Branch Review Specialist jobs in Springfield, MO

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)

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Utilization Review RN
  • CoxHealth
  • Springfield, MO FULL_TIME
  • Summary

    Best in Class Work Environment

    • 5x Modern Healthcare Best Places to work
    • America’s Greatest Workplaces 2023 – Newsweek
    • Best Employers for New Grads 2023- Forbes
    • Greatest Workplace for Women 2023 - Newsweek

    Benefits

    • Robust, fully customizable benefits package including Medical/Vision/Dental and more!
      • No cost eCare visits
      • Employer-provided mental health services for employees and eligible family members
    • Retirement with employer match up to 5%
    • Tuition discounts and reimbursement available for continuing your education
    • CoxHealth Fitness Center and Child Care discounts

    Job Summary

    • The Utilization Review Nurse RN collaborates with the physician and members of the multidisciplinary team to facilitate progression-of-care; monitors the patient's progress, intervening appropriately to ensure that the plan of care and services provided are patient focused, high quality, evidence based, appropriate to patient needs, efficient, and cost effective. Conduct concurrent medical record review for medical necessity and level of care using nationally recognized acute care indicators and criteria as approved by medical staff, accrediting bodies, and other state agencies. Prospectively or concurrently determines the appropriateness of inpatient or observation services following review of relevant medical documentation, medical guidelines and insurance benefits and communicates information to payers in accordance with contractual obligations. Serve as a resource to the physicians and provide education and information on resource utilization, national and local coverage determinations, and use of hospital admission criteria.

    Job Requirements

    Education

    • Required: Graduate of an accredited school of nursing
      • Preferred: Bachelor's of Nursing with knowledge of InterQual Level of Care Criteria and/or Milliman Care Guidelines and of local/national coverage determinations

    Experience

    • Required: Minimum of 3 years hospital experience

    Skills

    • Excellent interpersonal skills, including ability to be genuine and empathetic
    • Excellent communication (verbal and written) skills with attention to detail
    • Computer skills
    • Ability to interact professionally and contribute to the interdisciplinary team

    Licensure/Certification/Registration

    • Current RN License active in the state of Missouri
    • Preferred: Certified Case Manager

     

  • 3 Days Ago

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Medical Review Nurse
  • Vital Signs
  • Solo, MO FULL_TIME
  • 100% Remote, Work-From-Home position anywhere in the US. (Any state RN license is accepted). As an RN, you will provide direction, guidance, and support to our physician Medical Claims Reviewers as we...
  • 17 Days Ago

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Utilization Review Supervisor
  • CoxHealth
  • Springfield, MO FULL_TIME
  • Summary Best in Class Work Environment 5x Modern Healthcare Best Places to work America’s Greatest Workplaces 2023 – Newsweek Best Employers for New Grads 2023- Forbes Greatest Workplace for Women 202...
  • 1 Month Ago

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Utilization Review RN - DEPARTMENTAL ONLY
  • CoxHealth
  • Springfield, MO FULL_TIME
  • Summary Best in Class Work Environment 5x Modern Healthcare Best Places to work America’s Greatest Workplaces 2023 – Newsweek Best Employers for New Grads 2023- Forbes Greatest Workplace for Women 202...
  • 1 Day Ago

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Branch Manager
  • Headwater Wholesale
  • Springfield, MO FULL_TIME
  • Headwater Wholesale is part of the largest national wholesaler (a division of Headwater Companies www.headwaterco.com ) in the United States, specializing in water equipment components for the residen...
  • 12 Days Ago

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Branch Manager
  • TelComm Credit Union
  • Springfield, MO FULL_TIME
  • Overview: This position is responsible for a wide variety of duties. Responsible for directing and administering the operational efforts of the Branch. Ensures that established policies and procedures...
  • 12 Days Ago

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0 Branch Review Specialist jobs found in Springfield, MO area

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Wholesale Product Specialist
  • Sherwin-Williams
  • Springfield, MO
  • This PART-TIME position works closely with commercial paint customers to determine their needs, answer their questions a...
  • 3/18/2024 12:00:00 AM

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Internal Revenue Agent (Fed State Local Gvmt Spec - Examiner) 12 MONTH ROSTER AMENDED
  • Department Of The Treasury
  • Springfield, MO
  • Duties WHAT IS THE TAX EXEMPT & GOVERNMENT ENTITIES (TE/GE) DIVISION? A description of the business units can be found a...
  • 3/18/2024 12:00:00 AM

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Central Account Specialist I
  • Bank OZK
  • Ozark, MO
  • Basic Qualifications: * High School diploma or equivalent required. * Minimum of one (1) year of experience with compute...
  • 3/18/2024 12:00:00 AM

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Senior Portfolio Consultant
  • EDWARD JONES
  • Springfield, MO
  • Join a financial services firm where your contributions are valued. Edward Jones is a Fortune 500 company where people c...
  • 3/16/2024 12:00:00 AM

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Local CDL A Driver
  • SRS Distribution Inc
  • Springfield, MO
  • Local CDL A Driver page is loaded **Local CDL A Driver** **Local CDL A Driver** locationsSpringfield, MO (Arrowhead) tim...
  • 3/16/2024 12:00:00 AM

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Claims Administrative Support Specialist
  • Progressive Corp.
  • Springfield, MO
  • Job Description - Claims Administrative Support Specialist (189594) **** Claims Administrative Support Specialist **Job ...
  • 3/16/2024 12:00:00 AM

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Automation Specialist
  • SMC
  • Springfield, MO
  • Job Description Job Description This position is responsible for the development and expansion of SMC’s automation solut...
  • 3/14/2024 12:00:00 AM

Springfield is the third-largest city in the state of Missouri and the county seat of Greene County. As of the 2010 census, its population was 159,498. As of 2017, the Census Bureau estimated its population at 167,376. It is the principal city of the Springfield metropolitan area, which has a population of 462,369 and includes the counties of Christian, Dallas, Greene, Polk, Webster. Springfield's nickname is "Queen City of the Ozarks" and it is known as the "Birthplace of Route 66". It is home to three universities, Missouri State University, Drury University, and Evangel University. Springf...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Branch Review Specialist jobs
$46,699 to $60,723
Springfield, Missouri area prices
were up 1.3% from a year ago

Branch Review Specialist in Columbus, MS
The branch review specialist job description covers overall performance of a branch.
December 15, 2019
Branch Review Specialist in Muskegon, MI
When a branch is not working at its best, a review specialist comes in.
January 05, 2020
Branch Review Specialist in New Brunswick, NJ
A branch review specialist has a specific set of duties outside of management and basic customer service within a bank branch.
January 16, 2020