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Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 09/23/2024 Duration: Ongoing Employment Type: Staff 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.
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Review/monitor JP Morgan Chase Positive Pay Exception Email Notification/ daily bank reports (allaccounts: General Operating/Trust, Chesterfield, Isolved /Payroll accounts) to ensure correct check datareceived at bank and for fraud prevention (decision processed to pay/return exception items.
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Routinely review relevant literature, attend scientific meetings, and maintain expertise in the field of Immunology and Immuno-Oncology. Routinely review relevant literature, attend scientific meetings, and maintain expertise in the field of Immunology and Immuno-Oncology.
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Subject matter expert on the EmpiRx Health Population Health Management Model Review and evaluate clinical literature resources to support decision-making and recommendations to providers. What You'll Do: As a Clinical Pharmacist, your role will encompass a wide range of responsibilities: Act as a clinical expert on prior authorization review and evaluation in accordance with clinical criteria and covered plan design.
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Telemetry RN Contract Details: - $1,764 - $1,952 per week - NOC shift available - 12-week contract with possibility to extend - Review Data to track a patient's heart rate, blood pressure, breathing, and other vitals - Administer and record prescribed medications - Report adverse reactions to medications or treatments - Estimated weekly payment may include both taxable wages and tax-free reimbursements for meals, housing, and incidentals.
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Understand the role of coding based on Chart Review versus Charge Master assignment. Conduct performance improvement activities regarding coding accuracy, completeness, data quality and integrity; identify issues in correct sequencing of codes and assignment of grouper payment methodology,Collaborate with physician, nursing and other clinical staff and review agencies on responses to denials, and other issues and to obtain clarification on documentation of clinical care.
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This investigation includes but is not limited to a criminal, civil litigations and regulatory review, employment, education, and credit review (role dependent). Where permitted by federal or state law, Fidelity will also conduct a pre-employment drug screen, which will review for the following substances: Amphetamines, THC (marijuana), cocaine, opiates, phencyclidine.
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Tracking and providing Classification, PGA, and ADD/CVD KPIs. Attending regular Challenge Board meetings to review classifications. Assisting with review of technical details, including the use of systems to confirm material composition, thread size, etc.
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Support annual audit and half year review of the financial statements as it relates to Inventory and footnotes thereto that is performed by an external, independent Certified Public Accounting firm.
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Preferred Qualifications: Minimum two (2) years of RN experience in utilization review, ambulatory case management, care coordination or disease management. Kaiser Permanente is seeking a Registered Nurse (RN) Case Management for a nursing job in Seattle, Washington.
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The individual will also discuss and provide Chubb’s Risk Engineering services to support a client needs and/or improve the account’s loss history (i.e. business continuation planning, employee safety training, safety committee support, product safety review and evaluate building fire protection systems.
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Key Words: RN Travel, Travel Nurse, Contract Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager, Case Management, Utilization Review, Case Manager RN Weekly payment estimates are intended for informational purposes only and include a gross estimate of hourly wages and reimbursements for meal, incidental, and housing expenses.
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In collaboration with the principal investigator, clinical research coordinator, and clinical team, participates in the review of studies for feasibility and evaluates potential competition with other protocols prior to submitting study.
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Completion of a Joint Review Committee on Education in Radiologic Technology (JRCERT) accredited program in Radiology required. Job Description & Requirements Specialty: CT Technologist Discipline: Allied Health Professional Start Date: 10/07/2024 Duration: 13 weeks 40 hours per week Shift: 8 hours Employment Type: Travel Setting: Hospital Take your experience as a CT Technologist on the road and help healthcare facilities across the U.S. who are experiencing rapid growth or unexpected staffing shortages.
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Oversee Batch Record Review and monitor order fulfillment. Serves on Action Committees to review and continuously improve the operations. Review and approval of all Change Requests, SOPs, MBRs, Protocols, Reports and Deviations that pertain to processing and/or equipment.
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review job in Orangeburg, NY
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