- Truecare Homecare Agency (Brooklyn, NY)
- …teams + Knowledge of Medicare/Medicaid home care regulations + Case management or utilization review experience Skills & Competencies + Strong clinical judgment ... and support field nurse assessors conducting in-home patient assessments + Review and validate clinical assessments, care recommendations, and documentation + Ensure… more
- Veterans Affairs, Veterans Health Administration (St. Louis, MO)
- …by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities VA Careers - Licensed Clinical Social ... etc. Prepares reports and statistics about Homeless Program services and utilization for facility, VISN, and national leadership. Monitors national performance… more
- Centene Corporation (New York, NY)
- …to competitive benefits including a fresh perspective on workplace flexibility. Remote role with once/quarter in-person meeting **Position Purpose:** With the ... loss ratios, IBNR concepts, and variance/root cause analysis. + Ability to review and validate financial data, perform reconciliations, and ensure accuracy prior to… more
- GE Vernova (Concord, CA)
- …for scheduling, compliance to standards and specifications, value engineering, design review planning, and ensuring quality assurance and control. + Develop and ... cross-discipline coordination to deliver fully integrated substation solutions. + Review and contribute to ITO (Inquiry-to-Order) process deliverables, including: +… more
- System One (Las Vegas, NV)
- …effective utilization of long-term services and supports through clinical review and benefits management. Essential Functions: + Serve as point of contact ... - Nevada Location: Nevada Type: Contract Compensation: $33/Hour Contractor Work Model: Remote Title: LTSS Coordinator - Nevada ALTA is supporting a 5-month contract… more
- Health Care Service Corporation (Helena, MT)
- …and decision-making skills. *PC and database experience. **PREFERRED JOB REQUIREMENTS:** * Utilization review experience. *MUST be licensed to practice at the ... Summary** This position is responsible for ensuring accurate and timely clinical review of behavioral health cases for medical necessity including assisting members… more
- ServiceNow, Inc. (Pleasanton, CA)
- …dependencies + Implement git-native workflows with automated notebook versioning, code review integration, and CI/CD pipelines + Build observability and monitoring ... development practices and mentor future team members on effective AI tool utilization + Drive innovation in AI-assisted code generation, testing, and platform… more
- State of Minnesota (Blackduck, MN)
- …student interns, and emergency hire firefighters to meet assigned objectives. + Review and approve, or deny, burn permit requests. This position requires the ... tasks with or without accommodation; the ability to work independently in remote locations sufficient to accomplish work without immediate supervision: as well as… more
- Chiesi (Cary, NC)
- …management, contract clause library upkeep, contract prioritization tracking/reporting, and peer review of contract drafts and SOWs. The role is highly visible ... legal documents, ensure a clear audit trail. Perform peer review of contract drafts and SOWs as needed. +...in using Microsoft Word for editing and formatting, including utilization of comments and tracked changes features, experienced with… more
- CVS Health (Phoenix, AZ)
- …+ Utilizes skills to coordinate, document and communicate all aspects of the utilization /benefit management program. + Evaluation of Members; Through the use of care ... management tools and information/data review , conducts comprehensive evaluation of referred member's needs/eligibility and recommends an approach to case resolution… more
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