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May 28 Allscripts EMR Testing Coordinator Contract Job Soliant Health Freeport, NY

experience performing the above mentioned job functions -Extensive testing and/or ... for this EMR Testing Coordinator Contract job, please apply through this posting or... more

May 25 Rulemaking Coordinator Energetics Washington, Dc

Job Description & Responsibilities BRIEF DESCRIPTION OF ESSENTIAL FUNCTIONS OF JOB AS ... in both paper and electronic formats; review/edit documents for grammar,... more

May 25 RN Clinical Reimbursement Coord MDS - PPS Experience Full Time Genesis Healthcare/rehab Svcs Boston, MA

Time - Permanent Recruiter : Honohan, Nancy Job Description : Coolidge House a 180 bed ... provided within the Center. Conducts concurrent MDS reviews to assure achievement... more

May 22 Clinical Reimbursement Coordinator Genesis Rehabilitation Hatboro, PA

Responsibilities also include conducting concurrent MDS reviews to assure achievement of maximum allowable RUG categories. For more information, please contact Jenifer Dolan... more

May 22 RN Clinical Reimbursement Coord MDS - PPS Experience Full Time Genesis Rehabilitation Brookline, MA

provided within the Center. Conducts concurrent MDS reviews to assure achievement ... to Administrator/care team; 1.3 Performs concurrent MDS review to insure appropriate... more

May 22 Case Manager/Care Coordinator II-Medicare Special Needs Prog Health Net Tempe, AZ

JOB SUMMARY: CASE MANAGER/CARE COORDINATOR II - Medicare Special Needs Program (SNP) - TEL ... Medical Directors. * Performs prospective, concurrent and retrospective reviews and... more

May 22 MDS Coordinator Genesis Rehabilitation St Albans, VT

provided within the Center. Conducts concurrent MDS reviews to assure achievement of maximum allowable RUG categories. He/she will integrate information from nursing, dietary,... more

May 22 LCSW Case Manager/Care Coordinator II-State Health Programs Health Net Stockton, CA

JOB SUMMARY: LCSW CASE MANAGER/CARE COORDINATOR II-Outpatient/Ambulatory - State Health Pr ... Medical Directors. * Performs prospective, concurrent and retrospective reviews and... more

May 22 RN MDS Coordinator Part Time Genesis Rehabilitation Wallingford, CT

provided within the Center. Conducts concurrent MDS reviews to assure achievement of maximum allowable RUG categories. He/she will integrate information from nursing, dietary,... more

May 22 RN 1st level Utilization Review CSI Health Tampa, FL

peer review any medical services where review conditions warrant such actions. ... review determinations. Performs admission/concurrent medical record reviews via... more

May 22 Clinical Reimbursement Coordinator Floater RI and MA License Genesis Rehabilitation Andover, MA

provided within the Center. Conducts concurrent MDS reviews to assure achievement ... to Administrator/care team; 1.3 Performs concurrent MDS review to insure appropriate... more

May 22 Care Manager II-Concurrent Review-State Health Programs - TE Health Net Fresno, CA

Title: Care Manager II-Concurrent Review-State Health Programs - TELECOMMUTING OPTION! ... JOB SUMMARY: CARE MANAGER II-Concurrent Review/Prior Auth - State Health Programs TELECOMM... more

May 22 Clinical Reimbursement Coordinator (CRC) Genesis Rehabilitation Windsor, CT

provided within the Center. Conducts concurrent MDS reviews to assure achievement of maximum allowable RUG categories. He/she will integrate information from nursing, dietary,... more

May 22 Utilization Review AMERIGROUP Atlanta, GA

Manager RN - inpatient concurrent review Job ID: 2012-19097 Positions: 1 ... Director. - Review Plan appeal items for concurrent and retrospective reviews as... more

May 15 MDS Coordinator-CRC Genesis Rehabilitation Silver Spring, MD

provided within the Center. Conducts concurrent MDS reviews to assure achievement ... to Administrator/care team; 1.3 Performs concurrent MDS review to insure appropriate... more

May 11 Case Manager/Concurrent Review RN Community Health Center Network/alameda Health Con San Leandro, CA

* Assist UM Manager in the periodic review and update of UM/Case Management policy and pro ... Medicare, Commercial). * Inpatient concurrent review, especially working with... more

