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Conduct needs assessment utilizing the UAS-NY/DOH tool to determine members' qualification for Long Term Care services. Comply with NY State DOH guidelines on completion and timely finalization of all UAS assessments.
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Obtains accurate information to complete birth certificate and enter into EBRS to DOH within appropriate timeframe; process corrections as indicated. Collect Birth/Death/Spontaneous Termination of Pregnancy certificate information and submits to DOH within the specified time.
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The role will manage senior reporting team of 6+ direct staff in US, and partner with technology/data/analytics peers within USPB Risk CAO, and leverage USPB Risk CAO India shared services team to deliver BAU risk reports, meet new reporting needs and innovate/digitize risk reporting for transformation to defined strong risk management target state.
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We value justice in the largest sense possible, not only one person at a time legal solutions, but broad, transformative solutions created in combination with immigrant leaders, CASA organizers and other staff, other local and national organizations and direct service staff.
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A master’s degree from an accredited college or university in economics, finance, accounting, business or public administration, human resources management, management science, operations research, organizational behavior, industrial psychology, statistics, personnel administration, labor relations, psychology, sociology, human resources development, political science, or urban studies, or a Juris Doctor degree from an accredited law school.
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Responsible for data and report generation of providers as well as regulatory agencies, as needed for Utilization Management activities. Utilizes Hospital Mainframe programs, CANOPY Care Management System, and TRAC effectively and coordinates updates with Insurance Verification, Social Work management, and Patient Accounts as appropriate.
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Insight Global is seeking permanent Staff Internal Auditor to support an established healthcare/retail client in Deerfield, IL. This individual will assist with Financial, Operational, and compliance audits or investigations- under general supervision of a more experienced auditor.
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Provide staff management, oversight, and support to the state team, hiring relevant staff, consultants, and vendors and managing them to excellence in a positive work environment.
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This includes but is not limited to: management and development of high quality YMCA youth and family programs, including aquatics and adaptive programs, staff management, annual budget, equipment, and community/staff relations.
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Current certification as a New York State Department of Health (NYS DOH) Certified Instructor Coordinator (CIC) Current certification as a New York State Department of Health (NYS DOH) Paramedic.
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Data Management: Oversee the collection, processing, and utilization of data for training the chatbot, ensuring sensitivity and compliance with data protection regulations. Minimum of 5 years of experience in cloud infrastructure design and management, with a strong focus on Microsoft Azure.
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Duties include but may not be limited to wound care, including NPWT/VAC, Peg/Trach Care Management, Foley insertion and catheter care management, JP/PleuRx Drain care, administering injections.
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Initiate, plan, conduct and direct research and development projects to resolve complicated issues related to silicon anode materials which require advanced knowledge in Chemistry, Materials Science and Engineering and Electrochemistry.
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Behavioral Health, Psych Tech, Counselor, Respite Worker, Direct Care, Support Staff, Nursing Assistant, Mental Health Associate, Inpatient Hospital Care, Mental Illness, Inpatient Mental Health Facility.
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3+ years of experience auditing in the areas of retail, treasury management, payments, operations, small business banking, credit card, commercial lending, financial services/auto finance, third party management risks or any combination.
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utilization management doh direct staff jobs Company: Metroplus Health Plan in Brooklyn, NY
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