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The Director of Care Management has overall responsibility for all utilization review activities on the TUH Jeanes Campus as defined by TUHS contracts, as falls within the scope of practice of the Care Management Department and is necessary to meet the financial needs of the organization.
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This experience typically includes: monitoring occupant space utilization, energy and water conservation, sustainability and environmental hazards programs; coordinating alteration and renovation projects; gathering information to assess the level of customer satisfaction, i.e., surveys, interviews with tenant contacts, focus groups; monitoring real property budgetary and financial data; and, administration of repair and/or operation and maintenance contracts.
$72,553 - $86,962 a yearFull-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Under the general supervision of the Sr. Director, Case Management the Utilization Management Nurse provides comprehensive assessment, coordination, implementation and reporting of complex clinical data.
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Under the supervision of the LTSS Manager for Utilization Management, this position is responsible for providing daily oversight of LTSS Review UM Technicians and staff members within the LTSS Review Utilization Management Department.
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Blended Case Management Supervisor is responsible for assuring that the staff under their supervision are making every attempt to complete the documentation in a timely fashion and that it meets the general guidelines of legibility, it is signed, dated and that the content follows the DAP format and explains the nature of the contact.
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As a minority-serving institution, CCP faculty contribute significantly to our collective efforts to improve student success and eliminate racial equity gaps through the utilization of inclusive and high-quality teaching practices.
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The Field Reimbursement Manager will be responsible for the management of defined accounts in Urology and Oncology area, specifically supporting our client’s product. The Reimbursement Manager will also work on patient level reimbursement issue resolution, and thus will need access to be knowledge of and have had experience with patient health information (PHI), navigating access issues, and working with payer and NCCN guidelines for product utilization.
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Utilization Management (UM) Coordinator PositionFairmount Behavioral Health System is seeking a Utilization Management (UM) Coordinator to reviews patient medical records to determine severity of patient’s illness and the appropriateness of level of care.
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During this individual supervision a chart review should be completed using the updated Utilization Review sheet with particular attention paid to whether or not a PGP exists to cover the time period since the last CBH review.
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The employee is responsible for the direction and effective and efficient management of School Crossing Guard Program operations, including fulfillment of strategic plans and program objectives and optimal utilization and deployment of program staff.
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The IBHS Clinical Care Manager – Neurodevelopmental Services (CCM-ND) is responsible for utilization management by conducting utilization review activities, population management, cross-system consultation, provider management and treatment quality monitoring.
$65,600 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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The Transitional Care Manager will be is responsible for a broad range of skills, clinical expertise and proficiency in complex case management, utilization review, and care coordinator of at-risk members during admission and set-up transition plans post discharge 7-14 days from an inpatient facility.
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Interact with insurance companies for pre-certification and utilization management. Interact with insurance companies for pre-certification and utilization management. State license (or license-eligible) in a counseling field (e.g., Psychologist, LMFT, LCSW, LPC.
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The Biosolids Practice Leader will lead the development and implementation of business strategies across North America in coordination with Wastewater Market Sector leadership and other technical Business Class Directors (e.g. wastewater treatment, biogas utilization, conveyance, asset management, etc.
$130,410 - $242,190 a yearFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Key Words: RN Travel, Travel Nurse, Contract Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager, Case Management, Utilization Review, Case Manager RN*Weekly payment estimates are intended for informational purposes only and include a gross estimate of hourly wages and reimbursements for meal, incidental, and housing expenses.
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utilization management jobs in Cherry Hill, NJ
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