May 10 Concurrent Review Nurse Coventry Health Care of Georgia Morrisville, NC

immediate opening for three (3) Concurrent Review Nurses in our Morrisville, NC office. ... -- Coordinates, directs, and performs concurrent and retrospective reviews;... more

May 07 Utilization Review - Rn Dignity Health Sacramento, CA

conducting telephonic inpatient concurrent review Work with healthcare agencies and ... with appropriate documentation. Conducts review for appropriate utilization of... more

May 03 Utilization Review Registered Nurse RN Xlhealth Baltimore, MD

Responsibilities: Preauthorization and concurrent utilization review of requests ... identification, routing and resolution of concurrent review requests. Coordinate with... more

Apr 29 Project Coordinator Thomson Reuters Austin, TX

supervisors and direct reports Monitor and review the performance of staff and organize ... 20-25 people Experience managing multiple concurrent data entry related projects Goal... more

Apr 18 Care Coord Premera Blue Cross Mountlake Terrace, WA

necessity review that includes: inpatient review, concurrent review, discharge ... moving about. 1. Conducts medical necessity review that includes: inpatient review,... more

Nov 09 Utilization Review Nurse Trustaff Florida

analysis of risk assessment, historical and concurrent occurrence and claims data and ... systems. - Acts as an active member of peer review committees; analyzes cases and outcome... more

More Job Postings from the Web
May 28 Concurrent Review Coordinator Coventry Healthcare San Antonio, TX

Job Title: Concurrent Review CoordPosting Location: TX - San AntonioLocation: TX - San ... to building a talented and diverse team.Concurrent Review CoordinatorGENERAL... more

May 28 RN Clinical Reimbursement Coord MDS - PPS Experience Full Time Genesis Healthcare Brookline, MA

provided within the Center. Conducts concurrent MDS reviews to assure achievement ... to Administrator/care team; 1.3 Performs concurrent MDS review to insure appropriate... more

May 28 Concurrent Review Coord Coventry Healthcare Downers Grove, IL

Job Title: Concurrent Review CoordPosting Location: IL - Downers GroveLocation: IL - ... to building a talented and diverse team.Concurrent Review CoordinatorGENERAL... more

May 26 Patient Care Coordinator Case Manager (1409) Kaiser Permanente Walnut Creek, CA

atient Care Coordinator Case Manager (1409)( Job Number: 137412) No matter what your job ... Employee Group : Non-Union, Non-Exempt Job Level : Manager with Direct Reports Job :... more

May 26 Concurrent Enrollment Coordinator (2 positions available) Community College of Aurora Aurora, CO

concurrent enrollment classes and programs Review adjunct faculty qualifications and ... To view a full job description, please visit: http://www.ccaurora.edu... more

May 25 Concurrent Enrollment Coordinator Front Range Community College Fort Collins, CO

Job Start Date: July 9, 2012 Apply Now GENERAL SUMMARY: The Concurrent Enrollment Coordina ... forward for screening. Please review the job duties and minimum requirements... more

May 25 Utilization Review Specialist Part time weekends Vidant Medical Center Greenville, NC

Utilization Review Specialist Part time\weekends The Utilization Review Specialist will ... Coordinates retrospective medical necessity review as identified by internal and external... more

May 25 Registered Nurse (Utilization Review) VN-0610-I-III IRS Gainesville, FL

include: * Pre-certification, admission, concurrent discharge, retrospective and ... SC issues and documents the results of the review in VISTA and Stockamp and coordinates... more

May 25 Care Manager II-Concurrent Review - PART-TIME - Telecommuting Option! Health Net of California Sacramento, CA

JOB SUMMARY: CARE MANAGER II-Concurrent Review - PART-TIME - Telecommuting ... audits, monitor and oversee workflow, review and maintain policies and procedures,... more

May 24 Care Manager II-Concurrent Review - PART-TIME - Telecommuting Option! Health Net Rancho Cordova, CA

JOB SUMMARY: CARE MANAGER II-Concurrent Review - PART-TIME - Telecommuting ... California, Inc. - 4001 Schedule -Part-time Job Type -Regular Shift -Day Job Travel -Yes,... more

