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Work collaboratively with the UM Director and Manager Team to develop, implement, and oversee the utilization management process to include; coordination of prior authorization needs for members engaged with care management, as well as the inpatient concurrent review process to ensure medical appropriateness, care coordination needs, and discharge planning for PacificSource patients who have been hospitalized.
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TRS Healthcare is seeking a Registered Nurse who is licensed to work in OR, and has Utilization Review experience. 1 year of recent experience specializing in Utilization Review. Registered Nurse - Utilization Review.
$2,546 a monthFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Minimum of three years direct health plan experience in the following areas: case management, utilization management, behavioral health, and/or disease/condition management strongly preferred. Ability to develop, review, and evaluate utilization and case management reports.
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Interact with insurance companies for pre-certification and utilization management. ounselor, social worker, marrage and family therapist, inpatient, counseling, therapy, LMHC, registered, behavioral health professional, LPCC, LPC, LMFT, MFT, QMHA,licensed.
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This department cares for animals in compliance with the federal Animal Welfare Act, the NIH Guide for the Care and Use of Laboratory Animals, the Public Health Service Policy on Humane Care and Use of Laboratory Animals, and the U.S. Government Principles for the Utilization and Care of Vertebrate Animals Used in Testing, Research, and Training.
$16.6 - $24.09ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Directly supervise PTA and Rehab Tech in skilled tasks during group and individual treatment in a manner that promotes efficient and effective utilization of resources and facilitates the ongoing development of clinical skills in accordance with State Practice Acts, Omnibus Reconciliation Act (OBRA), and Reliant Rehabilitation policy.
$45.2 - $50 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The credit union offers the utilization of Flexible Spending (FSA), Dependent Care (DCA), and Health Savings Accounts (HSA) that are set up to reimburse you with pre-tax dollars for eligible healthcare and/or dependent care costs.
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Optimize utilization of employees and equipmentUnderstand computerized systems associated with the extrusion, control, and printing technologies used in our facility. Reporting to the Production Manager, this person will be responsible for supervision of an assigned crew and making sure that the PVC pipe is manufactured on schedule and within the right specifications.
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Promotes and monitors efficient occupant space utilization, energy and water conservation, sustainability and environmental hazards programs, and fire and security protection. monitoring occupant space utilization, energy and water conservation, sustainability and environmental hazards programs.
$72,553 - $140,713 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Keeps tools/materials/workspace neat and organized to ensure efficient space utilization. A local, long-standing and highly reputable design & manufacturing firm, who designs retail spaces for some of the most successful brands in the world; And assists major companies with strategic branding, retail design, production and more, is seeking a Assembly Technician.
$18 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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As a Clinical Pharmacist, and you'll play an important role in enhancing clinical pharmacy programs such as drug utilization review, prior authorization, health outcomes, disease state management, care management and other specialty programs.
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Provide ongoing training to ensure optimal utilization of our agency management system and carrier websites. Develop and streamline departmental workflows and procedures to enhance efficiency.
$60,000 - $80,000 a yearFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Safe and correct utilization of a variety of hand, power, and pneumatic tools such as hammers, nail guns, staplers, drills, belt and orbital sanders, DX5 Hilti Powder-Actuated tool, routers etc.
Full-timeExpandApply NowActive JobUpdated 23 days ago - UpvoteDownvoteShare Job
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Assists in the development and utilization of standardized reports via AMS or Power BI. Liaison to outsourced operational partners and provide recommendations related to utilization, staffing, workflows/processes, training, task management and process improvements to maximize staff use and improve margin.
Full-timeExpandApply NowActive JobUpdated 18 days ago - UpvoteDownvoteShare Job
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Ensure the accuracy and appropriateness of all prescriptions filled by completing Drug Utilization Review and Final Quality Assurance, applicable to state and federal Board of Pharmacy regulations.
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utilization job in Springfield, OR
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