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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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Continuing education during the first two years of employment is preferred and may be obtained through the following: In-house claims training classes, The Institutes (Associate in Claims (AIC) and/or Chartered Property Casualty Underwriter (CPCU) designations) or other accredited insurance education provider.
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This role involves leading a team in various credit risk review engagements and continuous monitoring activities associated with a strong independent credit review and/or similar credit risk management function.
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The Principal/Senior FPGA Engineer will be responsible for leading development of complex RF/microwave systems facilitated by FPGA technology for utilization in cyber, DoD communications, and commercial communications solutions.
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We offer: Competitive pay rates Free, quality, private housing Medical, Dental, Vision 401(k) and Flex Spending Life Insurance Accident and Short-term Disability Coverage Free Continuing Education Refer a friend and earn extra cash.
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The Utilization Review Specialist is an essential role at Mount Carmel Behavioral Health, an -bed inpatient acute treatment center for adult men and women who have been/currently are experiencing a wide range of mental or behavioral health challenges.
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Review, improve, and develop policies and procedures for critical maintenance functions with emphasis on successful HUD, Housing Authority, State, and City regulatory maintenance inspections and timely completion of required critical repairs.
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Job DescriptionSUMMARY:Under the direction of the Director of Loan Review, will provide assistance for the independent and objective evaluation of the quality of the loan portfolio, the adequacy of loan documentation, and the effectiveness of loan administration functions.
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This position has supervisory oversight of the Reimbursement Analyst daily work schedule including flow of information, teaching of reimbursement fundamentals and principals, review of work and setting daily priorities.
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As the Credit/Collections Specialist you will handle and review discrepancies. As the Credit/Collections Specialist you will perform B2B collections. The Credit/Collections Specialist will work off the aging report.
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Our specific services include state income and franchise tax, indirect tax, unclaimed property, business restructuring, credits and incentives, sales and use tax outsourcing, excise tax, property tax, state strategic tax review, and state tax controversy.
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Minimum five years of recent experience in the International HR arena including some of the following: policy, process and procedure review/development and re-engineering; expatriate compensation; expatriate benefits; immigration, international payroll and pay delivery; and selection and assessment.
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Experienced German Language Document Review Attorney – Remote Great opportunity for l icensed attorneys with document review experience and German fluency interested in quality focused e-Discovery.
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Familiarity of medical records content, chart review and abstraction and an understanding of medical and oncology terminology is required. Prior to submitting your application, please review and update (if necessary) the information in your candidate profile as it will transfer to your application.
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Modify and review production drawings for a variety of projects, including drinking water, wastewater, distribution & collection and industrial applications. Provide construction administration support, including submittal review, procurement, response to Contractor’s requests for information, review and approval of change orders, and development of record of construction documents.
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utilization review continuing jobs Company: Medical Solutions in Columbus, OH
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