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Develop and maintain effective partnerships with participants / stakeholders within Ally's model risk management community. This role can be 100% remote. Familiarity with market risk, credit risk (underwriting, CECL loss reserving, portfolio management), operational risk measurement, and stress testing methodologies / quantitative analytics.
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Intermediate knowledge of SAS, R, SQL, and/or Python, Snowflake is highly desired. Building a Family: adoption, surrogacy, and fertility support as well as parental and caregiver leave, back-up child and adult/elder day care program and childcare discounts.
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Grow the social media presence with organic posts and community engagement. Empowering researchers to perform single cell sequencing with unprecedented scale and ease, our pioneering approach has enabled groundbreaking discoveries in cancer treatment, tissue repair, stem cell therapy, kidney and liver disease, brain development, and the immune system.
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Experience with Community Based Mental Health Services (e.g. Case Management, TDT, IIH, MHSS, IOP) Acentra seeks a Behavioral Health UM Clinical Reviewer (PRN, Remote within Virginia) with an active RN, LCSW, LPC, and/or LBA to join our growing team.
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Position is remote but candidates must be located within the State of Virginia. Active unrestricted Registered Nurse (RN) license, Licensed Clinical Social Worker (LCSW) license, Licensed Professional Counselor (LPC) license, or Licensed Behavioral Analyst (LBA) license in the State of Virginia.
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CNSI and Kepro are now Acentra Health! Our Behavioral Health UM Clinical Reviewer (RN, LCSW,LPC, and/or LBA) will use clinical expertise to review medical records against appropriate criteria in conjunction with contract requirements, critical thinking, and decision-making skills to determine medical appropriateness while maintaining production goals and QA standards.
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Knowledge of current National Committee for Quality Assurance (NCQA)/Utilization Review Accreditation Committee (URAC) standards. 1+ year of Utilization Review (UR) and/or Prior Authorization or related work experience.
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Ensures day-to-day processes are conducted in accordance with NCQA, URAC, and other regulatory standards. Experience with Substance Use (ARTS) Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise.
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Always maintain medical records confidentiality through proper use of computer passwords, maintenance of secured files, and adherence to HIPAA policies. Foster positive and professional relationships and liaise with internal and external customers to ensure effective working relationships and team building to facilitate the review process.
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Think of it as an open invitation to embrace the company’s mission, actively engage in problem-solving, and take ownership of your work daily. Experience with Applied Behavioral Analysis (ABA) Determine approval or initiate a referral to the physician consultant and process physician consultant decisions, ensuring the reason for the denial is described in sufficient detail in correspondence.
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Our mission is to innovate health solutions that deliver maximum value and impact. Based on our compensation philosophy, an applicant’s placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.
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The Acentra Health Talent Acquisition Team. Ability to provide technical consultation and policy interpretation. You will have meaningful work that genuinely improves people's lives nationwide. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.
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While the track overall is Generalist, Lifestance Health is pleased to offer opportunities for specialized supervision in working with the LGBTQA+ community, providing evidence-based trauma treatment to adolescents and adults (Trauma Focused-CBT, Cognitive Processing Therapy, EMDR, Prolonged Exposure, and Written Exposure Therapy), treating substance abuse, and helping clients navigate identity development and life stage transitions.
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Southwest Behavioral & Health Services is a large and growing, non-profit community-based provider of behavioral health services with locations throughout the Phoenix metropolitan area, rural Maricopa County, Gila, Pinal, Mohave, Coconino, and Yavapai Counties.
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We are a well-established voice in the community with more than forty sites, over eight hundred employees, and 40 years’ experience. The schedule is remote working Monday - Friday, 40 hours.
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