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Branch Review Specialist jobs in Nevada

Branch Review Specialist conducts branch internal audits to determine whether business controls are sufficient and effectively executed in accordance with bank policies and procedures. Tests established procedures to ensure operational efficiency within branch offices. Being a Branch Review Specialist determines whether branches are performing their planning, accounting, custodial, or business control activities in compliance with management instructions, policies, and procedures. Evaluates functions and activities in assigned areas to determine the nature of operations and the adequacy of systems to achieve established objectives. Additionally, Branch Review Specialist recommends corrective actions and improvements. Requires a bachelor's degree. Typically reports to a supervisor or manager. The Branch Review Specialist occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. To be a Branch Review Specialist typically requires 2 -4 years of related experience. (Copyright 2024 Salary.com)

Recently Added Branch Review Specialist jobs

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Utilization Review Specialist (40952)
  • WestCare
  • Henderson, NV FULL_TIME
  • Position Summary

    Person in this position is responsible for collecting clinical information and communicating with MCOs in a timely manner in order to advocate for the highest level of care that is supported by the clients acuity, and in compliance with regulations as defined by WestCare and its regulatory and accrediting agencies. Person in the position is also responsible for communicating with insurance companies/payor sources as an advocate for the patients served. Essential functions include those listed below

    Essential Job Functions

    • Establish and maintain positive and frequent effective communication with insurance carriers
    • Read and understand patient/members running chart narrative and respective case notes and be able to disseminate patient needs and professional/clinical recommendations and communicate this information effectively
    • Call in intakes and/or peer to peers and get the patients appropriate level of care authorized
    • Obtain and communicate level of care and authorizations and properly enter information into the systems.
    • Manually complete and submit quality authorization documentation to insurance companies
    • Serve as an advocate for patient members in relation to their care and their insurance benefits
    • Responsible for tracking current & concurrent authorization needs in all levels of care
    • Responsible for detailed system documentation of accounts
    • Communicating with other departments to obtain or provide needed information on patient accounts.
    • All other related duties as assigned

    Certifications/Licenses

    Essential Qualifications:

    • None required

    Education

    • Associates or Bachelors level LPN or RN and/or Bachelors or Masters level CADC/LADC with 2 years utilization review experience, preferred experience working with individuals with psychiatric or

    substance use disorder

    Experience And Competencies

    • Proven experience in conceptualizing a case and creating a clinical impression to present to all involved and approved parties, including managed care representatives
    • Knowledge of CPT, ICD 9 & ICD 10 coding, ASAM, medical terminology and EMR/CDS Systems.
    • Proficiency in Microsoft Office Platform Applications and knowledge of HIPAA regulations and guidelines.
    • Knowledge of managed care and reimbursement principles.
    • Understanding and proficiency in State of NV Medicaid Chapter requirements
    • Collaboration, negotiation, and assertiveness skills.
    • Must be organized, detail oriented and have the ability to focus on several job-specific tasks with several potential surrounding distractions and patient traffic.
    • Excellent verbal and written communication skills.
    • Critical thinking and problem solving skills.
    • Must be able to work in a team environment.
    • Ability to perform complex tasks and to prioritize multiple projects.
    • Strong analytical and critical thinking skills and the ability to analyze, summarize, and effectively present data.
    • Ability to work collaboratively with others in a manner that is pleasant and professional.
    • Ability to exercise good judgment and discretion.
    • Ability to operate a computer and complete documents in Microsoft program formats.
    • Ability to complete work tasks within scheduled work hours.
    • Excellent verbal and written communication skills.

    Working Conditions

    • Work is performed primarily in a professional, office setting.
    • A minimum of 40 hours per week are expected but significantly more hours may be required from time to time. Regular attendance is required.

    Essential Physical And Mental Demands Of The Job

    The employee must be able to perform the following essential duties and activities with or

    Without Accommodation

    Physical Demands:

    • Use of computer and telephone systems is required which includes coordination of eye and hand, and fine manipulation by the hands (typing, writing, and working with files).
    • Requires talking: Expressing or exchanging ideas by means of the spoken word. Talking is required to impart oral information to employees, clients, and the public, and in those activities in which the employee is required to convey detailed or important spoken instructions to others accurately, loudly, or quickly.
    • Requires hearing: Hearing is required to receive and communicate detailed information through oral communication.
    • Requires seeing: Clarity of vision at 20 inches or less and at distance. This factor is required to complete paperwork for many of the employees essential job functions and to observe activities in and out of the facility.
    • The normal work routine involves no exposure to human blood, body fluids or tissues. However, exposure or potential exposure may be required as a condition of employment. Appropriate personal protective equipment will be readily available to every employee

