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Through interdisciplinary assessments, DSS and Child Protective Services provide the Hope For Youth ICM team with information pertaining to the families past and current functioning so that Hope For Youth's Intensive Case Managers can provide recommendations for going forward.
$43,000 - $45,000 a yearExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Document Review: Review and analyze legal documents, contracts, discovery materials, and evidence to identify relevant information and develop case strategies. Legal Research: Conduct comprehensive legal research to support case strategies, including precedent analysis, statutory interpretation, and case law review.
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Hours: Monday-Friday 8:00 am -5:30 pm Eastern Standard TimeThe Behavioral Health Care Manager II is responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review.
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As the Legal Nurse you will complete the full spectrum of activities related to State and Federal Independent Dispute Resolution (IDR) case determinations. Conducting clinical level review, prior authorization, and disputed benefits review, supporting Medical Review Analysts, and Physician Consultants to ensure an appropriate and accurate process.
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Conducts chart review for appropriateness of admission and continued length of stay; Facilitates throughput. Documents the case management process in the medical record; completes and documents a care coordination assessment on the patient.
$90,000 - $145,000 a yearExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Evaluates Appeals case work by the application of closed case review standards and related specific attributes and procedures as defined by the Guideline. using mediation and conflict resolution techniques; Interpreting the law in situations where there are uncertainties or conflicts in statutes, regulations, case law, or other guidance to determine and apply the appropriate intent of the law in tax situations; Experience applying litigating hazards and exercising judgments involving matters of law particularly as they relate to resolving tax disputes.
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Review new admissions and continued stay patients to determine whether MCG criteria is met. Passion for Case Management 3+ Years of diverse RN experience Critical Care, Home Care, and/or Case Management experience preferred Education: Graduate of an accredited School of Nursing required Bachelors of Science in Nursing (BSN) degree preferred Licensure: New York Registered Nurse (RN) License & Registration Certification: Case Management Certification preferred; PRI Certification preferred.
$53.56 - $58.07 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Review for clinical appeals, coding edits and rebill each case when appropriate, per contract between provider and payer. Reporting to the Client Operations Manager, the Revenue Cycle Specialist Biller must have strong knowledge of medical collections, accounts receivables, insurance billing and verification, denial processing, appeal submission and EOB review.
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Regularly reviewing the service plan with the youth and family; meeting with supervisor to review case record. The Nassau Prevention Case Planner reports to the Program Supervisor.
$26 - $28.29 an hourFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Serving clients for over 30 years, KLDiscovery offers data collection and forensic investigation, early case assessment, electronic discovery and data processing, application software and data hosting for web-based document reviews, and managed document review services.
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DISCO provides a cloud-native, artificial intelligence-powered legal solution that simplifies ediscovery, legal document review and case management for enterprises, law firms, legal services providers and governments.
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Participate in court parts, review clinical notes, and case management updates as needed by ADAs. - Oversee the data collection, statistics, and case notes for the ATI team who interacts directly with individuals who are participating in an ATI Program.
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Participate in risk management, claims administration, pharmacy utilization management, catastrophic case review, outreach programs, HEDIS reporting, credentialing, provider orientation and profiling, etc.
$280,000 - $335,000 a yearFull-timeExpandApply NowActive JobUpdated 20 days ago - UpvoteDownvoteShare Job
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Provide legal review, advice and drafting in negotiating commercial contracts for SCM for the acquisition of goods and services, such as purchase, rental, services, consignment and evaluation agreements for the Health System, assuring consistency with business terms, policies and regulatory requirements.
ExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Develop case strategy, review and approve pleadings, discovery, motion practice, settlement agreements, trial practice and more. Responsibility for managing case load of litigated and non-litigated claims.
Full-timeExpandApply NowActive JobUpdated 13 days ago
review case jobs in Hicksville, NY
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