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The Utilization Review Specialist manages daily operations, which include supervising the staff performing benefit enrollments and utilization management activities. The Utilization Review Specialist review functions as the internal resource on issues related to the appropriate utilization of resources & services, coordination of care across agency and utilization review and management.
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Piper Companies is currently seeking a Remote Utilization Management Nurse for a remote opportunity within a health insurance organization. Responsibilities of the Remote Utilization Management Nurse:Responsible for performing medical reviews to assess, and coordinate quality care for patientsDetermine medical necessity utilizing MCG criteria and medical policy/contractual benefits.
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RN Coordinator - Utilization Management & Discharge PlanningSummaCare - 1200 E Market Ave, Akron, OHPart-Time / 20 Hours / Days (2 days one wk / 3 days next wk)RemoteSummary:While taking direction from the Manager of UM, the UM Coordinator helps daily to prioritize, coordinate, and implement utilization, discharge planning, regulatory and compliance activities with the UM team.
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Current working knowledge of chronic care management, discharge planning, utilization management, case management, performance improvement and/or managed care reimbursement.
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Prepare agenda and backup information for management of space requests for the KCTCS Space Utilization Committee. The Asset Management Specialist - Real Estate / Space Utilization (Administrative Associate III) assists with acquisitions and dispositions of real estate, including issuing Intent To Purchase Agreements, ordering surveys, environmental assessments, title searches, review of legal documents and coordination of transaction elements.
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New role within St. Lukes Health Plan with the ability to build and shape the Utilization Management team. At St. Lukes, our patients come from all walks of life and so do we! St. Lukes Health Plan is a wholly-owned, not-for-profit subsidiary of St. Lukes Health System, offering health insurance coverage for individuals, families and employers across south central and southwestern Idaho.
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The LVN Discharge Planner performs utilization review by using criteria that demonstrates medical necessity to achieve reimbursement for services and ensuring appropriate utilization of hospital resources.
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Other turf management duties as required, such as herbicide sprayer application, small mower utilization, trimmer applications, etc. Description :Position SummaryThis position assists in turf management for our clients with professional level quality mowing, maintenance & upkeepPrimary Duties and ResponsibilitiesTurf maintenance such as large machine, slope and small machine mowing, via the use of heavy equipment/mowing machinery.
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Develop, implement and maintain compliance, policies and procedures regarding behavioral health utilization management functions. The Manager, BH Utilization Management will develop and facilitate processes/workflows with the team, facilities, and other vendors to ensure completion of all requests in a timely manner.
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Job Summary:The Utilization Review Specialist is responsible for the pre-certification, concurrent, and discharge review process for clients at all levels of care, resulting in the approval of their admission and continued treatment.
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Utilization RN – Utilization Review RN – Travel Utilization Review RN, Part-Time, Contract, Travel, Temporary, 13 Weeks, Temp. Tier5, Travel Utilization Review RN Registered Nurse.
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Responsible for the initial utilization review screen and the ongoing utilization review process through discharge. Responsible for providing case management services to patients and families.
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This position assists in turf management for our clients with professional level quality mowing, maintenance & upkeep. This position assists in turf management for our clients with professional level quality mowing, maintenance & upkeep.
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Qualified candidates will have 3-5 year of nursing experience preferably in Utilization Management, or hospital/acute care setting. San Jose Behavioral Health currently has an opportunity for a Utilization Review Specialist Per Diem, at our new 133 bed Acute Psychiatric Hospital, located in South San Jose, CA.
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Supervises and participates in the activities of Landscape Management Division Right-of-Way, Parks and Buildings Cost Center crews in installation, maintenance and repair of landscapes and their component systems including turf, trees and shrubs, natural areas, storm detention facilities and irrigation systems.
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utilization management jobs Title: from home Company: Workathome Jobboard in Wells, Nevada
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