    Mental Demands

    • Requires the ability to collect and analyze complex numerical and written data and verbal information to reach logical conclusions.
    • Requires the ability to work and cooperate with clients, co-workers, managers, the public and employees at all levels in order to exchange ideas, information, instructions and opinions.
    • Requires the ability to work under stress and in emotionally charged settings.
  • 7 Days Ago
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Utilization Review Specialist
  • WESTCARE INC
  • Henderson, NV OTHER
  • Job Details Job Location: Henderson - 1711 Whitney Mesa - Henderson, NV Position Type: Full Time Education Level: 2 Year Degree Salary Range: $45,000.00 - $45,000.00 Salary Job Shift: Any DescriptionP...
  • 9 Days Ago
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Utilization Review Specialist
  • Reno Behavioral Healthcare Hospital
  • Reno, NV FULL_TIME
  • The UR Specialist reviews and monitors patients' utilization of health care services with the goal of maintaining high quality, cost-effective care. The duties include providing the medical and utiliz...
  • 18 Days Ago
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Assistant Clinical Director
  • BRANCH - Branch
  • Las Vegas, NV FULL_TIME
  • Assistant Clinical Director - Las Vegas, Nevada This is a full-time on-site role for an Assistant Clinical Director located in Las Vegas, NV. As an Assistant Clinical Director at Nuclear Care Partners...
  • 20 Days Ago
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Judicial Branch Audit Supervisor
  • STATE OF NEVADA-JUDICIAL BRANCH
  • Las Vegas, NV FULL_TIME
  • The Audit Unit of the Nevada Supreme Court, Administrative Office of the Courts (AOC) is seeking a Judicial Branch Audit Supervisor. The Audit Unit performs audits of the judiciary and its programs. J...
  • 10 Days Ago
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Paid Product Tester
  • Product Review Jobs
  • SILVERPEAK, NV FULL_TIME
  • Compensation: Varies per assignment. Up to $500 per week.Location: Remote (USA)Company: ProductReviewJobsThank you for your interest in becoming a Paid Product Tester. This opportunity is for completi...
  • 20 Days Ago
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Branch Review Specialist jobs at Popular Companies

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Loan Portfolio Specialist
  • Royal Business Bank
  • Los Angeles, CA
  • JOB SUMMARY Under minimal supervision, support the Portfolio Management Manager to manage legacy and portfolio loans for...
  • 6/11/2024 12:00:00 AM
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Flint Hydraulics - Regional Manager
  • Employee Owned Holdings, Inc.
  • Memphis, TN
  • Flint Hydraulics is looking for a candidate who wants to take the next step in their career to join our 100% employee ow...
  • 6/11/2024 12:00:00 AM
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Business Development Specialist
  • Ruppert Landscape
  • Charlotte, NC
  • Ruppert is a commercial construction and management company combined as a privately and employee-owned specialty contrac...
  • 6/11/2024 12:00:00 AM
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Service Manager
  • TruGreen
  • Chelmsford, MA
  • Founded in 1973, TruGreen is the nation's leading lawn care provider, providing lawn, tree and shrub and pest services f...
  • 6/11/2024 12:00:00 AM
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Energy-Related Climate Research Manager
  • California Energy Commission
  • Sacramento, CA
  • Energy-Related Climate Research Manager – Energy Research & Development Division (ERDD) (Electric Generation Systems Spe...
  • 6/11/2024 12:00:00 AM
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Supply Chain Specialist
  • Net2Source Inc.
  • Everett, WA
  • Hi, Net2Source is a Global Workforce Solutions Company headquartered at NJ, USA with its branch offices in Asia Pacific ...
  • 6/11/2024 12:00:00 AM
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Branch Specialist
  • Consumers Credit Union
  • Carol Stream, IL
  • We're Consumers Credit Union (CCU), a Great Place To Work certified company that values what you bring to the table. Our...
  • 6/8/2024 12:00:00 AM
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Senior Systems and Network Engineer- UCaaS
  • Sharp Electronics Corp.
  • Kingsport, TN
  • Overview: The Senior UCaaS Systems and Network Engineerr will be responsible for supporting multiple small to mid-sized ...
  • 6/7/2024 12:00:00 AM
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About Nevada

Nevada is almost entirely within the Basin and Range Province, and is broken up by many north-south mountain ranges. Most of these ranges have endorheic valleys between them, which belies the image portrayed by the term Great Basin. Much of the northern part of the state is within the Great Basin, a mild desert that experiences hot temperatures in the summer and cold temperatures in the winter. Occasionally, moisture from the Arizona Monsoon will cause summer thunderstorms; Pacific storms may blanket the area with snow. The state's highest recorded temperature was 125 °F (52 °C) in Laughlin (e...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Branch Review Specialist jobs
$50,179 to $65,249

Most Popular Cities in Nevada for Branch Review Specialist Jobs

What does a Branch Review Specialist do?

Branch Review Specialist in Atlanta, GA
This is how branches are going to continue to succeed, so you have to make sure that you have the creativity and knowledge to make it in this job.
January 22, 2020
Branch Review Specialist in Chico, CA
It is an effective way of learning about how a branch is doing and how to change it for the better.
December 21, 2019
Branch Review Specialist in Wilmington, NC
This person looks over the current performance of the branch and helps to maximize efficiency.
December 28, 2019