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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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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 5 days ago - UpvoteDownvoteShare Job
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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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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 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 7 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 5 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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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.
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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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Prepare and review reconciliations of indirect tax financial statement accounts and assist with tax accounting as needed. Review and optimize ERP processes and data extraction reports for indirect tax purposes.
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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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Experience supporting mission reviews including the Operations Readiness Review (ORR), Flight Operations Review (FOR), Mission Operations Review (MOR), Ground Element (GE), and Mission Critical Design Reviews (CDRs.
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The Psychiatric ED Technician will effectively and efficiently coordinate with the ED attending to formulate a disposition plan and document it in the medical record Prior to discharge the ED technician will review the case with an ED Psych Screener (licensed practitioner.
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This investigation includes but is not limited to a criminal, civil litigations and regulatory review, employment, education, and credit review (role dependent). Where permitted by federal or state law, Fidelity will also conduct a pre-employment drug screen, which will review for the following substances: Amphetamines, THC (marijuana), cocaine, opiates, phencyclidine.
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The Technical Manager will perform and review both hydrologic and hydraulic (1D and 2D) modeling and scour analysis for riverine and tidal studies and culvert/bridge replacement projects. Independently perform, review and train others on H&H modeling and scour (tidal and fluvial.
$120,000Full-timeExpandApply NowActive JobUpdated 5 days ago
review job Title: tax accountant Company: Liberty Tax Service
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