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The Utilization Management Nurse collaborates as necessary with other members of the health care team to ensure the above according to the mission of CHRISTUS. The Utilization Management Nurse III is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services.
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Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing.
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5 to 10 years work experience in occupancy or space planning for corporate clients; or interior office planning, move/project management or related Facilities function in a corporate real estate setting as a vendor or end user.
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Cybersecurity focused Supply Chain Risk Management and/or Third-Party Risk management operations, assessment and enablement. NIST Risk Management Framework and Assessment and Authorization enhancement, operations and governance.
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Evaluate systems, management tools, procedures and or policies for improvement and participate in the strategic planning with IBC IT Management. Experience with identity management, access controls, and traffic enforcement, policy management, traffic analysis, packet trace inspection, investigation, and reporting.
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3 to 5 years of experience in Digital Experience Platforms (DXP) or Content Management Systems (CMS), MarTech, or Enterprise Web Technology fields is strongly preferred. Built on leading Java technology, dotCMS is an open-source, hybrid-headless content management system that gives developers the flexibility of a headless CMS while equipping marketers with no-code visual content authoring.
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In addition to strong technical experience, other responsibilities will include research, coordination, project management, staff management, cost estimating, permitting for land disturbance and preparation of bid packages as well as technical specifications.
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Keywords:Chicago IL Jobs, Middle Office Back Office Analyst, Bloomberg, Reuters, Fidessa, Risk Management, Trading Processing, Reconciliation Tools, Trade Capture, Reporting Tools, MS SQL, Stored Procedures, Data Models, Database Security, Python, OOP, Object Oriented Programming, OOD, Object Oriented Design, Trading, Financial, Remote, Work From Home, Chicago Recruiters, Information Technology Jobs, IT Jobs, Chicago Recruiting.
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Familiarity with any of these SAP Functional modules: Asset Management (EAM), Finance (FI), Funds Management (FM), Controlling/Cost Management (CO), Materials Management (MM), Inventory Management/Warehouse Management (IMWM), Project Systems (PS), Sales and Distribution/Reimbursables (SD), Production Planning (PP), Plant Maintenance (PM), Customer Relationship Management (CRM) Real Property (RP), S/4HANA Defense & Security, Public Sector, Oil & Gas Industry Solutions.
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Conduct Transitional Care Management activities to high risk patients discharged from the hospital and the ER to reduce unnecessary readmissions, including medication reconciliation, medication adherence, identify red flags, address barriers, encourage follow-up care, how and when to seek appropriate level of care.
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Must have working knowledge of discharge planning, utilization management, case management, performance improvement, and managed care reimbursement. The CM is responsible for identifying, initiating, and managing optimal patient flow/throughput to enhance continuity of care, smooth and safe transitions, patient satisfaction, patient safety, and length of stay management.
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15+ years of related project experience in Civil Design, CCR, Environmental Infrastructure or Geotechnical Engineering projects related to CCR management, solid waste management, remediation construction, water resources, dams and impoundments.
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As a Project Cost Controller III, typical responsibilities include:+ Developing monthly, annual, and project lifetime cost forecasts;+ Planning and managing contractor project controls deliverables in conjunction with contractual requirements;+ Assembling project financial status reports; managing and administering project change control activities;+ Analyzing project costs to support project management decision making and communicating project financial performance with upper management.
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Deep experience in operating risk and compliance standards, including PCI, HIPAA, and HITRUST, and enterprise risk management practices. Humana's Associate Vice President (AVP), Technology and Cybersecurity Risk works closely with all areas of Enterprise Information Protection (EIP), Internal Audit, Enterprise Risk Management, business units, regulatory agencies, and industry groups to ensure the company's technology and cybersecurity risks are effectively managed and compliance objectives are achieved.
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Master's or higher degree in Public Administration, Public Affairs, Public Policy, Public Management, Business Management, Justice Administration, Organizational Behavior, Leadership, or Theory, or Political Science w/a focus in public administration management/institutional politics, or a JD w/a specialization in administrative law.
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