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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. 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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Patina Restaurant Group is a leader in the premium segment of the restaurant and catering industry, operating restaurants and managing catering and food service operations at high-profile venues including, Lincoln Center, Walt Disney World , Disneyland , the Empire State Building, Grand Central Station, and The Metropolitan Opera.
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Manage a range of primary care cases with the support of a dedicated team, seeing approximately 18-22 patients per dayOur clinic offers services including ADHD management, diabetes care, hypertension, acute illnesses, minor wound care, HIV treatments, reproductive health, and much moreBenefit from on-site specialties such as Counseling, Labs, Women’s Health, Dental, and Behavioral Health.
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Individual must possess or qualify for Certificate of Fitness as a fire guard for public assembly and torch operations from the NYC Fire Department. Other related duties as assigned by the Chief Security Officer, Deputy Chief Security Officer, Associate Chief Security Officer for Special Operations, Manger for Emergency Preparedness, and Manager for Fire Safety.
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We are a diverse group of professionals experienced in and responsible for accounting, financial reporting, tax, policy and controls, cash operations, corporate finance data and systems management as well as wealth management finance activities.
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The Psychiatric Nurse Practitioner will be responsible for providing mental health care and treatment to patients, providing psychiatric care and medication management, collaborating with other mental health professionals, and maintaining detailed patient records.
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We are a dynamic, global and diverse organisation, with a presence in over 80 Countries; covering all post execution Operations teams including product aligned Middle Office groups, Settlements, Margin, Asset Servicing, Listed Derivative & Commodities Operations.
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Liaison between the Vice President Operations and the Accounting team while maintaining a clear organizational reporting structure detailing the relationships and responsibilities of all positions consistent with the strategic growth of the Company, while holding the team accountable for execution.
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The Clinical Therapist I will work with a multidisciplinary treatment team to provide psychological, social, and interventions that support patients and families relating to behavioral/medical health, levels of care, disease and illness and wellness and recovery.
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2+ years experience with being an on call DevOps, SRE, or Cloud Operations engineer. As a Cloud Operations Engineer, you will help ensure the success of our Atlas customers, whether they are early startups or large multinational companies, cloud-native or just getting started with a digital transformation to the cloud.
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VNS Health is seeking a Registered Nurse (RN) Clinic Utilization Review for a nursing job in Manhattan, New York. Develops and maintains current knowledge of state and federal regulatory requirements related to all aspects of grievances and appeals for Medicare managed care organizations, Medicaid, home health care, managed long term care as well as contractual requirements.
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WORK ENVIRONMENT Hybrid (two days working from home, three days working in a standard office environment). The VP Head of Operations ,as a member of the Risk Management team in the Investments Group, oversees the implementation of adequate controls to support investment transactions, valuations, and performance.
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If you're a proficient Registered Nurse with a minimum of two (2) years of recent experience in a home environment within the past fifteen (15) years , this could involve working with a Certified Home Health Agency (CHHA), Licensed Home Care Service Agency (LHCSA), Managed Long Term Care (MLTC), or experience in home care as a paraprofessional (e.g., Home Health Aide or Licensed Practical Nurse (LPN), including Private Duty Nursing , we invite you to submit your application.
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NBCUniversal owns and operates over 20 different businesses across 30 countries including a valuable portfolio of news and entertainment television networks, a premier motion picture company, significant television production operations, a leading television stations group, world-renowned theme parks and a premium ad-supported streaming service.
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Demonstrates a deep understanding of primary care practice operations and workflow across the continuum of variability in primary care and experience in managing provider and administrative leadership relationships.
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care facility operations kidney work jobs Title: registered nurse Company: Fresenius Medical Center in Hoboken, NJ
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