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Job Summary:The Utilization Review Specialist is responsible for the pre-certification, concurrent, and discharge review process for clients at all levels of care, resulting in the approval of their admission and continued treatment.
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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.
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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.
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Lead and coordinate the review and approval process with the Planning and Real Property Departments for all survey-related documents for private development projects, from submission to being ready for recording in King County.
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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.
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Expert level credit analysis skills and experience to evaluate business unit underwriting and portfolio management processes, loan structure, borrower financial condition, repayment capacity, collateral, exceptions, risk rating, key credit risk drivers, and credit review principles and methodologies.
$134,400 - $231,000ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Enforce City of Atlanta Stream Bank Buffer requirements, review for and enforce State of Georgia Stream Bank Buffer requirements, coordinate with other agencies as necessary, e.g. Georgia Department of Natural Resources, Georgia Soil and Water Conservation District.
$56,614 - $75,451 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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We seek attorneys to assist with document review, privilege review, expert testimony, legal research, and foreign language translation. Experience with electronic document review technology Examples: Relativity, Concordance, ViewPoint, etc.
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Hebrew Document Reviewer Contact Review - Washington, DC Location: Remote Start Date: Negotiable EXPERIENCE & QUALIFICATIONS: Fluency in Hebrew Familiarity with document review workflows Examples: Privilege/Responsiveness Review, Redactions, Conceptual Searching, First and Second Review, etc.
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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.
$116,280 - $150,480 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Utilization Review Specialist will also coordinate with appropriate discharge planning processes, providing feedback on documentation processes; and functions as a resource to the clinical team regarding approved criteria, practice guidelines and alternative treatment options.
$45 - $70 an hourPart-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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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 Today - UpvoteDownvoteShare Job
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The Review Analyst will participate in assigned risk-based activities and is expected to actively contribute to the team's overall validation activities, and so the position will specifically appeal to a diligent and analytically curious self-starter with a strong work ethic and a drive to succeed.
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Spanish Document Reviewer Contact Review - Washington, DC Location: Remote Start Date: Negotiable EXPERIENCE & QUALIFICATIONS: Fluency in Spanish Familiarity with document review workflows Examples: Privilege/Responsiveness Review, Redactions, Conceptual Searching, First and Second Review, etc.
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Plan, direct and coordinate QC batch record review, logbook review, QC test review, and lot disposition activities. Review calibration, monitor and evaluate systems and equipment (i.e. water systems, environmental chambers, analytical instrument/equipment.
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review job Title: associate clinical research Company: Actalent
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