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Qualified candidates will have prior LTSS or Medicare Inpatient Utilization Management experience within a Managed Care setting, LTSS, MLTC MAP, will have a NYS Registered Nurse License , familiar with MCG/Milliman/Interqual Guidlines and a desire to join a great team.
$102,000 - $107,000 a yearFull-timeRemoteExpandApply NowActive JobUpdated 21 days ago - UpvoteDownvoteShare Job
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Recent experience in case management, home health, utilization review, and or unit clinical specialty required. Requires current case management certification from either CCM, ACMA or RN-BC or must achieve within two (2) years of hire as a Case Management Coordinator.
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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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Lead the strategic implementation and optimization of all marketing systems and platforms with a focus on digital asset management (DAM) systems, ensuring the efficient organization, retrieval, and utilization of the company's vast library of visual assets.
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The Department of Risk Management at SUNY Downstate Health Sciences University is seeking a full-time Risk Management Coordinator / TH Utilization Review and Quality Assurance Senior Coordinator.
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It involves the direction and oversight of all office space planning, utilization and management including, without limitation, the management of all associated construction and purchase of furniture and fixtures associated with small, medium, and large-scale office construction projects.
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Other competencies: Strong organizational skills with an attention toComputer skills with knowledge of Microsoft Office (Word, PowerPoint and Excel) and expertise with virtual meeting platform(s), e,g., Zoom. Certifications preferred: Certified Energy Manager (CEM), Certified Energy Auditor (CEA), LEED (Leadership in Energy & Environmental Design) or Professional Engineer (PE) or other energy management related credentials.
$70 - $95Part-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Collaborates with IT Security management in the development of enterprise Security assessment tools and policy and procedures. Job Description Collaborates with IT Security management in the development of enterprise Security assessment tools and policy and procedures.
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The Master Data Analyst will work to successfully deliver a quality solution implementation and help develop the ongoing Master Data Management strategy and activities. The Master Data Analyst will need to have a strong system acumen to ensure that we are accurately creating and maintaining all data; in addition to, assisting all data stewards both at headquarters and store level with proper utilization of the system.
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AIS is an in-house team that provides asset management, capital solutions and corporate development services to Ares Management's strategic initiatives in insurance, including Ares' new life and annuity platform, Aspida Financial.
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Guides patients in activities including but not limited to arts and crafts, social activities, gardening, woodworking, graphic arts, textiles, group recreation, and the utilization of various tools and equipment.
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Demonstrates intimate abilities and/or a proven record of success assisting practice management, emphasizing partial or full management of client engagements involving the evaluation and enhancement of clients' indirect tax processes and/or systems to get better control over data and manage costs, including: State and local tax sales and use tax laws, regulations, policies and procedures.
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The Field Reimbursement Manager will be responsible for the management of defined accounts in Urology and Oncology area, specifically supporting our client's product. The Reimbursement Manager will also work on patient level reimbursement issue resolution, and thus will need access to be knowledge of and have had experience with patient health information (PHI), navigating access issues, and working with payer and NCCN guidelines for product utilization.
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Asset & Wealth Management - Associate Quantitative Strategist in PWM Private Bank and Risk. Risk Management: Develop quantitative models and tools to manage the private bank's risk, such as developing a rate-sensitive prepayment model to improve hedging of the bank's mortgage portfolio, and develop tools for counterparty credit risk management.
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An understanding of the marketing technology platforms (e.g. content management systems, digital experience platforms) as well as custom application development. Strong Project Management skills - the ability to monitor and report on project status, budgets, schedules, and resource management.
Full-timeExpandApply NowActive JobUpdated 22 days ago
utilization management jobs Company: Metroplus Health Plan in New York, NY
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