- Sheppard Pratt (Amesbury, MA)
- General Summary Under general supervision, provides day-to-day leadership of the utilization review process of patients admitted to the Hospital for Inpatient and ... Trains or ensures the proper training of newly hired Utilization Review Coordinators, coordinates work assignments, and provides effective liaison between Admissions… more
- Lendistry (Los Angeles, CA)
- A Day in the Life The VP Credit Risk Review is part of Lendistry's Risk Management Organization functioning as a Third Line of Defense ("TLoD"), to independently ... measure, monitor, and control risks. The VP Credit Risk Review will examine, monitor and assess credit decisions, portfolio...Officer, and Risk Management Committee. The VP Credit Risk Review will have a track-record of excellence for both… more
- BNP Paribas (New York, NY)
- …with norms issued by GFS US The mission of GFS US OSC is to review the adequacy and effectiveness of the normative financial sanctions' framework, particularly as to ... travel internationally as needed to execute a risk-based annual review plan. Candidate Success Factors: Candidates are measured on...OSC AVP as part of a team, will undertake review assignments in accordance with an approved plan; provide… more
- Banc of California (Seattle, WA)
- …and more. TOGETHER WE WIN(R) THE OPPORTUNITY The Senior Vice President, Credit Review Director is responsible for leading the independent Credit Review function ... Director ensures the team's compliance with the Credit Review Policy, executing the annual Credit Review Plan, and managing internal staff and the third party,… more
- Riverside County, CA (Moreno Valley, CA)
- …System-Medical Center is seeking an Assistant Director of Case Management and Utilization Review to join our UR Case Management Department located in Moreno Valley. ... accredited acute care hospital. Professional experience in case management and utilization review in a hospital is preferred. Schedule: 9/80 after 90 days… more
- Citigroup, Inc. (Irving, TX)
- …responsible for independently managing all aspects of his or her assigned Review Entity in the Americas region. Responsibilities include execution of Business ... Monitoring and Reviews in accordance with the Banking & International Credit Review (BICR) Manual, monitoring and evaluation of Banking & International, Global… more
- Blue Shield of California (Rancho Cordova, CA)
- Job Description Your Role The Clinical Quality Review (CQR) team is responsible for reviewing potential quality of care issues (PQIs) reported by a member, a member ... or an internal or external partner. The Clinical Quality Review (CQR) Licensed Clinician, Consultant will report to the...Clinician, Consultant will report to the Manager, Clinical Quality Review . In this role you will be responsible for… more
- Ascension (Baltimore, MD)
- …care services regarding admissions, case management, discharge planning and utilization review . Responsibilities: Review admissions and service requests within ... with healthcare team members. May prepare statistical analysis and utilization review reports as necessary. Oversee and coordinate compliance to federally mandated… more
- LanceSoft (Phoenix, AZ)
- …Develop anonymized case summaries from interviews for use by the Maternal Mortality Review Committee and the Child Fatality Review Team. Case Management: Manage ... assigned informant cases from initial review and scheduling to documentation and follow-up. Emotional Support,...with the Clinical Nurse Abstractor and the Child Fatality Review Program Manager to prioritize cases for informant interviews… more
- Corvel (Liverpool, NY)
- Responsible for review , auditing and data-entry of medical bills for multiple states and lines of business. This is a hybrid role. ESSENTIAL FUNCTIONS & ... years of data entry experience Experience with Medical Bill Review preferred PAY RANGE: CorVel uses a market based...pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department… more
- Strategic Staffing Solutions (Detroit, MI)
- …(S3) HAS AN OPENING! Strategic Staffing Solutions is currently looking for an RN Review Analyst for a contract opportunity with one of our largest clients located in ... Detroit, MI! Title: RN Review Analyst Location: Detroit, MI (Mostly remote; may be...$38/HR Max Engagement Description Perform prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary services to… more
- Lifelancer (Raleigh, NC)
- About the job Medical Promotional Review Consultant Job Title: Medical Promotional Review Consultant Job Location: Raleigh, NC, USA Job Location Type: Remote Job ... partners' most high-profile drug and device programs. The Medical Promotional Review Consultant Is Responsible For Providing compliant, medically accurate and… more
- Avata Partners (Atlanta, GA)
- Job Description Avata Partners is seeking a Document Review Attorney in the Atlanta, Georgia area. What is a Document Review Attorney? A document review ... While there is software that can aid a document review attorney with this task, he or she must...take on a bigger case. Education Requirements A document review attorney is detail oriented and able to inspect… more
- Greenman-Pedersen, Inc. (Richfield, OH)
- Description GPI has an immediate opening for a full-time Billing / Contract Review Coordinator in our Richfield, OH, office. We are looking for an individual who can ... new projects and pursuits Aid office staff with miscellaneous administrative functions Review contracts to ensure all items are correct Qualifications: Minimum three… more
- State of Vermont (Montpelier, VT)
- Overview The Land Use Review Board (LURB) seeks a motivated professional to join the Act 250 team. The LURB administers Vermont's nationally recognized land use ... on the eastern half of the state. Who May Apply This position, Land Use Review Board District Coordinator (Job Requisition #53054) , is open to all State employees… more
- Baton Rouge General (Baton Rouge, LA)
- …shapes the future of patient care through resourceful and compassionate utilization review ? What We're Looking For: Strong leadership and advocacy abilities with a ... support and development Minimum 3 years of hospital utilization review experience preferred At least 1 year of supervisory...here! What You Will Do: As Manager of Utilization Review , you'll be responsible for overseeing the daily operations… more
- Iconma LLC (Detroit, MI)
- …Client, a Health Insurance company, is looking for a Registered Nurse- Review Analys for their Detroit, MI/Hybrid location. Responsibilities: Perform prospective, ... concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary services to...acute patient care, discharge planning, case management, and utilization review , etc. Demonstrated clinical knowledge and experience relative to… more
- Sanford Health (Sioux Falls, SD)
- …Range: 31.00 - 49.50 Union Position: No Department Details Summary The Peer Review Specialist facilitates provider peer review processes at a regional level. ... persons and committees for use in Medical Staff peer review processes and activities to include case review... review processes and activities to include case review , Ongoing and Focused Professional Practice Evaluation, and evaluation… more
- LHH Recruitment Solutions (Wilmington, DE)
- …Description: We are seeking a detail-oriented Paralegal for an on-site document review and trial preparation project in Wilmington, Delaware. The ideal candidate ... must have at least 1 year of experience in litigation support, document review , and discovery processes. This position is 100% on-site , and candidates must be able… more
- TD SYNNEX (Clearwater, FL)
- About the Role: The Credit Review Analyst at TD SYNNEX is responsible for evaluating new and existing customer accounts to establish appropriate credit limits and ... exceeding $50K. Document analyses and provide justifications for credit decisions. Order Review and Release: Manage a portfolio of accounts with varying complexity,… more
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