RN- Utilization Review Nurse COME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY - VILLAGE CARE! As the Utilization Review Nurse you will collaborate with the Care Coordination Team to implement support for transitions in care, ensuring the timely processing for medical services that improve the quality and outcomes of care.

Review or prepare withdrawals for consumption with designated Customs Broker. Review or prepare FTZ admissions (e-214). Review or prepare withdrawals for exportation and IT (QP/WP CBP Forms 7512.

Technical Design Review Specialist Primary Location: Rosslyn, VA Must be a U.S. citizen Security Clearance: Active TOP SECRET with ability to obtain SCI access Job Summary The Bureau of Diplomatic Security (DS) is the security and law enforcement arm of the U.S. Department of State (the Department.

The RN Utilization Review Nurse collaborates as necessary with other members of the health care team to ensure the above according to the mission of CHRISTUS. BSN Degree from an accredited nursing program or proven success as Registered Nurse Utilization Review I role.

The Credit Risk Analyst is responsible for measuring and monitoring the bank's aggregate credit risk through ongoing portfolio and market analysis, stress testing, and loan review activities. Oversee the commercial loan review function and assist with stress testing activities.

Conduct validation and review activities by utilizing various statistical/quantitative analyses in the evaluation of ratings and ratings criteria performance, including (as relevant) back-testing and stress testing to verify the soundness of the assumptions and calibration with established benchmarks and ratings definitions.

Attend segment/business credit risk management committee meetings aligned with area of subject matter expertise; act as a risk management resource to the business units; communicate key takeaways to broader Credit Review team.

Review and ensure Landlord tenant criteria and construction portions of lease are thoroughly evaluated and communicate such with all internal partners. Ability to review and ensure Landlord tenant criteria and construction portions of lease are thoroughly evaluated and communicate such with all stakeholders.

Clinical review, utilization review, utilization management, home health, Durable Medical Equipment, acute care, RN, LPN, licensed practical nurse, McKesson, InterQual, MCG, milliman, Managed care.

Active, unrestricted State Registered Nursing (RN), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) license in good standing OR a clinical license in good standing, such as LCSW, LPCC or LMFT (for Behavioral Health Care Review Clinicians only.

CHI St. Vincent a regional health network serving Arkansas is part of CommonSpirit Health.

Reviewer will run coder productivity reports (where applicable) to pull random sample accounts for review and to ensure review numbers or percentages are met+ Review coding and abstracting (as defined by the facility/client) on patient types assigned to review: inpatient, ambulatory surgery, observation, emergency room with or without E/M levels, clinic, ancillary, diagnostics, etc to assure 95% coder accuracy (or as stipulated by client contract.

The Coding Quality Reviewer shall report directly to the Internal Quality Control Director and will be responsible for accessing and reviewing the medical record documentation, coding and abstracting accuracy as defined in quality review policies and facility guidelines utilizing ICD-10 CM/PCS and CPT coding classification systems.

Review process safety compliance and industrial process safety-related consensus standards (OSHA, HSE, NFPA, ANSI, FM Global, API, ASME, ATEX, AIChE, CCPS, etc.) Review of third-party risk contractor study reports (HAZID, Bow-tie Analysis, Process Hazard Analysis, fire/explosion risk assessments, Quantitative Risk Assessment, Cryogenic Spill Risk Assessment, Dropped Object Study, etc.

Medicare, Coder, OASIS Review, Utilization Review, Quality Assurance, Remote, Home Health Coding. Minimum of 1 year experience with coding and OASIS review. Timely review and coding of OASIS documents with productivity maintained at the quarterly target set by the Director of MCM.