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RestoraCare Staffing is seeking a Registered Nurse (RN) Case Management for a nursing job in Houston, Texas. Strong analytical, data management and PC skills Current working knowledge of discharge planning, utilization management, case management, performance improvement, disease or population management and managed care reimbursement.
$44 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Memorial Hermann Health System is seeking a Registered Nurse (RN) Case Management Director for a nursing job in Houston, Texas. LCSW preferred and Certified Case Manager (CCM), Accredited Case Manager (ACM) or.
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Current working knowledge of discharge planning, utilization management, case management, performance improvement, disease or population management and managed care reimbursement. Experience in utilization management, case management, discharge planning or other cost/quality management program preferred.
$90,000 - $100,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Assists in the collection and reporting of financial indicators including case mix, LOS, cost per case, excess days, resource utilization, readmission rates, denials and appeals. In addition, the Case Manager helps drive change by identifying areas where performance improvement is needed (e.g., day to day workflow, education, process improvements, patient satisfaction.
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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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Regularly meets with the Director, Special Waste Sales, General Manager and Special Waste Representative(s) for review of monthly special waste activity reports and customer relationship activities as required.
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Communicate with the HSE Manager, HSE Coordinator, and Case Manager daily advising of vessel activities, issues, safe acts, etc. Coordinate with the Division HSE Manager and HSE department personnel to ensure effective use of best practices and consistency in approach to HSE responsibilities.
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Analyze data; review logs; and run reports in Oracle Primavera Contracts Manager software and/or the Oracle Financials MIS/PPS Accounting software. Responsible for the review of upstream (prime contract) / downstream (PO & subcontract) change orders.
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Our team has achallenging and exciting opportunity for an experienced autonomous vehicle or Spacecraft Systems Engineer to support design of the Lunar Gateway Vehicle Systems Manager (VSM) computing system and software.
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Leading FEMA MIP deliverable compilation and review within a flood risk study lifecycle. CDM Smith is currently seeking a GIS professional in various geographical locations to serve as flood risk study manager and quality reviewer in support of FEMA Risk MAP (Risk Mapping, Assessment, and Planning) activities nationwide.
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Review journal entries (SAP) and monthly balance sheet reconciliations and tasks (Blackline). The Manager, Corporate Accounting will oversee the daily operations of multiple legal entities, manage corporate accounting team of 3 corporate accounting staff, complete internal controls and assist in process development.
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Preferred License, Certification, AssociationCertified Case Manager (CCM), Certified Professional in Healthcare Management Certification (CPHM), Certified Professional in Health Care Quality (CPHQ), or other healthcare or management certification.
Starting at $59,810.6 - $129,589.63 a year depends on education, experienceFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Contribute to the development, review and approval of written policies and procedures necessary for compliance with all Reliability Requirements applying to Calpine, specifically as they relate to: Generator Owner (GO) and Generator Operator (GOP) functions as defined by NERC.Assist in tracking regulatory enforcement actions litigated by the CFTC, CME, and FERC, and summarizing pertinent case facts.
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Must pass the Judicial Branch Certification Commission's criminal history check to be certified as a Guardian Case Manager and obtain and maintain a Provisional Guardianship Certification.
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Utilization of process simulation software including: Aspen Plus, HYSYS, ProMax, Fathom or Arrow; Generate process design simulations utilizing software such as Aspen Plus, HYSYS, ProMax, or ProII. Analyze project, client, or technical supplier data to prepare relevant process engineering calculations and documents.
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utilization review nurse case manager jobs in Houston, TX
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