- CVS Health (Sacramento, CA)
- …guiding the team in determining correct coding and appropriate documentation during the review of medical records. This role requires a strong focus on meeting ... projects. + Ensure staff provide detailed written summaries of medical record review findings and ensure the team articulates findings effectively to investigators,… more
- City National Bank (Los Angeles, CA)
- *KYC REVIEW ANALYST- OPS* WHAT IS THE OPPORTUNITY? Conduct Enhanced Due Diligence background investigations for commercial loan borrowers in adherence with credit ... (KYC) program on new and existing client relationships. Perform review and provide clearance on potential negative news alerts...line units. WHAT WILL YOU DO? * The KYC Review (Specialist - Senior) will perform Enhance Due Diligence… more
- City National Bank (Los Angeles, CA)
- *SR CREDIT RISK REVIEW OFFICER* WHAT IS THE OPPORTUNITY? The Credit Risk Review Department (CRR), is part of the 3rd line of defense, and as such is independent ... are adequately identified, fully justified and properly approved. May lead credit review examinations, prepare final reports, and conduct overall meetings with Bank… more
- TEKsystems (Westlake Village, CA)
- Now Hiring: Loan Review Specialist - Pre-Purchase Review Are you detail-obsessed, compliance-savvy, and passionate about getting things right the first time? ... Join our team as a Loan Review Specialist and play a key role in ensuring...files are rock-solid before purchase. What You'll Do: + Review Conventional, Non-Conforming, FHA, and VA loan files with… more
- Deloitte (Los Angeles, CA)
- …facts patterns and laws, regulations, cases and administrative guidance. + Comprehensive review of information to understand a Client's business and its tax returns. ... up of multiple tax service offerings including Strategic Tax Review , Inventory Tax Services, and Meals & Entertainment ...Review , Inventory Tax Services, and Meals & Entertainment Review Services, among others. Each NFTS service offering has… more
- Sharp HealthCare (San Diego, CA)
- …Rationale and all supporting documentation are provided to clinical reviewer for final determination.For approvals and denials, documents determinations and ... for non-approval. Provides all documentation and rationale to clinical reviewer for final determination. Documentation includes rationale for denial, potential… more
- Terracon (San Diego, CA)
- …documented mentoring and application process for Terracon Authorized Project Reviewer certification. **Requirements:** + Bachelor's degree in technical discipline ... type of services and projects being managed + Authorized Project Reviewer status preferred. **Exemption:** Exempt **Requisition ID:** 32414BR **Posting Title:**… more
- Centene Corporation (Sacramento, CA)
- …current CA license.** **Must have** **2-4 years related** **experience in UM-Concurrent Review . 2+ years of acute care experience required. 10% Travel required.** ... discuss member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in… more
- TEKsystems (Westlake Village, CA)
- Job Description The Loan Review Specialist is responsible for conducting pre-purchase reviews of Conventional, Non-Conforming, FHA, and VA loan files. This role ... compliance standards (DU, LQA, Fraud, and Regulatory Guidelines) + Accurately review loan documentation and collateral files + Analyze client-provided documentation… more
- CVS Health (Sacramento, CA)
- …a collaborative process to implement, coordinate, monitor and evaluate medical review cases. + Applies the appropriate clinical criteria/guideline and plan language ... thinking, evidenced based clinical criteria and clinical practice guidelines. Med Review nurses use specific criteria to authorize procedures/services or initiate a… more