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This associate will be a liaison and point of contact for clinical denials and appeal inquiries. The Clinical Appeals Nurse will review each case identified/referred for appeal based on Milliman Care Guidelines (MCG), InterQual, and/or other relevant guidelines, determined the viability of the appeal, and manage the appeal process.
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The RN Clinical Appeals Nurse will actively manage, maintain and communicate denial/appeal activity to appropriate stakeholders, and report suspected or emerging trends related to payer denials.
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The Medical Science Liaison (MSL) is a field-based scientific expert that executes Pacira’s medical affairs strategy. Clinical or health sciences degree required with current or previous professional licensure strongly preferred (e.g., RN, RPh, PharmD, PA, DNP, MD, or PhD in a medically related field) from an accredited college or university.
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As part of its mission to transform the lives of people with behavioral health and IDD needs in the third largest county in the United States, The HARRIS CENTER provides a full continuum of services at 86 different sites across Harris County.
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The Clinic Medical Director will be overseeing the Senior Care Clinics which will include, Aurum Wellness (AMT), Jordan Family Healthcare (LSM), and Third Ward (LGC). Clinical lead at the site and direct supervisor of providers at the site in primary care (Pediatrics, Adult Family Practice & Specialty, and OBGYN.
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This position serves as a liaison between the Transplant Nurse Coordinator, Transplant Physicians, hospital ancillary departments and referral sources for patients who are referred for transplant and/or VAD services.
$22.79 - $31.33 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Acts as a company liaison between the owner and Textron Aviation to ensure that the concerns of all parties are fairly represented. Textron Aviation has been inspiring the journey of flight for nine decades through the iconic and beloved Cessna and Beechcraft brands.
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The 450 members of the DLDCCC generate more than $170M annually in cancer related research funding including more than $51M from the NCI. Two long-term SPORE grants in breast cancer and lymphoma, a third SPORE with MD Anderson in Brain tumors, and a Leukemia Lymphoma SCOR Grant are among 85 multi-investigator awards, half from NCI.
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Working Title : Clinical Lab Scientist I, Molecular Pathology - Day. The Clinical Laboratory Scientist I (CLS I) is an entry level position that functions under the direction of senior technical personnel.
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Job DescriptionThe RPA Developer will be responsible for design, development, testing and implementation of RPA bots that will interact with multiple third-party applications. Job DescriptionThe RPA Developer will be responsible for design, development, testing and implementation of RPA bots that will interact with multiple third-party applications.
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At Houston Methodist, the Chaplain Resident position is responsible for active participation in the Houston Methodist Clinical Pastoral Education (CPE) program for up to a year, which includes classroom learning and individual supervision from the Educator Clinical Pastoral Education and/or Manager Clinical Pastoral Education.
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At Triple-S Steel we live and work by our core values.
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Polar Tankers, a wholly owned subsidiary of ConocoPhillips, provides marine transportation for North Slope production, using five company-owned, double-hulled tankers in addition to chartering third-party vessels as necessary.
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The Maintenance Mechanic Golf Carts and Vehicles, under general supervision, performs a variety of skilled and technical tasks to repair and maintain golf carts and other vehicles at NRG Park. Also, acts as liaison between the facility and clients, ensuring all clients' requirements are met and facility rules, regulations and policies are adhered to.
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The Shift Leader Geophysicist assists the Chief Field Geophysicist in developing and executing the workflows to generate and QC the seismic deliverables. Under the direction of the Chief Field Geophysicist execute the workflows and analyze the QC outputs as part of the department effort to generate and QC the seismic deliverables.
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third shift clinical liaison jobs Title: part in Houston, TX
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