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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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The Loan Review Manager role provides leadership to our people and clients to deliver Crowe’s loan review and credit consulting services, including outsourced and co-sourced loan review, staff augmentation, credit consulting, and credit remediation.
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Manages Case Management operations with Conifer teams to align and optimize case management processes related to utilization review services. Develop strategies to manage and prevent disputes and Utilization Review processes with Group Directors of Case Management (DCMs) and Revenue Cycle Directors.
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Ten or more years of financial services credit review/credit risk management experience through: past work in credit/loan review, credit risk management, internal audit credit risk coverage, commercial loan underwriting departments at large banking institutions; regulatory agency credit review/credit risk experience; or credit review/credit risk experience at a large consulting firm.
$180,840 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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You will review patient cases for medical necessity and help establish inpatient and outpatient service suitability. You will review medical services. At Baylor Scott & White Health, your well-being is our top priority.
Full-timeExpandUpdated 29 days ago - UpvoteDownvoteShare Job
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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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Advise, support, and consult with technologists, radiologists, and Radiation Safety Officer (RSO) regarding clinical protocol management, dose assessment, and review of Radiation Protection Program Elements.
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Description & Requirements Maximus is hiring a Clinical Review Coordinator - RN/LPN (Remote) to support the IN LCAR program. Maximus provides online PASRR Level I and Level II IDD screening and online Level of Care utilization review for long-term care populations across Indiana.
Full-timeRemoteExpandUpdated 20 days ago - UpvoteDownvoteShare Job
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Review bi-weekly job cost reports (Controller/CFO) Review weekly labor allocation (General Superintendent/COO) Review and approve invoices (Controller/CFO) Review change order log (Project Coordinator.
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Continually evaluate, monitor and improve the patient flow program effectiveness as it relates to utilization review, resource management, discharge planning and care coordination as well as coordination of efforts with the Revenue Integrity Department to monitor and prevent insurance denials.
Full-timeExpandApply NowActive JobUpdated 30 days ago - UpvoteDownvoteShare Job
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Analytical models requiring effective challenge through validation, audit, or review may include BSA/AML, CECL, ALM, stress testing, scorecard, compliance/regulatory, pricing/valuation, regression, and economic capital models.
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12+ years commercial banking experience, concentrated in Loan Review, Credit Risk or Portfolio Management functions handling larger and multi-bank transactions in the C&I, Asset Based Lending, Leveraged Lending, and/or Commercial Real Estate segments; specific subject matter expertise in Commercial Workout credit management strongly desired.
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Serve as the educational leader to physicians and Medical City Dallas employees as it relates to utilization review, resource management, and patient flow. Coordinate Medical City Dallas Patient Flow responsibilities with the Case Management Director for Medical City Dallas Adult Services and the division Revenue Integrity Department Director to ensure all patient flow needs of the Medical Center are met and to ensure similar policies and procedures are in place, as applicable.
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Manage required FTZ recordkeeping retention program, ensuring that all FTZ records are maintained and readily available for CBP review in accordance with the applicable recordkeeping regulations.
$90,000 a yearFull-timeExpandUpdated 1 month ago - UpvoteDownvoteShare Job
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Continue to care for our members beyond the lab room by answering patient messages, following up on lab cases and assisting our providers and virtual medical team with clerical duties such as, but not limited to biometric screening forms, medical record and consult review, billing inquiries, and DOH reporting.
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review job Title: bookkeeper administrative assistant Company: A Ez Out Bail Bonds in Dallas, TX
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