May 24 Registered Nurse (Utilization Review) VN-0610-I-Iii United States Department of Veterans Affairs Gainesville, FL

include: * Pre-certification, admission, concurrent discharge, retrospective and ... SC issues and documents the results of the review in VISTA and Stockamp and coordinates... more

May 24 Master Health Services Analyst-Systematic Reviews Job Mayo Clinic Rochester, MN

Job Posting Number: 4551BR Job Posting Title: Master Health Services Analyst-Systematic ... Department: Health Science Research Job Description Provides both lead and... more

May 23 Internal Review Coordinator Registered Nurse Arkansas Foundation For Medical Care Arkansas

JOB TITLE: Internal Review Coordinator - Registered Nurse FLSA STATUS: Exempt SCOPE OF ... with government reimbursement policies. Review may be prior authorization, concurrent... more

May 23 RN UR Coordinator Xerox Cheyenne, WY

Position: Registered Nurse Utilization Review Coordinator This position is remote/virtual ... selected services or procedures, concurrent review, discharge planning and retrospective... more

May 23 Inforce Coordinator Pacific Life Insurance Company Aliso Viejo, CA

Under minimal supervision, identify, review, assist and coordinate complex ... and court documents. Perform quality review by auditing Inforce work and assess... more

May 22 Telephonic Clinical Reviewer Blue Cross Blue Shield of Massachusetts Quincy, MA

* Conduct pre-certification and concurrent and retrospective clinical review ... provider experience * Facilitate review process by communication with... more

May 22 RN Patient Care Coordinator - Bridge To Home Caresource Dayton, OH

Prospective, retrospective and concurrent review of inpatient admissions, ... needs and coordinate care. Perform any other job related instructions as requested, with... more

May 22 RN - ANII - NURSE COORD DIGESTIVE DISEASES Ucla Health System California

collaboration with the program supervisor. Job Qualifications: Comply with regulatory ... workload. Ability to manage numerous concurrent tasks in a high stress environment... more

May 21 Utilization Review Coordinator - Registered Nurse John C. Lincoln Healthcare Network Phoenix, AZ

of care through comprehensive concurrent review for medical necessity of outpatient ... review. ? Initiates the appeal process for concurrent denials. ? Provides Case Manger,... more

May 21 Concurrent Document Improv Spe Florida Hospital Tampa Tampa, FL

with Case Management. Facilitates concurrent modifications to clinical ... coding experience. Preferred: Utilization review or coding experience preferred 1. more

May 21 Concurrent Document Improv Spe University Community Health Tampa, FL

with Case Management. Facilitates concurrent modifications to clinical ... coding experience. Preferred: Utilization review or coding experience preferred 1. more

May 20 MBM Utilization Review Nurse - Indianapolis, Express Scripts Indiana

Independently perform prospective/concurrent/retrospective and claims reviews on home heal ... Review clinical information and apply the health plans guidelines/criteria to determine me... more

May 18 RN UR Coordinator Affiliated Computer Services Helena, MT

Position: Registered Nurse Utilization Review Coordinator This position is remote/virtual ... selected services or procedures, concurrent review, discharge planning and retrospective... more

May 18 Utilization Review Coordinator St Elias Specialty Hospital Anchorage, AK

and policies governing utilization review. Ability to review and verify ... *Review information in medical record; obtain and review information from patient, physici... more

May 17 Utilization Management/Review Coordinator Insight Psychological Centers Chicago, IL

We are seeking a Utilization Review Coordinator who will be responsible for obtaining ... required. Two years of Utilization Review experience in a behavioral healthcare... more

May 17 Concurrent Review Coord, RN Job Coventry Health Care Kansas

Job Title: Concurrent Review Coord Posting Location: KS - Wichita (8535 E 21st N) ... Number: 172775 External Description: Concurrent Review Coordinator,l RN GENERAL... more

May 17 Coordinator, QI Performance Tracking, Medical Records, Health, Nurse Northside Hospital Atlanta, GA

Tracking will be responsible for performing concurrent and retrospective review of ... Nurse, BSN, RN, MSN, Nursing, Utilization Review, QA, QC, Quality Assurance, Medical... more

May 16 Utilization Manager RN - inpatient concurrent review Job AMERIGROUP Atlanta, GA

Manager RN - inpatient concurrent review Job ID: 2012-19097 # Positions: 1 Location: ... Director. - Review Plan appeal items for concurrent and retrospective reviews as... more

