- City of New York (New York, NY)
- …(1) one Principal Administrative Associate to function as a Quality Control Case Review Supervisor, who will: - Supervise and provide guidance to QC Case Reviewers ... Enhanced Quality Assurance System (EQAS) or the State Case Review units. Provide guidance and clarification to QC Case...Ensure that Case Reviewers assigned to the State Case Review unit. Evaluate and review all cases… more
- Capital One (Mclean, VA)
- Consumer Credit Review Senior Manager The Consumer Credit Review Senior Manager is responsible for executing independent, risk-based assurance reviews within ... Senior Manager will also contribute towards the execution of the annual Credit Review operating plan by leading reviews of credit processes or products, performing… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …require up to*Every Other Weekend*coverage/. *_SPECIFIC RESPONSIBILITIES:_* The Utilization Review (UR) Registered Nurse is responsible for evaluating the medical ... timely care progression and appropriate resource use *Implementation:* * Implements review processes to evaluate necessity and efficiency of services. Initiates… more
- Integra Partners (Troy, MI)
- The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment (DME) and related requests to support Integra's ... This full-time, salaried role functions within a structured, high-volume authorization review queue and requires adherence to workflow timelines, clinical accuracy… more
- State of Indiana (Indianapolis, IN)
- Environmental Engineer 2 - Permit Review Date Posted: Jan 16, 2026 Requisition ID: 470581 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling ... perform those activities as necessary to help the Permit Review Section achieve its goals as they relate to...functions of this role are as follows: + Plan Review : Perform detailed technical engineering reviews and specifications of… more
- Houston Methodist (Katy, TX)
- At Houston Methodist, the Manager Centralized Utilization Review (UR) position is responsible for leading the daily operations of the Utilization Review ... and payer requirements. Reporting to the Director of Centralized Utilization Review , the Centralized Manager, UR position supports enterprise strategies for denial… more
- Veterans Affairs, Veterans Health Administration (Smyrna, TN)
- …and the integration of VHA and industry best standards. The Revenue Utilization review (RUR) Registered Nurse (RN) is an active member of the revenue cycle ... revenue cases. Manages clinical denials for revenue. Performs legal case relatedness review for revenue billing purposes. Provides education to VA medical facility… more
- SMBC (New York, NY)
- …offers a competitive portfolio of benefits to its employees. **Role Description** SMBC Credit Review Department (CRVD) seeks a Credit Review Officer. As a Credit ... part of a dynamic team responsible for the independent review and ongoing monitoring of the quality of the...Americas Division. The individual will get a chance to review the underwriting and the portfolio quality of a… more
- TD Bank (Charlotte, NC)
- …Job Description **Department Overview:** **As an expert credit professional, the Loan Review Senior Commercial Examiner serves as both a team leader and individual ... contributor within the scope of Examinations and continuous review testing activities across the Bank's broad range of Commercial loan portfolios. The Senior… more
- MyFlorida (Ocala, FL)
- STATE ATTORNEY'S OFFICE, 5TH CIRCUIT- OPS BODY CAMERA REVIEW ANALYST - 21505006 Date: Jan 7, 2026 The State Personnel System is an E-Verify employer. For more ... Commission Working Title: STATE ATTORNEY'S OFFICE, 5TH CIRCUIT- OPS BODY CAMERA REVIEW ANALYST - 21505006 Pay Plan: Seasonal Position Number: 21505006 Salary: $16.55… more