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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.
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Job Overview: The Utilization Review Specialist is responsible for all aspects of the authorization of treatment via insurance and managed care companies. The Utilization Review Specialist provides appropriate client information to third party payers regarding the medical necessity of treatment in a timely manner.
$48,000 - $52,000 a yearRemoteExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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The Operational Risk Review (ORR) Technology Analyst has an exciting opportunity to be a part of the build and implementation of Independent Risk Review and Assessment's operational risk testing program.
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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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Prior Utilization Review experience in a Substance abuse environment is mandatory. Job DescriptionJob DescriptionUtilization Review Specialist/Behavioral Health Substance AbuseFLSA Status: ExemptClassification: Full-Time Reports To: The UR Specialist will report to UR Manager.
$48,000 - $52,000 a yearRemoteExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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The Utilization Review Nurse provides clinical review for different healthcare services requiring authorization- including acute inpatient, skilled nursing facility, acute rehab, home nursing as well as others.
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Avata Partners is seeking a Document Review Attorney in the Austin, Texas Area. While there is software that can aid a document review attorney with this task, he or she must look through the documents and determine what is and isn't relevant to a case.
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A document review attorney is detail oriented and able to inspect many different kinds of records. A document review attorney will likely work with other attorneys who will try the case in court.
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A document review attorney is responsible for reviewing all documents pertaining to a court case. Today's records are mostly digital, so the day of a document review attorney is mostly spent in front of a computer.
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Edit Knight Center's trilingual (English, Spanish, and Portuguese) LatAm Journalism Review (LJR) digital news magazine focused on journalism and press freedom in Latin America and the Caribbean.
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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.
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Experience as a member of a document review team. Familiarity with document review workflows. Examples: Privilege/Responsiveness Review, Redactions, Conceptual Searching, First and Second Review, etc.
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Prepares semiannual consent decree reports and submits all data to the Legal Department for review. Assists public with water, sewer, and drain questions including question relating to BWSC Stormwater fee and credit program.
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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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Assist the Regional Counsel with the review and negotiation of Engineering, Procurement and Construction (EPC), subcontracts, Owner Exhibits, and related design agreements for the Renewable Energy Business Unit.
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review job Title: drafter Company: Design Company
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