May 16 Utilization Manager RN - inpatient concurrent review AMERIGROUP Atlanta, GA

* Performs on-site and/or telephonic review of acute and subacute services ... Director. * Review Plan appeal items for concurrent and retrospective reviews as... more

May 16 Utilization Managment Coordinator SMA Behavioral Health Services Daytona Beach, FL

when assigned. Responsibilities Performs concurrent reviews as assigned by Clinical ... When assigned or review requires it, coordinator is knowledgeable of up to date standards/... more

May 15 RN : Utilization Review/ Case Managment/ Concurrent Review Healthcare Support Staffing Tampa, FL

peer review any medical services where review conditions warrant such actions. ... review determinations. Performs admission/concurrent medical record reviews via... more

May 14 Core Measures/Clinical Documentation Coordinator St. Catherine of Siena Smithtown, NY

in real-time. Applicant will provide concurrent chart review and will work with ... Actively participates in concurrent case review to ensure that evidence-based best... more

May 12 Office Engineering Coordinator URS Los Angeles, CA

Managers and Design/Build Contractor. Review design schedules and budgets with ... review process via Electronic Document Review (EDR) database. Oversight of... more

May 10 STROKE COORDINATOR - NIMU/STROKE - DAYS Memorial Hermann Texas

Support; Advanced Cert per Unit Requirement Job Summary: The Stroke Program Coordinator ... coordinate stoke care * Performs daily and concurrent review of patients treated with... more

May 09 12-1024: Sr. Review Coordinator Ifmc West Des Moines, IA

concurrent or retrospective utilization review/medical management for all services ... Coordinates and participates in peer-to-peer review as warranted. With prior management... more

May 08 RN - Core Measure Review Nurse (PRN) HCA Healthcare Webster, TX

documentation for require elements by concurrent chart review in Meditech and ... Improvement/process REQUIRED. - Recent concurrent core measure review experience. -... more

May 08 RN - Core Measure Review Nurse (PRN) Swedish Medical Center Webster, TX

documentation for require elements by concurrent chart review in Meditech and ... Improvement/process REQUIRED. - Recent concurrent core measure review experience. -... more

May 08 Concurrent Review RN Healthcare Support Staffing Metairie, LA

We are seeking a Concurrent Review RN to work in office for an expanding Managed Care ... Director. Review Plan appeal items for concurrent and retrospective reviews as... more

May 08 Care Manager II-Concurrent Review-State Health Programs - TELECOMMUTING OPTION! (Fresno or Rancho Cordova Health Net of California Fresno, CA

at www.healthnet.com .   JOB SUMMARY :   The Care Manager II is responsible for providing care management services to beneficiaries with planned admissions... more

May 07 Clinical Resource Coordinator - 52324070 Clinical Resource Management MedStar Washington Hospital Center Washington, DC

care through concurrent medical record review of selected patient populations, collaboration with physician and ancillary staff to make appropriate referrals, use of clinical... more

May 06 Concurrent Review Coordinator San Antonio, TX

programs. EOE, M/F/V/D CONCURRENT REVIEW COORDINATOR Job Req # 171939 ... careers.cvty.com and refer to the applicable Job Req # above. Click here to see Newspaper... more

May 05 Utilization Review Nurse, SJH, Days, FT Catholic Health Initiatives Kentucky

Job Summary: Performs systematic review of all observation, inpatient, outpatient surgery ... Job Medical/Surgical Services Primary Location KY-Lexington-Saint Joseph Hospital Shift 8-... more

May 04 Concurrent Reviewer (220821-955) Healthspring Miami, FL

HealthSpring, headquartered in Nashville, Tennessee, is one of the country's largest coordinated care plans with a primary focus on the Medicare Advantage market. HealthSpring... more

May 03 Utilization Review Coordinator Universal Health Services Nashville, TN

would include: * Conducts prior, concurrent, retro, and extended stay reviews. ... terminated; works well in prioritizing review processes within a managed care... more

May 03 Care Manager II-Concurrent Review-State Health Programs - TELECOMMUTING OPTION! (Fresno or Health Net Rancho Cordova, CA

Job -Health Services/ Clinical Primary Location -California-Fresno Other Locations -Califo ... California, Inc. - 4001 Schedule -Full-time Job Type -Regular Shift -Day Job Travel -Yes,... more

