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Case Management, RN Case Manager, RN CCM, RNCM, RN CM, Utilization Review, Hospital Case Management, Registered Nurse Case Manager. The Registered Nurse Case Manager enhances the quality of patient management and satisfaction, to promote continuity of care and cost-effectiveness through the integration of functions of case management, utilization review, and management, and discharge planning.
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UTILIZATION REVIEW / CASE MANAGEMENT RN - Part Time, Weekends. Position Summary: Conducts concurrent and retrospective chart review for clinical, financial and resource utilization information.
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Job Title: ‘Utilization Review Nurse-Quality Management Nurse Consultant' Job Title: ‘Utilization Review Nurse-Quality Management Nurse Consultant' Location: Fully Remote (Work From Home.
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Coordinates automated litigation support projects through utilization of technology, including, but not limited to, database management software (web or in-house) and Case Notebook. We have consistently been recognized for our leading practices in many areas, including private equity, M&A, finance, asset management, real estate, tax, antitrust, life sciences, health care, intellectual property, litigation & enforcement, privacy & cybersecurity, and business restructuring.
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Manage all communications between 340B covered entities and manufacturers regarding their use of 340B ESP™, a proprietary software platform, and compliance with manufacturers' policies on contract pharmacy utilization.
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Our portfolio of work spans the strategic application of technology to solve health challenges, including improved health service delivery, health information management systems, information sharing and utilization, community education & mobilization, identity and registration, supply chains and logistics, surveillance and mapping.
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Certification in cost estimation, Integrated Program Management, Information Technology, and/or EVM by a recognized professional society or educational organization (CCEA, DAWIA level II, AACE EVP, PMI, PMP, etc.
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Review all top loads for each state, analyzing Unit Manning Report (UMR) management to determine correct utilization of excess Soldier fill rates. Provide data collection by State and Territory of authorized and assigned positions, vacancy management reports and AUVS usage reports for further analysis by leadership.
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Plans with the treatment team and utilization management staff the most appropriate discharge plan. Linkage Services /Case Management Knowledgeable about community resources/ placements for children and families to assist in the attainment of treatment goals.
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Administer, direct and coordinate all of the functions of the nursing home departments including but not limited to nursing, recreation therapy, admissions, therapy, social work, volunteers, and utilization review in keeping with the overall policies and directives established by the Board of Governors and the Vice President, Operations CESLC.
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In collaboration with Regional Continuum of Care Administration, achieves/exceeds performance expectations for all areas of continuing care operations, including, but not limited to all outside medical services; hospital, Home Health, Hospice, SNF, DME, Ambulance, Claims and Referrals, Palliative Care, ESRD, Inpatient and Outpatient Psychiatry, Case Management, Continuing Care Utilization Management, Health Plan Benefit Application, Contracting, Emergency Care Management.
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Responsible for managing all utilization management activities from admission through discharge to final disposition of case, including appeals in accordance with hospital Utilization Review Plan for all patients enrolled in Outpatient Services.
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Utilize technical solutions (including MS PowerApps, SharePoint) for data analysis, visualizations, and dashboard management. Utilization of Microsoft Office Suite, including Excel, Sharepoint, and Power-BI, a plus.
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In-depth knowledge of BlackLine modules, including Account Reconciliations, Task Management We are the leading provider of professional services to the middle market globally, our purpose is to instill confidence in a world of change, empowering our clients and people to realize their full potential.
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Understanding of the Cultural Resource Management (CRM) industry (firms, clients, contracts, new research, and projects) at the regionwide, nationwide, and worldwide level. Significant experience with utilization and understanding of Costpoint.
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utilization management jobs in Silver Spring, MD
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