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Position Purpose The Utilization Review Nurse I provides first level clinical review for all outpatient and ancillary services requiring authorization. This is a fully remote position that requires NYS RN licensure and experience with Medicaid and Medicare and their covered benefits as well as Care Management, Intake or Home Health Care.
$25.97 - $46.68 an hourFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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VNS Health is seeking a Registered Nurse (RN) Clinic Utilization Review for a nursing job in Hoboken, New Jersey. Posted job title: Rn Utilization Review, Clinical.
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The Case Manager, Utilization Management coordinates the care plan for assigned members and conducts pre-certification, concurrent review, discharge planning, and case management as assigned.
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VNS Health is seeking a Registered Nurse (RN) Clinic Utilization Review for a nursing job in Manhattan, New York. 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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Participate in producing well written reports and presentations to relevant review bodies, including senior management in order to defend conclusions and present any findings. Quantitative skills in the areas of structured finance, credit derivatives, default and recovery modeling, and / or credit risk management.
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Will work with Provider Contracting, Credentialing, Claims Operations, Utilization Management, and Network Management to setup systems to ensure accuracy of payments processing. Work with provider reimbursement tools, collaborate with Claims Operations, Utilization Management, and Network Management to setup pricing methodologies.
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Its many functions include facilities planning and coordination, design and construction, renovation, repair and maintenance, custodial and other building services, health/safety program coordination, lease and property management, land use and environmental review activities, contract administration for facilities services, and warehouse operations.
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Contract Assignment - 13 Weeks (Temporary/Travel/Contract) Shift: 4x10 Days Rewards: (Operating Room Nurse (OR RN) Benefits) Pay depends on location and experience. Travel OR RN - Operating Room RN, Part-Time, Contract, Travel, Temporary, 13 Weeks, Temp. OR Circulate, Scrub Nurse Tier2.
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About the Team Credit Review provides the Board and bank management with an independent view of the quantity, quality and direction of credit risk in the America's portfolio. The ideal candidate will possess the ability to communicate credit risk management weaknesses identified to Credit Review senior management and the line of business; as well as effectively challenge internal and regulatory risk ratings where appropriate.
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Serve as the SME for all HR Systems including UKG Pro, Onboarding, HRSD, UTM, Performance Management, Case management and any related system. The HRIS Manager will handle the maintenance, research, implementation, integrity, and security management of all HR systems, including UKG (formerly UltiPro), Litmos, PayScale, Lucid and any related systems.
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The Preferred Communities (PC) Program, funded by the Office of Refugee Resettlement (ORR) offers tailored case management to the most vulnerable refugees. Lead the implementation of the Intensive Case Management (ICM) and Supplemental Case Management (SCM) Program and ORR Initial Resettlement Services program by providing guidance and support to local sites implementing PC programming.
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Credit Review provides the Board and bank management with an independent view of the quantity, quality and direction of credit risk in the America's portfolio. The ideal candidate will possess the ability to communicate credit risk management weaknesses identified to Credit Review senior management and the line of business; as well as effectively challenge.
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Areas of responsibility include brand management, partnership marketing, creative services, event management, campaign development and execution, vendor and agency management, social media & digital marketing strategy, and marketing analytics.
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Coordinate with NYPD when Body Worn Camera (BWC) footage is missing from a DA case. Retrieve and review NYPD BWC videos. New hires will assist with these important duties, and in doing so, will gain exposure to virtually every aspect of a criminal case.
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The HR Information Systems (HRIS) Manager will handle the maintenance, research, implementation, integrity, and security management of our all HR systems, including UKG (formerly UltiPro), Litmos, PayScale, Lucid and any related systems.
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management utilization review case rn weekly pay jobs Title: travel rn Company: Medical Solutions in Hoboken, NJ
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