- Citigroup (Wilmington, DE)
- …& Retail Services, this C15 position is responsible for providing Independent Risk review and oversight of the Retail Services and Global Partnerships. The scope ... with internal policies, corporate risk standards and regulatory guidance + Review and provide comprehensive risk assessments of Portfolio Classifications, new… more
- Citigroup (Getzville, NY)
- The Loan Pledging Review Specialist is responsible for reviewing Wealth Lending Loans for eligibility to the FRB Borrower in Custody or Federal Home Loan Banks ... will be a subject matter expert on published pledging criteria critically review loan documentation to determine eligibility. **Responsibilities:** + Act as subject… more
- Saint Luke's (Kansas City, MO)
- **Job Description** The Utilization Review RN is responsible for assuring the receipt of high quality, cost efficient medical outcomes through utilization review ... guidelines (InterQual). + Complies with CMS regulation regarding utilization review /management. + Obtains and manages insurance authorizations and proactively works… 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
- MetroHealth (Cleveland, OH)
- **Utilization Review Specialist-Utilization Management** **Location:** **METROHEALTH MEDICAL CENTER** **Biweekly Hours:** **80.00** **Shift:** **10a-6:30p** **The ... for communicating information to internal and external customers of the Utilization Review and Care Management Department. Follows up on inquiries from payors and… more
- George C. Grape Community Hospital (Hamburg, IA)
- Utilization Review & Chronic Care Management (CCM) Nurse George C. Grape Community Hospital & Clinics is seeking a full-time Utilization Review & Chronic Care ... the Role In this position, you'll split your time between: * Hospital Utilization Review - Conduct daily face-to-face rounds with providers to review care plans,… more
- New York State Civil Service (New York, NY)
- …1 Psychiatric (NY HELPS), New York State Psychiatric Institute, Utilization review , P26749 Occupational Category Health Care, Human/Social Services Salary Grade 18 ... Zip Code 10032 Duties Description The selected candidate will provide Utilization Review services, including but not limited to conducting daily Utilization … more
- Medical Center Hospital (Odessa, TX)
- Position Summary: Assists UM Department with utilization review processes, including the collection and analysis of various computer-based data related to ... Utilization Review , Care Coordination, and Commercial Insurance. Qualifications: A. Education:...facility. C. Job Knowledge: Familiar with medical terminology, utilization review , and community resources a plus. Basic computer skills… more
- Capital One (Mclean, VA)
- Manager, Quality Review Program Lead | Retail Risk **Overview:** We are seeking a Program Lead to oversee and evolve our Quality Review Programs (Quality ... programs deliver measurable business impact. + Proven ability to lead quality review programs and establish governance frameworks. + Strong strategic thinking with… more
- Molina Healthcare (Albuquerque, NM)
- **JOB DESCRIPTION** Opportunity for experienced Utilization Review RN (preferred) or LPN with a compact license who resides in New Mexico or Texas. This team reviews ... social work or clinical counselor (for Behavioral Health Care Review Clinicians only). **Required Experience** 1-3 years of hospital...as LCSW, LPCC or LMFT (for Behavioral Health Care Review Clinicians only). Must be able to travel within… more