- UpvoteDownvoteShare Job
- Suggest Revision
Team members typically specialize in either model validation or criteria validation/credit review but will have the opportunity to develop skills and experience across both disciplines. Conduct validation and credit review activities using both qualitative credit skills and statistical / quantitative analyses in the evaluation of ratings performance.
$58,300 - $115,850 a yearFull-timeExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Lead Tenet Utilization Review Teams market structure and operations management to effectively support utilization review and authorization confirmation functions to promote an appropriate level of care and prevent payer denials.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
The RN-Utilization Review nurse will use established criteria and policy/procedures to perform pre-admission, admission, and continued stay reviews on inpatient and observation cases in a timely manner.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Mentor and monitor work delegated to Utilization Review LVN/LPN and/or Authorization Coordinator as needed. Collaborate with Patient Access, Case Management, Managed Care and Business Office to improve concurrent review process to avoid denial or process delays in billing accounts.
Full-timeExpandApply NowActive JobUpdated 30 days ago - UpvoteDownvoteShare Job
- Suggest Revision
The Utilization Review coordinator performs activities which support the Utilization Management functions. The employee communicates with physician and case managers regarding payor approval/denial of admission and continues stay review.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
STRATEGIC STAFFING SOLUTIONS (S3) HAS AN OPENING Strategic Staffing Solutions is currently looking for Utilization Review RNs for a contract opportunity with one of our largest clients located in Detroit, MI Title: Utilization Review RN - multiple openings Location: Detroit, MI Duration: 12 Months Role Type: W2 contract engagement ROLE SUMMARY UM - Utilization Management.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Obtain pre-certification and continued stay authorizations on behalf of the patient and provider using ASAM (American Society of Addiction Medicine) criteria to review clinical information with insurance companies.
$19.25 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Address development of IRB efficiencies, strategy, and policy within IRBMED, in alignment with Michigan Medicine, Medical School, and in association with the HRPP; collaborate within the HRPP infrastructure to develop and maintain consolidated IRB SOPs and assure the Operations Manual (OM) is congruent; develop and report metrics associated with IRBMED review activities.
ExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
- Suggest Revision
Seven or more years of financial services credit review/credit risk management experience through: past work in credit/loan review, credit risk management, internal audit credit risk coverage, commercial loan underwriting departments at large banking institutions; regulatory agency credit review/credit risk experience; or credit review/credit risk experience at a large consulting firm.
Full-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
- Suggest Revision
The Utilization Review LVN uses clinical judgement in providing utilization management services. - Preps case thoroughly concisely and clearly for physician review. Graduate of accredited school of nursing; Clear and current CA Licensed Vocational Nurse (LVN) license.
$27.77 - $40.27 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Eight years of retail banking credit experience in one or more of the following functions: credit analyst, underwriter, portfolio manager, relationship manager, credit risk review officer, or credit approval officer.
$134,400 - $231,000ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 07/08/2024 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel We currently have a client in Torrance, CA looking for a Travel Utilization Review RN Registered Nurse Focus Staff is seeking a Travel Utilization Review RN Registered Nurse to review and audit behind the scenes to maximize the quality and cost efficiency of health care services.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
As a Managing Director in the Model Risk Governance & Review (MRGR) group, you will be responsible for conducting model validation and governance through the model lifecycle. Lead the Model Risk Governance and Review (MRGR0 group for Asset and Wealth Management (AWM.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
SVP for CCAR Liquidity Review will lead the liquidity and funding workstream for Citigroup’s annual CCAR regulatory submission and subsequent internal quarterly updates. The SVP for CCAR Liquidity Review is responsible for ensuring that CCAR results are in line with internal stress testing methodology and regulatory guidance.
$176,720 - $265,080 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
The Utilization Review Nurse is an integral Ardent case management partner to Revenue Cycle; responsible to the Director of Case Management or designee while supporting financial and clinical operations to provide strategic direction in support of operational performance and key financial metrics.
ExpandApply NowActive JobUpdated Today
review job
FEATURED BLOG POSTS
What is Seasonal Employment?
Depending on where you are in your career, you might have first-hand experience with seasonal employment. Seasonal employment can be a great way to expand your skill set and earn extra cash while helping businesses meet seasonal increases in demand.
How to Avoid a Bad Hire
"A new employee who doesn't meet the minimum performance, quality, and culture fit standards you set when you began sourcing and recruiting. Additionally, bad hires will immediately show signs of self-interest instead of an interest in their role and the company."
How to Ask for a Letter of Recommendation
When the job board you subscribe to finally posts your dream job, you may feel like the stars have aligned. But part of securing a position that matches your career plan is ensuring you address all the application basics. You know, the resume, the cover letter, the portfolio. It seems like you've got this in the bag — until you realize they want a letter of recommendation, too!
16 Tech Jobs You can Get Without a College Degree
You might think that if you don’t have a computer science, information technology, or related degree, then there’s absolutely no way you can break into the technology field and score a high-paying tech job. But this is a misconception. There are actually tons of tech jobs out there that don’t require a college degree. Instead, employers are more interested in the skills that you can offer. So, read on to learn more about how to land tech jobs without a degree.
What Are SMART Goals?
When it comes to achieving our goals, there’s a lot of noise to work through. A study by the University of Scranton has found that only 8% of people who set New Year’s resolutions actually achieve them. Our busy lives might be one reason for this. Another, even more important reason, is our approach to goal setting. Being too vague, too ambitious or simply unclear on the timeframe can set us up for failure.
The Best Remote Jobs: Where & How to Find Them
The Covid-19 pandemic hasn’t been easy on any of us, but if there’s one silver lining, it’s the fact that remote work has grown in popularity because of it. Companies that previously weren’t open to their employees working remotely were suddenly forced into allowing it. Since then, they've realized that much of their workforce is happier and more productive. Naturally, this has led to more remote job openings, which is great if you’re interested in this type of position. Read on to learn more about the best remote jobs and where to find them.
In-House vs Outsourcing Recruiting: Which is Better?
When looking at in-house vs outsourcing recruiting, it is important to nail down the benefits for each and whether those benefits outweigh the risks that follow.