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KEPRO
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Arkansas
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, improving quality and utilization management programs, and coaching medical staff on healthcare business and ... public sector.
The Dental Physician Reviewer will oversee utilization /management (UM
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KEPRO
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Arkansas
...
, improving quality and utilization management programs, and coaching medical staff on healthcare business and ... public sector.
The Dental Physician Reviewer will oversee utilization /management (UM
...
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KEPRO
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Arkansas
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Surgeon will oversee utilization review/management activities to include peer review, utilization review ... consultations as needed.
Discuss complicated Utilization Management reviews or clinical scenarios with
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KEPRO
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Arkansas
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utilization review/management activities to include peer review, utilization review, fair hearings and appeals ... .
Discuss complicated Utilization Management reviews or clinical scenarios with
Utilization
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Aegis Therapies
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Fort Smith, Arkansas
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://aegistherapies.com/equal-opportunity-employer-provider-of-healthcare-services/ . ...
GENERAL PURPOSE
Provide essential recruiting and sourcing services to our Recruiting Team to
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Humana
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Little Rock, Arkansas
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, utilization management, case management, discharge planning and/or home health or post acute services such as ... interpretation and determinations whether services provided by other healthcare professionals are in agreement
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Humana
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Little Rock, Arkansas
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insurance, other healthcare providers, clinical group practice management.
Utilization management ... interpretation and determinations whether services provided by other healthcare professionals are in agreement
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KEPRO
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Arkansas
...
management and oversight of Arkansas Utilization Management Contract activities within clinical, contractual ... .
Advises and manages direct reports relative to their responsibilities for utilization management review
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Humana
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Little Rock, Arkansas
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communication of medical services and/or benefit administration determinations. The Utilization Management Nurse ... the appropriate courses of action.
The Utilization Management Registered Nurse 2 uses clinical
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Humana
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Little Rock, Arkansas
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medical interpretation and determinations whether services provided by other healthcare professionals are ... in teams focusing on quality management, utilization management, case management, discharge planning
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Humana
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Little Rock, Arkansas
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determinations whether services provided by other healthcare professionals are concordant with national ... , with prior experience participating in teams focusing on quality management, utilization management
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Humana
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Little Rock, Arkansas
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and determinations whether services provided by other healthcare professionals are in agreement with ... in teams focusing on quality management, utilization management, case management, discharge planning
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Humana
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Little Rock, Arkansas
...
medical interpretation and determinations whether services provided by other healthcare professionals are ... participating in teams focusing on quality management, utilization management, case management, discharge
...
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Intermountain Health
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Little Rock, Arkansas
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, utilization management strategies and supply management strategies.
Serves as primary executive point of ... Intermountain Healthcare by coordinating complex and critical decision-making processes, implementation, and
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KEPRO
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Arkansas
...
.
Summary Description
The Dental Clinical Specialist is responsible for the Utilization Management ... treatment planning experience to support the healthcare business process services team. Our client may also
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HealthEdge Software Inc
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Little Rock, Arkansas
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for Quality Assurance), CMS (Centers for Medicare & Medicaid Services), URAC (Utilization Review ... Overview
Position Overview:
Looking for a subject matter expert in the healthcare
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Prime Therapeutics
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Little Rock, Arkansas
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management, reporting & analytics, benefits consulting, healthcare, financial services or related field ... for Centers for Medicaid/Medicare Services reporting and analysis, including the management of
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Humana
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Little Rock, Arkansas
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interpretation skills, with prior experience participating in teams focusing on quality management, utilization ... , hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers
Utilization
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KEPRO
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Arkansas
...
.
Summary Description
The Dental Clinical Specialist is responsible for the Utilization Management ... treatment planning experience to support the healthcare business process services team. Our client may also
...
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Humana
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Little Rock, Arkansas
...
insurance, other healthcare providers, clinical group practice management
Utilization management ... focusing on quality management, utilization management, case management, discharge planning and/or home
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Highmark Health
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Little Rock, Arkansas
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then creates the case (data entry) in Highmark's utilization management system for clinical review ... utilization management system.
Use knowledge of process and judgement to evaluate identified cases that
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Highmark Health
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Little Rock, Arkansas
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then creates the case (data entry) in Highmark's utilization management system for clinical review ... utilization management system.
Use knowledge of process and judgement to evaluate identified cases that
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Wellpath
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Malvern, Arkansas
...
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Monitor and optimize healthcare utilization, from pharmacy formulary adherence to inpatient ... offer ongoing training and development opportunities for licensed and unlicensed healthcare team members
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Humana
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Little Rock, Arkansas
...
**
Registered Nurse
Experience in Medicare Utilization Management
Project Management Professional (PMP ... company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for
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Oracle
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Little Rock, Arkansas
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Energy & Utilities
Financial Services
Healthcare
Strategic Accounts/Pursuits
Direct ... and management of OCI resources, ensuring consistency and efficiency.
**Security and Compliance
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Highmark Health
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Little Rock, Arkansas
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implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization, identification of
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Oracle
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Little Rock, Arkansas
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utilization and experience, facilitating contract renewals, increased customer satisfaction, service level ... using Oracle Health solutions and services. The CSM seeks and identifies opportunities for ongoing
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Acadia Healthcare
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Conway, Arkansas
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planners, social workers, case managers, physicians and management, as well as provide education staff to ... with hospital discharge planners, social workers, case managers, physicians, management, inpatient unit
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Oracle
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Little Rock, Arkansas
...
Energy & Utilities
Financial Services
Healthcare
Strategic Accounts/Pursuits
Direct ... and management of OCI resources, ensuring consistency and efficiency.
**Security and Compliance
...
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Oracle
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Little Rock, Arkansas
...
Energy & Utilities
Financial Services
Healthcare
Strategic Accounts/Pursuits
Direct ... and management of OCI resources, ensuring consistency and efficiency.
**Security and Compliance
...
