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The Utilization review specialist will use internal audit tools to continually review BH programs, provide targeted support to assigned programs, identify areas needing improvement, and help ensure program compliance with all state/federal/CIHA/Joint Commission regulations.
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Utilization Review RN - remote position. The incumbent is responsible for the review of medical records for appropriate admission status and continued hospitalization. Dignity Health Mercy San Juan Medical Center is a 370-bed not-for-profit Level 2 Trauma Center located in Carmichael California serving the areas of north Sacramento County and south Placer County for more than 50 years.
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The Utilization Review Specialist will also perform pre-certification reviews, concurrent reviews and will perform appeal reviews as needed. Three to Five (5) years experience in Case Management/Utilization Review (as either CADC, LAADC, LCSW, LMHC, LMFT, or Utilization Review Coordinator.
$48,000 - $52,000 a yearRemoteExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Review (with assistance of Loan Review Team Leader/Senior Loan Reviewer), risk grade and critique the Bank’s commercial loan portfolios as they relate to the Bank’s risk rating system, banking industry best practices and the Bank’s risk appetite.
$58,500 - $88,000 a yearFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Experience using Jack Henry/Silverlake, Global Wave Portfolio Track and DiCOM Loan Review software preferred, but not required. A minimum of three (3) years of commercial credit experience and five (5) years of combined commercial lending, commercial credit, special assets, and/or loan review experience required.
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Must have hands-on familiarity with a variety of computer applications, including word processing, databases (such as document review and file management systems), spreadsheets, and imaging. Obtains needed information from case files, law enforcement agencies, civil client agencies, or other sources, and submits completed legal documents to the appropriate client assistant attorney for review and approval.
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Description :Enterprise Model Risk Management seeks a Senior Quantitative Finance Analyst – Anti-Money Laundering (AML) to conduct independent testing and review of complex models used to monitor and mitigate money laundering risk.
$125,000 - $210,000 a yearFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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As a Denials Coding Review Specialist , you will be responsible for applying correct coding guidelines and payor requirements as it relates to researching, analyzing, and resolving outstanding clinical denials and insurance claims.
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The Operational Risk Review (ORR) Testing Analyst -Technology ("Analyst") is responsible for the execution of testing activities within Independent Risk Review Assessment (IRRA), a centralized second line independent testing function.
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Associate’s Degree in civil engineering, construction engineering management, surveying, or closely related field; AND two (2) years of experience applying civil engineering theory, principles, and methods with emphasis on maintenance, plan preparation and review, road and bridge construction, inspection, and/or design review; OR.
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Find joy in serving others with IEHP!
$43.87 - $58.13 an hourExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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A minimum of five (5) years of commercial credit experience and ten (10) years of combined commercial lending, commercial credit, special assets, and/or loan review experience required. Responsible for performing a variety of duties relating to the loan review function in order to assist in the ongoing management of credit risk; achieving goals as established in the department's annual review schedule; complying with operating policies and procedures established for the loan review function; communicating with appropriate personnel; responding to inquiries and requests for information; maintaining appropriate records and providing reports.
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Position Overview: The Institutional Review Board Manager will be responsible for the management of UMBC’s IRB program. The UMBC Research Compliance Program areas include Human Subjects Protections, Animal Care and Use, Institutional Biosafety Research, Export Control, Conflicts of Interest, Responsible Conduct of Research and supporting the Office of Research and Creative Achievement (ORCA) Vice President on requirements associated with allegations of misconduct in research and other scholarly activities.
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The Department of Homeless Services is recruiting for one Administrative Community Relations Specialist NM-II to function as the Director of Packet Review and Processing who will:-Be responsible for overseeing the day-to-day work operations of the HPD referral team.
$69,826 - $100,000Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Certifications such as CISSP, CEH, or other relevant security certifications are preferred, especially with a focus on blockchain/crypto code auditing and review. We are seeking an experienced and motivated Security Engineer with a focus on code auditing and review, especially in the blockchain and cryptocurrency space, to join our growing team.
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review job Title: senior recruiter
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