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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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This position is responsible for timely review of request for post-acute services and based on established clinical guidelines and/or coverage benefits limitations, determine appropriateness of requested services.
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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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This role offers you the chance to make a significant impact on our digital asset management and copy review process. Familiarity with regulatory requirements for copy review in the life sciences industry.
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The Commercial Credit Review Senior Manager is responsible for executing an independent, risk-based assurance review of assigned platforms within Capital One Bank’s commercial credit portfolio, including assessment of credit practices, effectiveness of policy implementation and risk rating accuracy.
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The Utilization Review coordinator performs activities which support the Utilization Management functions. We are Hiring at UofL Health Utilization Review Coordinators! The employee communicates with physician and case managers regarding payor approval/denial of admission and continues stay review.
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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.
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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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Review Project with Controller & Project Accountant - Project Duration, Scope, Heavy Job Reporting Format, Davis-Bacon Wages, Per Diem needs, Billing Cycle, Project Budget, Profit Goals & Project Risks - Can be handled during turn over meeting.
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Key words: real estate paralegal, commercial title review, reviewing surveys, review surveys, drafting deeds, commercial escrow officer, closing agent, closing officer, commercial title officer, commercial escrow agent, reviewing titles, review titles, commercial loan underwriter, commercial examiner, commercial loan examiner.
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Conduct individual face-to-face sessions with each Support Coordinator to review individual cases on a weekly basis. Review ten percent (10%) of each Support Coordinator's case records monthly for completeness, compliance with these standards, and quality of service delivery.
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As a member of the CPRT team, the Vice President will provide independent review and challenge across the capital management and planning continuum encompassing business-as-usual capital management, ongoing and quarterly business and capital planning forecasts (including CCAR/DFAST.
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Assist plan review staff with the plan review processes; review structural, non-structural, and other plans for code compliance; review construction plans and assure compliance with building codes.
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Experience with Veeva Promomats, Aprimo, Asana, Zinc, JIRA and Adobe Experience Manager or other promotional review software and marketing project management tools a plusStrong written and verbal communication skills, ability to organize, prioritize and meet deadlinesStrong planning, organizational, and project support skillsProofreading and editing skillsStrong communication skills, both written and oral.
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5-7 years Loan Review, Commercial Lending, Credit Administration or Regulatory Examination. 7-10 years Loan Review, Commercial Lending, Credit Administration or Regulatory Examination. Under the direction of a senior Loan Review officer, participate in discussions with affiliate management regarding loan grading and conclusions regarding credit underwriting, approval, and administration.
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review job Title: manager clinical Company: Sonida Senior Living Inc
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