May 03 Phoenix RN Supervisor of Utilization Review - Managed Care Carenational Healthcare Services Phoenix, AZ

Review - Managed Care Phoenix, AZ Job Summary: The UM / Concurrent Review Nurse ... support and ongoing education to the Concurrent Review team. Conducts monthly... more

May 02 Coord-Risk Management Sutter Health Lafayette, CA

plans. This role also facilitates Peer Review in coordination with the Medical Staff ... He/she will support the Concurrent Care Intervention Project and be able to participate in... more

May 01 Revenue Integrity Coord CDI - FT Days CJW Medical Center Tennessee

1. Concurrent analysis of inpatient records to establish applicable diagnosis 2. Intervene ... Reports progress to CFO through monthly spreadsheets on production/review rates... more

Apr 29 COMPLEX CASE MANAGER / CONCURRENT REVIEW COORDINATOR Coventry Healthcare Scottsdale, AZ

BENEFITS FROM DAY 1! COMPLEX CASE MANAGER Job Req # 169956 Individual responsible for ... date of hire. CONCURRENT REVIEW COORDINATOR Job Req # 171859 Performs telephonic... more

Apr 23 Utilization Review Nurse - Utilization Department - Per Diem - Days St. Joseph Medical Center Reading, PA

Job Summary: Performs systematic review of all observation and inpatients in patient care ... Contacts the Medical Director of Utilization Review Committee concurrently regarding any... more

Apr 21 Registered Nurse- Coordinator of Clinical Care North Shore Long Island Jewish Health System Bay Shore, NY

admitted to the Hospital. 1. Performs concurrent review on all patients and share ... North Shore-LIJ Center for Tobacco Control. Job : Case Management Primary Location :... more

Apr 21 UTILIZATION REVIEW COORDINATOR Universal Health Services Lawrenceville, GA

Utilization Review Coordinator to review patient records as per contract ... sources as needed to coordinate precertification and concurrent review... more

Apr 19 Senior Construction Document Review Coordinator Gilbane Building Company Phoenix, AZ

RESPONSIBILITIES:a The Senior Document Review Coordinator will:a Perform ... Generate lists of coordination review comments. Prepare reports and... more

Apr 18 Sr Utilization Mgmt Nurse- Concurrent Review-Work from home, located UnitedHealth Group Tucson, AZ

management, utilization review, or concurrent review (on-site or telephonic ... years healthcare experience with concurrent review experience. * Must have ability to... more

Apr 18 Case Management Coordinator Aurora Health Care Wauwatosa, WI

continuum of care * Providing utilization review and coordination of treatment and ... the patient's course of care * Performs concurrent reviews with insurance companies. more

Apr 18 Concurrent Review Coordinator Job Coventry Health Care Shepherdsville, KY

Job Title: Concurrent Review Coord Posting Location: KY - Lexington Location: KY - ... Number: 171597 External Description: Concurrent Review Coordinator GENERAL SUMMARY... more

Apr 13 UTILIZATION MANAGEMENT NURSE REVIEWER- Medical Review Medical Mutual of Ohio Cleveland, OH

JOB SUMMARY: Serves as a member of the Care Management team, performing utilization ... initial, concurrent, and retrospective review of cases, including appeals Identifies... more

Apr 10 CONCURRENT REVIEW RN COORDINATORS Judge Group Georgia

Job ID: 353737 Job Title: CONCURRENT REVIEW RN COORDINATORS Job Type: Contract to Perm ... covered. Coordinates, directs, and performs concurrent and retrospective reviews;... more

Apr 10 Mgr Concurrent Review SFL Blue Cross and Blue Shield of Florida Miami, FL

managing the day-to-day operations of the Concurrent Review department's teams of ... clinical and managed care experience, concurrent reviewer/discharge planner or case... more

Apr 03 Quality Coordinator/Core Measure Concurrent Review Community Health Systems Jourdanton, TX

The Quality Coordinator/CM Concurrent Reviewer is responsible for reviewing clinical data ... Office, including Word, Excel and Access Job Quality Improvement Primary Location... more

Mar 26 CONCURRENT REVIEW SUPERVISOR Mjhs Brooklyn, NY

Ensures all employees are oriented to their department/agency and job and provided with ap ... Tuition reimbursement 403(b) retirement plan Job Requirements Bachelors Degree in Nursing. more

