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Manages Case Management operations with Conifer teams to align and optimize case management processes related to utilization review services. Develop strategies to manage and prevent disputes and Utilization Review processes with Group Directors of Case Management (DCMs) and Revenue Cycle Directors.
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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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Recent Utilization Review experience. Case management certifications, such as Certified Case Manager, are beneficial but not necessary for this position. You will review patient cases for medical necessity and help establish inpatient and outpatient service suitability.
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Key Words: RN Travel, Travel Nurse, Contract Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager, Case Management, Utilization Review, Case Manager RN.
$1,247 a weekFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Traveling Registered Nurse, Travel, CVOR, RN CVOR, Contract, Travel, Traveling Nursing, Assignment, Registered CVOR, CVOR Nurse, CVOR RN, CVOR Nurse, CVOR Travel Nurse, Healthcare RN, CVOR Nursing, Nurse RN, RN Nurse, Contract RN.
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Focus of efforts include preventative maintenance, maximization of equipment utilization, parts inventory control, energy management, waste minimization/management, concurrent engineering, project identification and justification, craftsmen development, vibration analysis, process/machine troubleshooting, failure analysis, equipment design/fabrication/installation, fire/loss protection, and budget development/justification/maintenance.
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The Project Manager/Healthcare Analyst position is responsible for analyzing healthcare data related to our networks, claims, utilization, precertification, member engagement, cost management and activities supporting the development and implementation of corporate strategies.
$40 - $45 an hourFull-timeRemoteExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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The Utilization Management Nurse is responsible for determining and managing medical necessity of acute inpatient admissions utilizing clinical criteria. At least 1 year Utilization Review or Case Management experience preferred.
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Summary:The Utilization Management Nurse is responsible for determining and managing medical necessity of acute inpatient admissions utilizing clinical criteria. Escalate payer problems to UM RN II or Denials Management Specialist.
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Wells Fargo is seeking a Risk Asset Review Examination Senior Manager in Credit Risk. Learn more about the career areas and lines of business at wellsfargojobs.com. Credit Risk, which independently oversees the management of credit risk exposures (including monitoring and reporting on aggregate credit exposures across groups, legal entities, geographies, and jurisdictions) and the quality of credit risk management practices across the company.
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Supporting and coordinating with the Senior Audit Manager - Credit Risk and Senior Audit Director in developing and driving the execution and coordination of the risk-based Annual Audit Plan for Credit Risk (with a focus on credit risk review activities.
$139,740 - $180,840 a yearFull-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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If this opportunity is your next step in your career path, we encourage you to apply for our Adult Psychiatric Nurse - RN - PRN opening. Do you have the career opportunities as a(an) Adult Psychiatric Nurse - RN - PRN you want in your current role.
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Traveling Registered Nurse, Travel, ER, RN – ER, Contract, Travel, Traveling Nursing, Assignment, Registered ER, Emergency Room Nurse, ER RN, Emergency Room Nurse, ER Travel Nurse, Healthcare RN, ER Nursing, Nurse RN, RN Nurse, Contract RN.
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Review bi-weekly job cost reports (Controller/CFO) Review weekly labor allocation (General Superintendent/COO) Review and approve invoices (Controller/CFO) Maintain and review change order log (Project Coordinator.
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The Community Partner Referral Specialist will receive referrals from external agencies, document information regarding referral and schedule initial appointments, and coordinate referrals with Community Partner Manager, RN Manager and Center’s Clinical Managers to ensure continuity of care.
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nurse manager utilization review rn jobs Title: travel nurse manager Company: Ahs Nursestat in Dallas, TX
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