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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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Demonstrated leadership experience in BH utilization and care management, particularly for members with Severe Mental Illness (SMI), Substance Use Disorders (SUD), co-occurring physical health issues, and dual disorders of mental health and substance abuse.
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We have an immediate need for a Sr. MEP Engineer / Project Manager for our New York City location. Senior MEP Engineer/Project Manager. - Monitors the manpower staffing and utilization of professional resources in relation to approved budgets, anticipated activity levels and competence and takes the action needed to ensure that projects are staffed and performance evaluated so as to meet future requirements.
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Job DescriptionJob DescriptionRN- Utilization Review Nurse LTSS/DMEFull Time 100% Remote OpportunityCOME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY - VILLAGECARE! Seeking those who bring a BSN (advanced degree preferred), along with 2+ years of utilization review experience at a Managed Care Organization or Health Plan required.
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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.
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Under the guidance of the Managed Long-Term Care (MLTC) Manager of Care Managers, the Nursing Home Liaison provides outreach and support to the MetroPlusHealth MLTC Nursing Home (NH) Team. The Nursing Home Liaison is responsible for working with the NH Team on supporting members to achieve and maintain long-term care placement in residential facilities to ensure this is still the most appropriate setting and that all services and supports are properly delivered in that setting.
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ICU - Mount Sinai Hospital Summary: The Clinical Nurse is a Registered Professional Nurse who provides safe, competent quality care based on nursing theory and research to a designated group of patients and significant others.
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This page MUST be completed and signed if you are applying for one of the following positions: Direct Support Professional (direct care), Bus Driver, Bus Aide, Medicaid Service Coordinator, Developmental Disabilities Specialist, IRA Coordinator, Residence Manager, Consumer Services Advocate, and Section Supervisor.
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Coordinates, facilitates, and arranges for long-term care services in nursing homes, rehab facilities, etc., as needed Monitor care management activities, services, and members' responses to interventions to determine the effectiveness of the plan of care and the utilization of services and implements changes and adjustments to meet needs and goals.
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The AAH Medical Staff Floor Manager will be responsible for elevating the quality of patient and client care through operational efficiency. 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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We have 60+ 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.
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The Oncology Research Nurse Practitioner I is an Adult Nurse Practitioner who manages the direct care of patients enrolled in clinical trials within the Herbert Irving Comprehensive Cancer Center at Columbia University Medical Center.
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Our single doctor practices offer care for common urgent cases, including wound management, ear infections, vomiting/diarrhea, and euthanasia, and each of our paperless clinics is specially designed to deliver efficient care and equipped with cloud-based EMR, digital x-ray, and a full suite of IDEXX in-house lab equipment.
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A Brief Overview Under the supervision of a Registered Dietitian and Clinical Nutrition Manager, the Nutrition Assistant performs a variety of duties pertaining to the delivery of high quality, personalized nutritional care to all patients.
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Perform medical intakes on all new NYPD and CE cases admitted to AAH/ARC/CARE and in collaboration with partner departments for animals admitted to veterinary partner hospitals and the Adoption Center.
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care manager utilization jobs Company: Metroplus Health Plan in North Bergen, NJ
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