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Lead Tenet Utilization Review Teams market structure and operations management to effectively support utilization review and authorization confirmation functions to promote an appropriate level of care and prevent payer denials.
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Proficiency in discharge planning, setting case management referral standards, reviewing utilization, and categorizing levels of care. Your job includes staying in contact with the patient's health plan and provider's care coordination departments.
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To improve patient care, join projects to enhance care coordination and implement evidence-based procedures for best standards. Visit BSWHealth.com/Benefits to learn about all of our programs that supports mind, body and spirit Note: Benefits may vary based on position type and/or level Job Summary You will review patient cases for medical necessity and help establish inpatient and outpatient service suitability.
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Offering pediatric patients a continuum of comprehensive post-acute medical care, inpatient rehabilitation, and outpatient rehabilitation following an acquired or traumatic brain injury, sudden accident, or illness, Nexus Health Systems is the national leader in physician-driven clinical neuroscience.
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Current licensure from the Texas Board of Nursing as an Advanced Practice Registered Nurse (APRN) with authorization to practice as a Family, Adult, Gerontology, Adult-Gerontology, Adult-Gerontology Acute Care, Acute Care, Pediatric, Pediatric Acute Care, Psychiatric Mental Health or Women¿s Health Nurse Practitioner.
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Minimum Specifications Education Physician Assistant: Bachelor's Degree from an accredited college or university and successful completion of an accredited Physician Assistant Program recognized by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) or its predecessors.
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Our hybrid care model combines telehealth and in-person care services, which allows our collaborative, multispecialty group to continue to forge solid connections, provide accessible, affordable care, and elevate the healthcare experiences of seniors in post-acute settings.
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Emergency room nurse, emergency nurse, ER nurse, ER RN, emergency room, trauma, trauma nurse, acute care nurse, registered nurse, RN, R.N., nursing, nurse, emergency, healthcare, health care, hospital.
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HealthDrive delivers on-site primary/post-acute care, behavioral health, dentistry, optometry, podiatry, and audiology services to residents in long-term care, skilled nursing and assisted living facilities.
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PharMerica is the long-term care pharmacy services provider of choice for senior living communities, skilled nursing facilities, public health organizations and post-acute care organizations.
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Methodist Charlton Medical Center is a 314-bed, full-service, acute care teaching hospital that serves Cedar Hill, DeSoto, Duncanville, and Lancaster in southwestern Dallas County. Currently licensed in good standing as a Respiratory Care Practitioner by Texas Medical Board.
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Ten or more years of financial services credit review/credit risk management experience through: past work in credit/loan review, credit risk management, internal audit credit risk coverage, commercial loan underwriting departments at large banking institutions; regulatory agency credit review/credit risk experience; or credit review/credit risk experience at a large consulting firm.
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Description & Requirements Maximus is hiring a Clinical Review Coordinator - RN/LPN (Remote) to support the Iowa and Connecticut Pre-Admission Screening and Resident Review (PASRR) Programs.
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Posted job title: Cardiac Cath Lab Technologist About Supplemental Health Care At Supplemental Health Care, a simple belief in the power of caring guides a unique commitment to world-class service in healthcare staffing.
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Develop, implement, and monitor procedures designed to promote compliance with IACUC policies and procedures and integration with other committees, such as the Institutional Review Board (IRB), Institutional Biosafety Committee (IBC), Chemical Safety Committee (CSC), and offices, such as the Sponsored Programs Administration (SPA), Office of Technology Development, and Legal Affairs.
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acute care utilization review jobs in Dallas, TX
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