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VNS Health is seeking a Registered Nurse (RN) Clinic Utilization Review for a nursing job in Cliffside Park, New Jersey. Conducts review of requests for prior authorization of health services, as required in certain product lines, and prepares written responses consistent with regulatory requirements.
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In collaboration with the principal investigator, clinical research coordinator, and clinical team, participates in the review of studies for feasibility and evaluates potential competition with other protocols prior to submitting study.
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Ability to review, understand, analyze middleware integration logs (i.e. Celigo, Boomi, etc.) 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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Agility core practices, Cost-conscious decision-making, Facilitation, Group Problem Solving, Influencing, OEM Business, OEM Management, OEM Negotiations, Presenting, Process Safety Management, Safety management across the value chain, Stakeholder Engagement, Strategic Thinking, Technical Knowledge, Turnaround availability review, Vulnerability studies.
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The candidate will review the existing relevant scientific literature, update the project specific aims, and if necessary, identify novel approaches to improve CNS healing. He/she will plan, design, and perform laboratory experiments, analyze and present the data to various (although primarily scientific) audiences, and write scientific reports suitable for peer-review and publication in scientific journals.
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Efficiently identifies divisional problems and develops solutions to review with Oncology Research Administration. The Lead Clinical Research Nurse is responsible for providing guidance, training, and coordination of the assigned oncology research divisions clinical research nursing team.
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Inspect and maintain sleep study related equipment and inventory Review and evaluate sleep studies and provide appropriate feedback to staff Assist the medical director, clinical director and/or manager in all aspects of sleep center operations RWJBarnabas Health is an Equal Opportunity Employer.
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This investigation includes but is not limited to a criminal, civil litigations and regulatory review, employment, education, and credit review (role dependent). Where permitted by federal or state law, Fidelity will also conduct a pre-employment drug screen, which will review for the following substances: Amphetamines, THC (marijuana), cocaine, opiates, phencyclidine.
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Provide Relativity end-user support with search term reports, use of dashboards, use of threading to identify inclusive families, non-inclusive families, privilege screens, creation of review batches, customization of views, layout, fields, choices, creating/adding terms to persistent highlighting, layered searches to identify internal emails, different domains, multi-layer criteria for production purposes, multi-layer criteria for identification/exclusion of documents.
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Preferred Qualifications: Minimum two (2) years of RN experience in utilization review, ambulatory case management, care coordination or disease management. Kaiser Permanente is seeking a Registered Nurse (RN) Case Management for a nursing job in Seattle, Washington.
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External reviewers include New York State (Fair Hearings), Centers for Medicare and Medicaid Services (CMS), Independent Review Entities and Quality Improvement Organizations. Posted job title: Rn Utilization Review, Clinical.
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Your experience will include some or all the following: Quantity take-off Layout Preconstruction/as-built surveys Shop drawing & submittal review/approval & maintenance of log. Interfacing with subcontractors & suppliers Attending weekly progress & coordination meetings Assisting with coordinating the work between the owner, architect & subcontractors Assisting during the bid process with things such as subcontractor outreach/solicitation, bid package development, bid review & verification, etc.
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In conjunction with the Director Credit Risk Review, prepares board level credit risk management reports, including, but not limited to concentration, policy exception, and stress testing. Assesses work of third party loan review consultants to verify accuracy of reports and to ensure compliance with the Internal Asset Review Policy and Credit Risk Review procedures.
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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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As an Associate Investigator at Ethos Risk Services, you will conduct covert surveillance (primarily from your vehicle), review files, communicate with our team of Operations Managers, and draft detailed case reports (via your laptop.
$18 an hourFull-timeExpandApply NowActive JobUpdated Today
review job Company: Wm in Clifton, NJ
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