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Performs prior authorization, precertification, and retrospective reviews and prepares decision letters as needed in support of the utilization review contract Assists management with training new Nurse Reviewers to include daily monitoring, mentoring, feedback and education.
$70,300 a yearRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Veterinary Pet Insurance (VPI) Oklahoma is home to Beavers Bend State Park, Myriad Botanical Gardens and Bricktown, just to name a few of the important things throughout the state. Oklahoma is also home to the national Cowboy and Western Heritage Museum which recognizes the state's pioneering history.
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Lead & provides oversight of PSI/PDI & Mortality Improvement teams Assign reviews Lead collaborative review process Track outcomes and trend opportunity for unable to exclude cases Develop qi on prioritize metrics Communicates to key stakeholders developing dashboards/scorecards.
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Support Ryder's business development and operations in costing and pricing activities, which includes gathering cost data for development of costing analysis, analysis of alternative pricing and billing strategies, risk-return evaluation, contract review, analysis, and negotiation.
$110,000 a yearFull-timeRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Verify Quality of all parts being produced to the Drawing Review and monitor material requirements based on supermarket and job requirements (Plex) Understand and update MDI Board Make minor CNC machine offset adjustments and program adjustments The ability to perform minor trouble shooting on equipment in the CNC Department Able to do internal rework Implement and maintain Lean Principles in all cells in the Department Maintain a safe and hazardous free area Implement all 5S standards.
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As a leading pet food manufacturer, we carry on the legacy of our Founder who led us to reshape the larger pet care category. Operate forklift in a productive manner, demonstrating initiative while maintaining adequate levels of productivity, utilization, and efficiency.
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Secure and review advanced rigging plan and execute through Rigging Coordinator/Lead Rigger or other leadership supervision. Establish hang-point, connect hoist and attachments to permanent rigging points, connect GAC Flex spanset attachments to truss, connect/run and dress motor cables, run cable picks, ensure safety of scenic elements to hang-points and proper use of all truss protection equipment, inspect all cabling tie-offs.
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Minimum QualificationsStrong utilization management experience including conducting pre, post, and concurrent utilization review determinations, peer to peer reviews, understanding medical policy criteria and working with a team of nurses and physicians to apply the criteria.
$300,000 a yearFull-timeRemoteExpandApply NowActive JobUpdated 27 days ago - UpvoteDownvoteShare Job
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Additional Benefits: FSA, Life/ADD, Short & Long-term Disability, Accident & Critical Illnesss, Pet insurance, and more. Dedicated Learning & Development Manager to help you prepare for the BCBA exam.
$25 an hourFull-timeExpandApply NowActive JobUpdated 26 days ago - UpvoteDownvoteShare Job
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Completes in-person meetings with each RSR once per week to review trends, performance, coach and identify opportunities for improvement. Visit all required customers each quarter to review growth and service opportunities.
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Synchro, and HCS is required Experience in analyzing intersections, interchanges, and roundabouts Proficient in Microsoft Office Preferred Qualifications: Master’s degree in civil engineering Experience in Transportation planning and travel demand modeling (TransCAD) Experience using ArcGIS for data analysis including review of large sets of crash data to spatial map and analyze for trends and clusters.
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Displays effective utilization of PACS systems and Electronic Medical Record (EMR) to obtain or enter appropriate care data. Ultrasound Technologist - Full-Time - Oklahoma City, OK. Communicate pertinent clinical information and ultrasound findings to the radiologist.
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Full medical, dental, vision, life, and even pet insurance to provide you with the coverage you need whenever you need it. We are also thrilled to recognize our very own SLP, Dr. Kelly Byrd as the American Staffing Association 2024 National Staffing Employee of the Year and Health Care Sector All-Star. We’re honored to connect Dr. Byrd to employment, share her incredible story, and support her family literacy nonprofit.
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Experience in Dental Utilization Management or Review, preferredDo you see yourself in this role even if you haven’t checked all the boxes above? The Clinical Investigator will conduct in-depth analysis, peer analysis trend analysis and statistical analysis to identify providers whose utilization patterns are outside of the expected norm from their peers in their assigned markets.
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Work with our proprietary software online portal to review medical documentation, write concise and detailed treatment summaries, organize damages, establish treatment timelines, and conduct legal research to draft compelling demand letters.
$58,000 a yearFull-timeExpandApply NowActive JobUpdated 6 days ago
pet utilization review jobs in Nichols Hills, OK
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