treatment for Anorexia Nervosa, Bulimia Nervosa, Binge Eating Disorder, or Exercise Addiction.
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Process improvement or project management certification (e.g., Lean Six Sigma Green or Black Belt, CAPM, PMP, CCMP, or Prosci) Prior experience in areas of risk management, internal controls, financial management, program management in federal government or non-profit organizations.
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Reporting to the VP, Accounting & Reporting, the Director of Accounting will play a pivotal role in ensuring the efficient and effective utilization of funds to advance Climate United's mission of driving an equitable clean energy transition at scale.
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Description & Requirements Maximus is hiring a Clinical Review Coordinator - RN (Remote) to support the OR MED program. The Clinical Review Coordinator will review assessments for quality and review medical records and other documentation as needed.
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Key Words: Registered Nurse, RN, Operating Room, Scrub, Circulate, OR, Contract Nurse, Travel Nurse, Agency RN, Travel RN, Nursing, Contract, Perioperative nurse. MedPro Healthcare Staffing is seeking a travel nurse RN PACU - Post Anesthesia Care for a travel nursing job in Washington, District of Columbia.
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Develop and implement phases of Somatus' Population Health Management strategy, including health strategy prevention, education, and health outreach, using metrics to drive execution. Drive relationships with contracted Value-Based Care provider partners to achieve quality and utilization of contracted targets.
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management utilization review rn helping jobs Title: travel rn Company: Medical Solutions in Bethesda, MD
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