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...Springs is looking for a licensed Counselor to join our Utilization Review department at our Arlington location! This full-time position... ...providers for necessary treatment. As a Utilization Review Specialist, you will accurately and timely complete utilization review activities...
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...Job Description
Job Description JOB SUMMARY:
Under general supervision, performs all title review functions in support clearing titles for AL, GA, MS, and TX. This person will perform tasks that require knowledge/skill to identify curative issues. The position...
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The Itemization Review Manager is responsible for the overall aspects of the medical review team including personnel hiring, quality assurance of product, workflow, maintaining the tracking of and accountability of staff regarding production standards and turn-around expectations...
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Night shift
Title: RN Utilization Review II
Description: The RN Utilization Review II is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This RN is responsible for performing a variety...
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Immediate start
The Itemization Review Team Lead will provide support for the Itemization Review Supervisor while working with IBR team and CERIS internal departments.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Maintain Q&A support for the IBR Team
Effectively works with coordinator...
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Full time
Local area
Flexible hours
...required to work onsite for quarterly meetings.
~3, 12 hour shifts. Saturday, Sunday, Monday.
JOB SUMMARY
The Utilization Review Registered Nurse (RN) provides a clinical review of cases using medical necessity criteria to resolve the medical appropriateness...
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Saturday
...Global Risk Review (GRR) provides independent, objective, reliable, valued and timely assurance to the Boards, the Committees, the Citigroup Chief Risk Officer, the Citigroup Chief Credit Officer, senior management and regulators over the effectiveness of credit, capital...
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...Job Description
Job Description POSITION SUMMARY
The Demand Review Nurse Auditor is responsible for conducting a comprehensive review of the submitted documentation to ensure that all services billed are supported by the medical records. The Nurse Auditor will...
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Local area
...Be the spark that brightens days and ignite your career with TTEC's award-winning employment experience. As an Image Review Clerk working remotely in Texas , you'll be a part of bringing humanity to business. #experienceTTEC
What You'll be Doing
Do you have...
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...Job Description
TRS Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Irving, Texas.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Start Date: 06/03/2024
~ Duration: 12 weeks
~40...
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...Fort Worth, TX 76109
The Professional Review Nurse provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills and review of medical reports to determine appropriateness of medical care. Clinical and/or technical...
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Full time
Local area
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...Fort Worth, TX 76109
The Itemization Review Supervisor will maintain a positive team building approach with emphasis on reporting, leadership and professional communication with all CERIS departments.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Maintain all data...
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Full time
Local area
Flexible hours
...than 1,000 private bankers, investment professionals and product specialists across a network of 90 offices in 33 countries and over 128... ...applied. GWM Management use the results of the quality assurance reviews to assess the quality of the group's policies, procedures,...
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Full time
Interim role
Worldwide
...you are a person with a disability and need a reasonable accommodation to use our search tools and/or apply for a career opportunity review Accessibility at Citi .
View the " EEO is the Law " poster. View the EEO is the Law Supplement .
View the EEO Policy...
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Job Title: Registered Nurse Utilization Review
Location: Irving, TX, 75038
Duration: 13 Weeks
Shift: Monday - Friday 8 am - 5 pm
Pay Rate: $30/hr. - $35/hr.
Notes: Temp to Perm - Local Candidates only. Current RN Compact license required
Summary:
The RN Utilization...
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...indicators for tracking covenant compliant obligors, industry and subsegment research and consolidation of KPI/KRI for the Risk Directed Reviews and implement Tableau visualization. While working on these priorities the analysts is expected to use SAS, Python, Advanced Excel,...
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Full time
...Worth 4630 N. Beach Street , Haltom City, TX, 76137 USA Position Role Type:
Onsite Collins Aerospace is looking for a Material Review Board (MRB) Engineer, Military Programs to work alongside Senior MRB Engineers and learn Landing Gear MRB Engineering roles and...
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$60k - $120k
...Planning Team.
The Opportunity:
As an Estate Planning Specialist, your role is crucial in helping our clients better understand... ...team, Investment Counselors and Tax Managers
You will review a variety of documents (Wills, Trusts, Powers of Attorney, Living...
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...Summary:
*CHRISTUS Health System offers the Coding Quality Specialist I position as a remote opportunity. Candidate must reside in the... ...Education Manager to perform internal departmental coding reviews in support of the Coding Operations Department’s business needs...
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Remote job
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Act as a top subject matter expert and advisor to executive leadership to develop and implement strategies, programs, and policies with a direct and significant impact on examination processes and programs. Provide vision and set direction for multip Risk, Director, Commercial...
