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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.
$93,000 a yearPart-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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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. VNS Health is seeking a Registered Nurse (RN) Clinic Utilization Review for a nursing job in Manhattan, New York.
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The ASPCA is headquartered in New York City, where we maintain a full-service animal hospital, spay/neuter clinic, mobile spay/neuter and primary pet care clinics, a rehabilitation center for canine victims of cruelty, kitten nursery, adoption center, and two community veterinary centers.
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Collaborate with other organizational departments responsible for functional aspects of the HIV Special Needs Plan, including, but not limited to Integrated Care Management, Behavioral Health, Managed Long-Term Care, Utilization Management, Quality Management, Credentialing, Regulatory Affairs, Compliance, Corporate Affairs, Provider Network Operations, Medicare Services, Information Systems, Finance, Claims, and Member Services and Eligibility.
$157,236 a yearFull-timeExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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Coordinates with the Clinical Coordinator/Clinical Nurse Manager/Assistant Nurse Manager/Nursing Shift Manager to ensure supplies are appropriately utilized and inventory is sufficient for patient care.
$2,409 a weekExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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As a Senior Partner Manager, you will manage key business portfolios with some of our largest brand partnerships in the Personal Care, Home Care, or Beauty Care categories.
$234,000 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth 's network includes over 27,000 primary care providers, specialists and participating clinics.
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RN Specialties: ICU, CVICU, PICU, NICU, PCU, ER, Tele, Med Surg, OR, Endo Cath Lab, LDRP, PACU, Dialysis, Case Manager, Home Health, Hospice, Respiratory Therapy. GLC on the GO is seeking an experienced Long Term Care Registered Nurse for an exciting Travel Nursing job in Hatboro, PA. Shift: 3x12 hr nights Start Date: 09/03/2024 Duration: 8 weeks Pay: $1593.98 / Week.
$2,466 a weekExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Collaborate with an inter-professional team, including but limited to; physicians, nurses, nutrition, physical therapy and select wound care team members, to ensure smooth day-to-day operations within respective team, ensure high quality care, proper hand-off communication and effective and efficient resource utilization.
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Our client’s business includes upstream and midstream natural gas production; power generation; and carbon capture, utilization and sequestration (“CCUS”). The AGC will work closely with other members of the legal department, senior management, the Board of Directors, Finance, Accounting and Human Resources teams on a broad range of matters including strategic transactions and mergers and acquisitions.
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We have 50 locations throughout the borough providing a variety of programs that offer assistance in the areas of family, children and youth support, educational services, elder care, homelessness, mental health, and workforce development.
$58,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Program Development and Management:Lead the development, implementation, and evaluation of nurse residency programs across various specialties (Med/Surg, Critical Care, Maternal Child Health, NICU, Emergency Services.
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The Thrift Shop Assistant Manager is one of the leaders responsible for the overall operation of a community-based Housing Works Thrift Shop. Other services include Health Home care management, behavioral health, and syringe exchange programs.
$22 an hourFull-timeExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Looking for a test manager with the Regulatory Capital Management and Modeling (CCAR and CECL)- model life cycle. Test Manager- CCAR/CECL. This Test Manager will be responsible for the testing in the capital modeling and CCAR area.
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A qualified candidate will have broad technical experience in molecular biology and the utilization of in vitro models to evaluate the efficacy of biologics drug candidates. The RoleOur Protein Assay Development group is seeking to hire an Associate Scientist to become an integral part of the biologics drug development effort.
$80,000 a yearFull-timeExpandApply NowActive JobUpdated 2 months ago
care manager utilization jobs Company: Metroplus Health Plan in Little Ferry, NJ
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