- St. Peters Health (Helena, MT)
- …Peer requests including scheduling these to be completed between the facility and plan providers. 10. Review insurance companies' requests for change of patient ... The Utilization Management RN reports directly to Utilization Review RN Coordinator. The UR RN supports the...assure correct admission status and confirm treatment goals, treatment plan , and clinical mileposts used to advance the treatment… more
- Huron Consulting Group (Chicago, IL)
- …responsible for planning, organizing, developing, and directing implementation of the Utilization Review Plan and the overall operation of the Utilization ... Staff Acquisition and Support: Leads and manages the utilization review staff and function for the system, reporting to...and vision coverage to employees and dependents; a 401(k) plan with a generous employer match; an employee stock… more
- Mizuho Corporate Bank (New York, NY)
- …transactions a plus). The candidate will assist the Team in completing the annual review plan by conducting independent credit reviews to ensure compliance with ... About the Team Credit Review provides the Board and bank management with...to communicate credit risk management weaknesses identified to Credit Review senior management and the line of business; as… more
- City of Norfolk, Virginia (Norfolk, VA)
- …minimum of three years of experience in land survey and/or land surveying drafting or site plan review ? + Yes + No 08 If yes, briefly describe your experience. ... Land Survey Technician-Site Plan Reviewer Print (https://www.governmentjobs.com/careers/norfolk/jobs/newprint/5037301) Apply Land Survey Technician-Site Plan … more
- Hunterdon Health Care System (Flemington, NJ)
- …Summary The Utilization Review Specialist monitors adherence to the hospital's utilization review plan to ensure the effective and efficient use of hospital ... authorization under the provisions of an applicable health insurance plan . Primary Position Responsibilities 1. Performs utilization activities, using Milliman… more
- Westborough Behavioral Healthcare Hospital (Westborough, MA)
- … Review Specialist is responsible for monitoring adherence to the hospital's utilization review plan to ensure the effective and efficient use of hospital ... services. Monitors the appropriateness of hospital admissions and extended hospitals stays. Completing data collection of demographic, claim and medical information; non-medical analysis; and outcomes reporting. Shift details: Full-time 40 hours per week… more
- City of New York (New York, NY)
- …collective bargaining agreements with the City's 149 bargaining units. 1.Monitor Health Plan Compliance: Review and audit of self-funded health plan ... to develop and execute audit of City self-funded health plan . Coordinate review of audit reports outlining findings, root causes, and recommendations.… more
- Capital One (New York, NY)
- …The Senior Manager will also contribute towards the execution of the annual Credit Review operating plan by leading reviews of credit processes or products, ... Consumer Credit Review Senior Manager The Consumer Credit Review...could be discretionary or non discretionary depending on the plan . Capital One offers a comprehensive, competitive, and inclusive… more
- CACI International (Alexandria, VA)
- …Inc. has an immediate opening for a Systems Engineer with Information Support Plan (ISP) Support + Review and assess Information Support Plans (ISPs) ... Systems Engineer - Information Support Plan (ISP) Job Category: Consulting Time Type: Full time Minimum Clearance Required to Start: Secret Employee Type: Regular… more
- AristaCare (Plymouth Meeting, PA)
- …as requested by the Administrator or Director of Nursing Services. + Periodically review the resident's written discharge plan . Participate in the updating of ... care. + Encourage the resident to participate in the development and review of his/her care plan . + Review resident care plans for appropriate resident… more