- BMO Financial Group (Milwaukee, WI)
- …dives, and special reviews of specific credits in accordance with Credit Risk Review Mandate and Procedures. + Assesses ratings and evaluation of the adherence to ... management. + Assures consistent practices and applications of Credit Risk Review Mandate and Procedures. + Completes investigations, assigned tasks, reports, and… more
- The Cigna Group (Sacramento, CA)
- …for inpatient acute care, rehabilitation, referrals, and select outpatient services. May review initial liability disability claims to determine extent and impact of ... Knowledge of managed care preferred. + Works independently, receiving direction from manager or team leader for new or unprecedented situations. + Manages own… more
- Veterans Affairs, Veterans Health Administration (Salem, VA)
- …Coordination Team (RCT) aligned under the Referral Coordination Initiative Operations Manager under the Access and Scheduling Management Service will meet basic ... Care Coordination Agreements (CCA) for determining medical necessity and appropriateness. Review Best Medical Interest (BMI) rationale, if selected. Run the DST… more
- Veterans Affairs, Veterans Health Administration (Salem, VA)
- …Scheduling Management Service and directly reports to the RCI Operations Manager . Using the VHA Referral Coordination Initiative Implementation Guidebook, the Nurse ... Care Coordination Agreements (CCA) for determining medical necessity and appropriateness. Review Best Medical Interest (BMI) rationale, if selected. Run the DST… more
- AmeriHealth Caritas (Philadelphia, PA)
- …**Responsibilities:** Under the direction of the unit Supervisor, the Clinical Care Reviewer - Shift Care is responsible for managing requests for pediatric shift ... a request from a physician for shift care services, the Clinical Care Reviewer contacts the parent/guardian to complete a comprehensive assessment of the member's… more
- PNC (Tampa, FL)
- …or issues.Participates in continuous monitoring for assigned portfolios. + Oversees file review activities of reviewers as Reviewer in Charge for assigned ... success. We are looking to hire a Credit Risk Review Advisor Senior in Credit Risk Review ...credit exposures. You may have responsibility of being a Reviewer in Charge. The Reviewer in Charge… more
- Censeo Consulting Group (Washington, DC)
- Grants Review Program Manager - Department of Justice The Position: We are looking for eager, driven candidates with experience in people management, training, ... impactful solutions for Federal clients at the Department of Justice. The Grants Review Program Manager is responsible for providing logistical support for… more
- Raymond James Financial, Inc. (Memphis, TN)
- …branch Electronic Communication team of associates + Complete daily workflow distribution, manager reviews and assist with reviewer escalations, as needed. + ... **Job Description** **Job Summary:** Senior Manager of E-comm Supervision will manage a supervisory...as SME of each business unit from an E-comm review perspective + Uses metrics data and quality assurance… more
- Chenega Corporation (San Antonio, TX)
- …Management + Review trainee case adjudications for quality assurance. + Review a percentage of Independent Case Reviewer (ICR) case adjudications for ... **Summary** **C2 ALASKA, LLC** Telework The **Medical Quality Assurance Manager ** shall train and report on the work progress...reviews must uphold the requirements for a policy compliant review as per the Independent Case Reviewer … more
- Johns Hopkins University (Baltimore, MD)
- …Reporting to the Director Portfolio Operations, the Portfolio Operations Manager will leverage their scientific acumen, operational expertise, and familiarity ... & Thalheimer Fund. + Support the finalist project selection process through review discussions. + Manage the application process, including handling reviewer … more