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Minimum three years progressive professional experience in health care, including a minimum of two years in a grievance and appeals or related area such as medical or utilization management required.
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Resolves grievances, appeals and external reviews for one of the following VNS Health Plans product lines – Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health. Collaborates with professionals, health plan departments such as Claims and Medical Management, and the third party administrator staff and legal, as necessary, to investigate and facilitate resolution of individual grievances and appeals.
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Graduate of an X-ray technician program accredited by the Joint Review Committee on Education in Radiologic Technology (JRCERT) or another accrediting agency approved by The American Registry of Radiologic Technologists (ARRT.
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Demonstrates knowledge of legal issues, including patient confidentiality and risk management in all aspects of patient care and unit functioning. The Fertility Institute of NJ and NY, an Axia Women's Health care center, located in Oradell, NJ is seeking a full-time Nurse Practitioner to join their clinical team.
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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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Management Activities: in coordination with the Director of Graduate Studies, the incumbent provides a full array of services related to the management of the Graduate Students Office (GSO) including by way of illustration and not limitation.
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We are one of the largest third-party 100% fee-managed Property Management companies in the nation, an industry leader in both the Conventional and Affordable Housing spaces, managing over 850 communities (150,000 units) across the country, and employing 3,500 team members.
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Submit your application now to become a Trash Collector with Waste Management! Waste Management is currently accepting applications for a Trash Collector! Submit your application now to become a Trash Collector with Waste Management.
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Uniting scholars and students from four dynamic departments—Communication, Media, and the Arts; Education Leadership, Management, and Policy; Educational Studies; and Professional Psychology and Family Therapy—the College is the new home of cutting-edge, transdisciplinary inquiry into the stickiest problems of our time.
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The Outpatient Surgical Center Clinical Director will oversee staff credentialing, preventative safety measures, risk management duties, and use their clinical and leadership experience to enhance patient care and improve clinical outcomes.
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Seeking an experienced researcher to support the ABS credit research team within the public and private Securitized Products group of PGIM Fixed Income ($118bn assets under management). Leveraging its heritage of life insurance and asset management expertise, Prudential is focused on helping individual and institutional customers grow and protect their wealth.
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Thorough understanding of business processes including:Order to Cash; Procure to Pay; Fixed Assets; Record to ReportSuiteBilling; Revenue Management/ARMExperience with NetSuite SuiteFlow & Advanced Approvals preferredExperience supporting NetSuite integrated applications (Banking/ACH, Avalara, Concur, BILL, RF Smart, etc.
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Responsibilities The Radiology RN (Nurse) is a Critical Care RN and delivers general nursing care to patients in all areas of the Radiology/Imaging and Pain Management Departments including: Vascular and Neurovascular Angiography, Pain Management and Diagnostic Imaging areas of Ultrasound, Computed Tomography (CT), Magnetic Resonance (MRI), X-ray, Nuclear Medicine and Mammography.
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Types of Cases:provider role (assessment, critical care planning, prescriptive orders, care coordination, emergency management, Epic documentation) Pediatric Licensed Practical Nurse, Pediatric Nurse Practitioner, Pediatric, Pediatrics, Pedi, Pedi Np, Pedi Np, Peds Np, Peds Np, Aprn, Np, Nurse Practitioner, Healthcare, Health Care, Medical, Hospital, nurse-practitioner, nurse practitioner, NP.
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Under the supervision of the Design Standards Unit Manager and the Assistant Manager, the selected candidate (Plumbing/fire protection engineer) will be responsible for review fire protection, fire alarm, and plumbing design documents for tenant projects (TAA) and design audit, and project processing for Port Authority (PA) facilities to ensure compliance with applicable building codes and Port Authority technical standards.
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review of care management jobs Company: Kaiser in Clifton, NJ
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