Reviewer jobs in Hurst, TX

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... 

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... 

 ...Part-time: Full-time Hours Per Week: 40 Location: 3131 West 7th Street, Suite 200 Forth Worth, TX 76107 The position of Credit Review Officer is responsible for evaluating loan quality, operational and financial performance for clients with particular focus on... 

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... 

**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... 

 ...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,... 

 ...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... 

 ...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... 

 ...documentation Communicate with healthcare facility Clients to ensure accuracy of timesheet documentation Facilitate detailed review of Provider pay documentation Facilitate detailed review of Provider expense reconciliation data Responsible for accurate entry... 

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 ...Arlington, Virginia and is an SBA 8(a) Certified Small Disadvantaged Business with proven expertise providing independent medical reviews, records/data management services, medical coding, administrative staffing, and eligibility reviews.   Capitol Bridge LLC is currently... 

 ...level management position that is responsible for providing strategic direction, leadership, and coordination of CAS's Credit Risk Review cyclical risk-based audit plans. As an Independent Risk Review function, Credit Risk Review provides independent assessment and effective... 

 ...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... 

 ...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... 

 ...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... 

 ...and resolution planning, capital interpretations, and capital calculations and reporting. More specifically, the Capital Planning Review Team (CPRT) leads the holistic independent review and challenge of the capital management and planning process across the capital planning... 

The Senior Lead Reviewer is 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... 

 ...developing and tracking risk remediation plans across our various business units. Serve as subject matter expert and manage Risk Reviews / Risks / Risk Exception Requests Assess our control effectiveness and conduct control gap analysis against key Frameworks/... 

 ...to Board and committees; (v) internal controls; and (vi) employee engagement across the Finance CRO organization. The New Activity Review role is a newly created role in Finance CRO. The holder of the role represents Finance CRO as the Accountable Functional Reviewer (... 

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