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The RN Utilization Review Nurse collaborates as necessary with other members of the health care team to ensure the above according to the mission of CHRISTUS. RN, Registered Nurse Utilization Review - Case Management - PRN.
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Three or more years in Managed Care with experience in service coordination, medical and behavioral health utilization management, medical record review, discharge planning, data analysis, and case management of acute and chronic illness.
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Conversant in site-specific processes and procedures such as procedure creation and review standards, procedure instructions and templates, how to report an incident or outage, procedure execution, PM standards, CMMS standards and policy, work order and notification, as well as the use of Sharepoint to access CE procedures and training content.
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The Licensed Specialist In School Psychology (LSSP) assesses the psychological needs of students referred to special education services and assists multi-disciplinary teams during Admission, Review and Dismissal (ARD) meetings to make data-driven decisions to support students with Individual Education Plans (IEPs.
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Must have hands-on familiarity with a variety of computer applications, including word processing, databases (such as document review and file management systems), spreadsheets, and imaging. Obtains needed information from case files, law enforcement agencies, civil client agencies, or other sources, and submits completed legal documents to the appropriate client assistant attorney for review and approval.
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Assist with review of audit findings from the Defense Contract Audit Agency(DCAA),and assist with research to support the Contracting Officer's final determination, preparing draft responses, and correspondence for Contracting Office approval.
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Partners with Area Real Estate Manager to negotiate, review and approve any landlord or seller's work. Partners with Area Real Estate Manager to negotiate, review and approve any landlord or seller's work.
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Data entry, data review, and GPS use. Based on review of these responses, shortlisted candidates will be invited for interviews. Working knowledge of sub-meter accuracy GPS technologies and map interpretation skills (e.g., NWI, USGS, aerial photography.
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The Authorization Coordinator works under direction of Social Worker or Case Manager RN.
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Leaf Home and its products, including the patented LeafFilter gutter protection system, have earned numerous awards and recognition from Good Housekeeping, Qualified Remodeler, Angi, Consumer Reports, This Old House and other consumer review platforms.
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As a Coordinator Institutional Review with Methodist Healthcare you can be a part of an organization that is devoted to giving back! We are looking for an enthusiastic Coordinator Institutional Review to help us reach our goals.
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Interviews adult and juvenile defendants, potential law enforcement officers, and applicants who are applying for various positions with the Bexar County Juvenile Probation Department such as detention officer, probation officer, residential treatment officer, student intern, or volunteer; provides clinical supervision to practicum students; testifies in court; and performs related duties as required.
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Utilize NEXGEN IT (Tririga) reports and process actions required or needed to maintain and update installation facility records, including correction of discrepancies discovered during records review and inspections, and to document space planning COAs.
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Must have working knowledge of discharge planning, utilization management, case management, performance improvement, and managed care reimbursement. Specialized care includes orthopedic and surgical services, ICU, women's services, a newborn nursery, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more.
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Knowledge of mental health and substance abuse utilization review process preferred. Clinical knowledge and ability to review and/or assess treatment plans related to mental health and substance abuse preferred.
$25 - $44.85 an hourFull-timeExpandApply NowActive JobUpdated 25 days ago
utilization review jobs Company: University Health System San Antonio in San Antonio, Holdrege, Nebraska
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