Mar 19 Utilization Review Coordinator - Registered Nurse John C. Lincoln Hospitals Phoenix, AZ

of care through comprehensive concurrent review for medical necessity of outpatient ... and review. Initiates the appeal process for concurrent denials. Provides Case Manger,... more

Mar 09 Quality Coordinator/Core Measure Concurrent Review South Texas Regional Medical Center Jourdanton, TX

TheQuality Coordinator/CM Concurrent Revieweris responsible for reviewing clinical data elements from patient records as required by JACHO, QIO's and other state or federal... more

Feb 29 Clinical Nurse Review Coordinator Adventist Health Hanford, CA

This position provides systematic clinical review and data abstraction of the patients medical record for purposes of peer review, clinical audits, public reporting, validation... more

Feb 24 CONCURRENT REVIEW SUPERVISOR Metropolitan Jewish Health System Brooklyn, NY

Ensures all employees are oriented to their department/agency and job and provided with appropriate training, development and continuing education. Correctly interprets and... more

Feb 17 Nurse Reviewer Banner Health Mesa, AZ

on concurrent and retrospective utilization review. Accurately and thoroughly completes ... of services approved through concurrent review and case management. Minimum... more

Feb 05 Stroke Program System Coord.-Neurology Scott & White Temple, TX

coordinate stoke care * Performs daily and concurrent review of patients treated with ... Other Information Department: Neurology Standard Hours Per Week: 40 Shift: 1 Job ID:... more

Jan 19 Medical Account Coordinator Blue Cross Blue Shield of Illinois Richardson, TX

accounts. Responsible for performing concurrent review and case management in ... and procedures as well as utilization review procedures, medical practices, and... more

Jan 19 Med Tech Point of Care Coordinator Wvu Healthcare Morgantown, WV

1.5 Responsible for coordination of review of the charge master for POC testing. ... with established standards as exhibited by concurrent and retrospective audits and... more

Dec 22 Concurrent Review Nurse RN SFL-1188 BlueCross BlueShield of Fl West Palm Beach, FL

Job Title: Concurrent Review Nurse RN SFL-1188 Primary Location: West Palm Beach Other ... level of care - Participate in weekly case review - Plan, implement, coordinate and... more

Nov 28 RN - Core Measure Review Nurse (PRN) Corpus Christi Medical Center Webster, TX

documentation for require elements by concurrent chart review in Meditech and ... Improvement/process REQUIRED. - Recent concurrent core measure review experience. -... more

Nov 22 Concurrent Review Coord Job Coventry Health Care Missouri

Job Title: Concurrent Review Coord Posting Location: MO - Kansas City (Pershing Rd) ... Number: 164633 External Description: Concurrent Review Coordinator Coventry... more

Nov 08 RNs for Utilization Review Royale Class Consulting New York

* Tasks specific to Inpatient Concurrent Review assignment: Review and evaluate all ... the continued stay Perform concurrent review and enter information in the computer... more

Oct 13 Concurrent Review Nurse RN-1015 BlueCross BlueShield of Fl Miami, FL

level of care - Participate in weekly case review - Plan, implement, coordinate and ... home health care, rehab, utilization review, discharge planning or case management... more

Sep 30 Case Management Coordinator Steward Health Care Boston, MA

Director or designee, performs admission and concurrent review of all patients and provides care in a manner appropriate for the age of the patient. RN licensure... more

Jul 06 Quality & Compliance Coord-Ambulatory Svc?w BusIntegration Clarian Health Partners Indianapolis, IN

Job Details: - Bachelors Degree Preferred - 1 - 2 years experience preferred Provides ... activities. Conducts prospective, concurrent and retrospective reviews and... more

Jun 17 Quality Review Coordinator II (RN), Per Diem Days Western Medical Center Santa Ana Santa Ana, CA

Concurrent/Retrospective chart review for analysis of care, compiling statistics, coordinating peer review process for multiple departments, good written/oral communication... more

Apr 26 Director of Utilization Review-Multiple Locations Primary Executive Solutions Longwood, FL

standards. - Monitors admission and concurrent reviews of all patients, both ... Review Plan. - Monitors admission and concurrent reviews of all patients, both... more

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