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The Utilization Review Specialist manages daily operations, which include supervising the staff performing benefit enrollments and utilization management activities. The Utilization Review Specialist review functions as the internal resource on issues related to the appropriate utilization of resources & services, coordination of care across agency and utilization review and management.
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Is prepared to conduct PPS meetings maintaining MDS assessments per Medicare schedule and maintains PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management Coordinator.
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The RF Design Engineer will be responsible for participating in the development of complex RF systems, instruments, and components for utilization in cyber and Electronic Warfare (EW) solutions.
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Alternate Solutions Health Network LLC is seeking a Registered Nurse (RN) Med Surg for a nursing job in Columbus, Ohio. Job Description & Requirements Specialty: Med Surg Discipline: RN Start Date: ASAP Duration: Ongoing Employment Type: Staff Agency: The Ohio State University Wexner Medical Center Home Care Our culture and people are what set us apart from other post-acute care providers.
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In collaboration with providers and the Medical Director, the Utilization Review Nurse ensures medical appropriateness and effective utilization of health care resources. The Utilization Review Nurse ensures that authorization requests and provider or member inquiries are handled appropriately within established timeframes, and established guidelines and protocols are utilized for clinical decision-making.
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Knowledge of the functional operations of utilization management, care coordination and transitions of care. Minimum of 3-5 years nursing experience and knowledge of the utilization review process.
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Supplemental Health Care is seeking a travel nurse RN Telemetry for a travel nursing job in Cincinnati, Ohio. Job Description & Requirements Specialty: Telemetry Discipline: RN Start Date: ASAP Duration: 13 weeks Employment Type: Travel Job Description: As one of the largest Healthcare jobs placement agencies in the U.S., Supplemental Health Care has been connecting with nurses for more than 30 years.
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Build and maintain strong customer relationships at multiple levels including senior management (Owners/CEO/President/VP Procurement, etc. This includes developing contract negotiation strategy, gathering competitive intelligence, coordinating financial team analysis, gaining Monomers business approval, writing contract briefs to support the business case to senior management, and consulting with MCG corporate legal counsel.
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8+ years’ experience in application security, with experience across SDLC activities such as threat modeling, secure code review, vulnerability management, and penetration testing. We are the leader in cloud data management and have raised over $553 million in venture funding, most recently at a valuation of $3.3 billion.
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Job Description & Requirements Registered Nurse – Emergency Room - Travel - (ER RN) StartDate: 7/15/2024 Available Shifts: 12 D/E/N Pay Rate: $1641.83 - $1809.37 This Emergency Room (ER) unit boasts the latest in cutting-edge technology as well as a compassionate and effective patient care model.
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I am looking for Remote P.E'S with FDOT experience in design and analysis of stormwater management and drainage systems, flood studies, bridge hydraulics and scour countermeasures. This role will be a 50% split between time on review of FDOT access and drainage connection permits and 50% in a design role on highways, flood mitigation, and PD&E projects for FDOT and municipal clients.
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The Utilization Review Specialist at Mount Carmel Behavioral Health, a joint partnership between Acadia Healthcare and Mount Carmel Health Systems, will serve as a partner to the UM department and other departments through the facility as a bridge between impacting direct patient care and financial stability of the facility.
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We are looking to hire a Senior Community Affairs Manager – USA Central, whom will be responsible for designing, building, and operating Microsoft’s global datacenters; managing the programmatic delivery of our critical infrastructure design, equipment procurement, construction delivery, infrastructure innovation, demand planning and capacity utilization of our unified infrastructure; and responsible for all operations needed to run the physical infrastructure.
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Minimum of 5 years of proven sales training, product management, or sales management experience within a high-volume remodeling, residential construction, replacement contracting or similar organization; specific kitchen remodeling sales experience highly desired.
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Review DoD and open source intelligence for threats and to identify Indicators of Compromise (IOCs) and integrate those into sensors and SIEMs∯*∯ Review massive log files, pivot between data sets, and correlate evidence for incident investigations, with the ability to create complex technical reports on analytic findings.
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management utilization review nurse continuing jobs Title: travel rn Company: Medical Solutions in Columbus, OH
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