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- ...Discover your 100% YOU with MicroSourcing! Position: Utilization & Denials Management Manager Location: Taguig... ...Mentor Utilization Management/Clinical Denials & Appeals supervisors, trainers/QA specialists, or RN specialists to support succession...
- ...Job Title Utilization Review Nurse (USRN Only - Dayshift) Description About the Role We are looking for a Medical Benefits Review Nurse who will review healthcare service requests and determine coverage eligibility based on clinical criteria and U.S. Federal...
- ...Job description: We are hiring US Registered Nurses (USRN) with Utilization Management (UM) experience to join our growing healthcare operations team in BGC. If you are looking to move into a non-bedside, corporate healthcare role while still using your clinical expertise...
- Description Perform routine maintenance tasks in various facilities. Assist with electrical and carpentry projects as needed. Maintain building upkeep and ensure safety regulations are met. Support in construction and repair activities. Handle tools and ...
- Job description: Position: PUMPCREW/PLANT UTILITY concrete pumping operations (setup, cleaning, basic maintenance of pumpcrete equipment, etc.) and general plant cleaning and assistance (janitorial, minor repairs, assisting skilled staff, material transport, safety compliance...
- JOB SUMMARY The position is primarily responsible for ensuring cleanliness and orderliness in the Clinic premises and in assisting patients or customers going in and out of the Clinic. JOB QUALIFICATIONS Candidate must possess at least Vocational Diploma/Short...
- Some careers shine brighter than others. If you’re looking for a career that will help you stand out, join HSBC and fulfil your potential. Whether you want a career that could take you to the top, or simply take you in an exciting new direction, HSBC offers opportunities...
- ...8:00 AM Philippines Time Role Description The Senior Utility Specialist plays a key role in supporting multiple U.S.-based... ...integrity. Communicate discrepancies or anomalies promptly to supervisors for resolution. 2. Billing and Audit Management Conduct...
- ...with an active and valid US Registered Nurse (USRN) license. At least 1-2 years of managerial experience leading Team Leaders, Supervisors, or similar roles. Proven experience managing teams that handle Utilisation Management and clinical denials. Hands-on...
- ...Department Utilities Employee Type Probationary Experience your best self with URC! Universal Robina Corporation is looking... ...affecting machine operation and product quality to Production Supervisor. Ensures proper turnover of the machine operation to his...
- ...independent fuel company in the country - join us as our next Utility Personnel - Bauang, La Union! What is this role about? The... ...any maintenance needs, hazards, or irregularities to the supervisor Support unloading, stacking, and proper storage of incoming...
- Just imagine your future with us At Aurecon we see the future through a very different lens. Do you Innovation eminence and digital are at the heart of everything we do. Are you excited about the future Are you driven by the opportunity to work on some of ...
- ...JOB SUMMARY The Utility Staff is responsible for ensuring that the clinic premises are consistently clean organized and well-maintained. This role plays a critical part in creating a safe hygienic and welcoming environment for patients visitors and staff. The position...
- Grievance & Appeals ~ Creates complete appeal records for external appeal reviews, using standardized Independent Review Entity (IRE) forms and including all required documentation. ~ Creates a detailed case summary in narrative format for each appeal. ~ Submits...
- ...levels of customer service by providing tailored solutions based on each customers unique situation including programs related to utilities such as electricity billing water gas and energy. Key Responsibilities Engage with customers through email chat or phone depending...
- ...Career Opportunity: Utilization Management US Registered Nurse Senior Analyst Grievance & Appeals • Creates complete appeal records for external appeal reviews, using standardized Independent Review Entity (IRE) forms and including all required documentation. • Creates...
- ...JOB SUMMARY We are seeking a skilled Utilization Review Coordinator (URC) to oversee patient insurance certification, compliance with governmental regulations related to hospital stays, and the prevention of denials. Embedded within our utilization review management...
- ...CBS is looking for a highly experienced Sr Wet Utilities Engineer to join our innovative team. In this senior role, you will be responsible for leading the design, analysis, and management of wet utility systems, including water distribution, wastewater management, and...
- ...owners/risk managers/champions in respective business verticals where the controls are owned. The team will be part of central Control utility function within operations. Responsibilities General, strategic, and culture Provide independent review and challenge on...
- ...Utilization Review Nurse Location: Philippines About Us: HBiz is a leading Revenue Cycle Management (RCM) company dedicated to helping healthcare providers optimize their financial performance. We specialize in delivering innovative solutions that streamline revenue...
- ...accordance with procedures Process, productivity, and quality targets are set, monitored and achieved to ensure optimum resource utilization and achievement of business objectives and customer Service Level Agreements (SLAs) Procedural changes/new initiatives are...
- ...MONTE PHILIPPINES, INC. is in need of an: Instrumentation Supervisor The Instrumentation Supervisor coordinates the daily... ...maintenance programs that ensure stable electrical energy and the safe utilization of all machineries to support continuous cannery operations...
- ...Description This is a full-time on-site role for an Accounting Supervisor, based in Alabang . The Accounting Supervisor will oversee... ...financial statements, manage financial reporting processes, and utilize accounting software to ensure financial records are maintained...
- ...prioritize, and monitor daily workflows to ensure balanced capacity utilization, timely completion of tasks, and adherence to turnaround time... ..., with exposure to SLA-driven delivery models as a Supervisor. Required Skills Strong working knowledge of workflow...
- ...offices in the U.S., Latin America, Asia and Europe. The Audit Supervisor will lead a team of Logistics Data Analysts/Auditors across... ...schedule deliverables. Conduct weekly planning sessions, utilizing KPI reports and scorecards to maintain consistent audit operations...
- ...Job Summary The Operations Supervisor will oversee day-to-day operational activities to ensure efficient workflow, timely execution... ...company policies, safety procedures, and operational standards. Utilize technology tools for monitoring, reporting, and communication...
- ...bigger. Because People Matter. Position Title: Accounting Supervisor Job Summary: Are you an experienced accountant looking to... ...members, providing informed responses and building rapport. Utilize and adapt to accounting systems like QuickBooks Online (QBO),...
- ...CBS is seeking a highly skilled Sr Dry Utilities Engineer to join our expert team. In this senior role, you will be responsible for overseeing the design, planning, and implementation of dry utility systems, which include electricity, gas, telecommunications, and other...
- ...operation. Analyze client current processes and suggest improvements. Implement best practices for Asset Management System for Utilities (Generation, Transmission and Distribution): Works Management for Electrical Generation, Transmission & Distribution, Gas Storage,...
- ...responsible for conducting financial audits and internal control reviews. The day-to-day tasks include analyzing financial statements, utilizing analytical skills to assess financial data, and ensuring compliance with auditing standards. The role requires a strong...
