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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 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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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 6 days ago - UpvoteDownvoteShare Job
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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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Experience using Jack Henry/Silverlake, Global Wave Portfolio Track and DiCOM Loan Review software preferred, but not required. Experience: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.
$58,500 - $88,000 a yearFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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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. Perform various duties relating to the loan review function in order to assist in the ongoing management of credit risk as follows: Conduct thorough credit reviews to analyze adherence to loan policy and procedure, credit quality, collateral valuation, accuracy of core operating system as it relates to loan structure/pricing, and loan documentation.
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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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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.
Full-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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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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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.
Full-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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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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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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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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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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Generate a Loan Review work paper as a result of the duties outlined above as well as other reports as needed to fully analyze each credit assigned in the portfolio. Be capable of working with minimal supervision while meeting established production requirements and review schedule deadlines.
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review job Company: A Childs Pplace
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