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Preferred Area of Experience: Geology, Hydrology, Soil Science, Air Quality, Hazardous Waste, Environmental Law, Policy, or Regulations, Environmental Review. Environmental Due Diligence Project Management - Management of environmental due diligence process to include order, review, and critique of environmental reports, data, sampling plans, and cost proposals.
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Department: Operating Room Schedule/Status: 8am-5pm; Full Time Standard Hours/Week: 40 Location: Titusville General Description: Under the supervision of the Operating Room Manager, the RN Clinical Review and Reconciliation Specialist will maintain charge reconciliation processes that ensure revenue capture and billing within regulatory and compliance guidelines.
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San Jose Behavioral Health currently has an opportunity for a Utilization Review Specialist Per Diem, at our new 133 bed Acute Psychiatric Hospital, located in South San Jose, CA. The Utilization Review Specialist coordinates and assesses the inpatient census for appropriate alternate health care service needs.
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Natixis is searching for a director-level Loan Review Officer to join the New York team to help support the Managing Director and other team members in their various credit risk analysis and examination activities.
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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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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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The Utilization Review RN is responsible for utilization management and utilization review for prospective, concurrent, or retrospective review. The Utilization Review RN performs reviews of current inpatient services, and determines medical appropriateness of inpatient and outpatient services following evaluation of medical guidelines and benefit determination.
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10+ year's credit experience required, either as part of the Front Office, Credit Risk, or Loan Review, and currently functioning in a director-level capacity. Loan Review performs comprehensive assessments of Natixis' credit risk, reporting on the quality of risk and the effectiveness of the bank's risk management practices, adherence to policy and procedures, as well as compliance with regulatory guidance and application of market best practices.
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Gathering/collection and review of AML / KYC documents. Review/escalate/close alerts triggered by the transaction monitoring through platforms and systems. Preferred: Certified Anti-Money Laundering Specialist (CAMS), Certified Fraud Examiner (CFE), or other applicable certifications.
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These activities include but are not limited to monthly: Multidisciplinary Quality Improvement (MDQI) Committee, Trauma Case Review/Peer Review Committee, Trauma Performance Improvement Committee (TPIC), Trauma Mortality & Morbidity (M&M) Conference, Medical Peer Review (MPR) Committee, Trauma Grand Rounds Conference, ACS Trauma Quality Improvement Program (TQIP) initiatives.
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1-5 years of AML case investigations/transaction monitoring experience. Our client, a top tier Management & Strategy Consulting firm if looking for multiple qualified Junior Risk Management Professionals.
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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.
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The Utilization Review Specialist manages daily operations, which include supervising the staff performing benefit enrollments and utilization management activities. The Utilization Review Specialist participates in department development and unit performance improvement.
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The Utilization Review (UR) Nurse is responsible for the clinical review and documentation for services requiring prior authorization. Review of identified high-cost admissions and extended stays and inpatient readmissions.
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Utilization Review (UR) Coordinator Opportunity. You are never alone, as you are part of a large network of professionals that routinely exchange ideas and review current topics within the industry.
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review job Title: supervisor Company: Heritage
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