Branch Review Specialist jobs in Juneau, AK

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)

S
System Director of Utilization Review
  • Southeast Alaska Regional Health Consortium
  • Juneau, AK FULL_TIME
  • Pay Range:
    $47.91 - $61.29
    SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our strongest assets. It is our priority to further their development and our organization by aiding in their professional advancement.
    Working at SEARHC is more than a job, it’s a fulfilling career. We offer generous benefits, including retirement, paid time off, paid parental leave, health, dental, and vision benefits, life insurance and long and short-term disability, and more.
    This position oversees the coordination of inpatient care services including Utilization Review, Case Management/Discharge Planning, and Social Services. This position develops and integrates strategies to enhance the quality of care for patient satisfaction, and healthcare outcomes.

    At MEMC, this position could include a grant-funded Psychiatric Emergency Services (PES) program.
    Key Essential Functions and Accountabilities of the Job
    • Responsible for directing a system-wide utilization review process, including Case Management and Social Services, in multiple locations.
    • Must be able to understand and manipulate advanced systems and work with and synthesize large relational data sets, providing descriptive/predictive/prescriptive analytics to support operational behavior modification.
    • Meet and exceed department service, operational and financial goals, provide analysis, identification of variances and develop action plans to achieve established goals. Report unit performance to internal stakeholders as required.
    • This position works intensively with advanced systems to track and trend denials, builds models for documentation improvement plans, and coordinates with all areas and levels of Southeast Alaska Regional Health Consortium (“SEARHC”) Hospitals.
    • Work closely with revenue cycle and other finance staff to maximize revenues while maintaining compliance with regulations affecting utilization management. The position requires close interaction with and knowledge of the Medicare and Medicaid programs and other third-party payers.
    • This position works closely with the provider community to improve clinical documentation and with administration to ensure appropriate hospital resource use. Care coordination includes the internal collaboration with the SEARHC Primary Care Clinics and Long-Term Care facilities. External collaboration includes tertiary care, assisted living, and psychiatric facilities.
    • Direct the Utilization Review Department and ensure safe, efficient, and effective utilization of hospital facilities and services.
    • Maintain compliance with all regulations.
    • Participate in the development and implementation of departmental policies and procedures, and monitor/ensure compliance and consistency.
    • Review and revise workflows and procedures to ensure maximization of resources and excellence in customer service.
    • Chair the Utilization Review Committee. Coordinate and attend all Quarterly Utilization Review meetings and provide information and data relative to the review process and any identified problems.
    • Works collaboratively with Physician Advisor and provider teams to ensure the appropriateness and necessity of an individual’s admission to or continued stay in hospital.
    • Monitor quality measures, collecting and analyzing data to improve utilization of services and the effectiveness and appropriateness of support services.
    • Oversee and support the psychiatric emergency service clinicians who assist the Emergency and Inpatient departments in patient assessments and recommendations to care team.
    • Ensure timely and appropriate maintenance of records, with documentation of services provided and progress consistent with the care plan.
    Education, Certifications, and Licenses Required
    • Bachelor’s degree from an accredited school required.
    • Higher level of education preferred.
    • Current full, unrestricted Registered Nursing license in Alaska or other U.S. state required. Direct Hire must have applied for an Alaska nursing license before start date. Agency staff must have an active Alaska license.
    • High school diploma or equivalent required.
    Experience Required
    • Prior experience in the utilization and review function required.
    • Previous management experience in supervision or administration required.
    • Prior experience working in a Critical Access Hospital model preferred.
    • Five years of clinical experience preferred.
    • Prior experience in Performance Improvement preferred.
    Knowledge of
    • Knowledge of health care service delivery systems and third-party reimbursement; knowledge of managed care environment.
    • Solid understanding of healthcare, federal, and state regulations.
    • Understanding of admission and discharge functions.
    • Familiarity with medical terminology, diagnostic terms, and treatment modalities.
    Skills in
    • Strong interpersonal, organizational, evaluative, and time management skills.
    • Policy interpretation skills; familiarity with applicable standards and regulations.
    • Provider communication and behavior change can be challenging; this individual must be an expert communicator and change agent.
    • Responsiveness to deadlines; assertiveness, persistence, and persuasiveness.
    Ability to
    • Ability to apply and interpret admission and continued stay criteria.
    • Ability to organize tasks related to the accomplishment of hospital goals and objectives.
    • Ability to work in a professional manner with physicians, outside agencies, and support staff.
    • Ability to travel to multiple locations.
    Required Certifications:
    Registered Nurse License - State of Alaska - Alaska State Board of Nursing
    If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
  • 2 Days Ago

P
Paid Product Tester
  • Product Review Jobs
  • HYDABURG, AK 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...
  • Just Posted

P
Paid Product Tester
  • Product Review Jobs
  • TENAKEE SPRINGS, AK 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...
  • Just Posted

P
Paid Product Tester
  • Product Review Jobs
  • METLAKATLA, AK 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...
  • Just Posted

P
Paid Product Tester
  • Product Review Jobs
  • KAKE, AK 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...
  • Just Posted

P
Paid Product Tester
  • Product Review Jobs
  • ELFIN COVE, AK 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...
  • Just Posted

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Branch Review Specialist jobs found in Juneau, AK area

S
Administrative Assistant 1 (PCN 064518)
  • State of Alaska
  • Juneau, AK
  • Salary: $22.56 Hourly Location : Fairbanks, AK Job Type: Full Time Job Number: 44775 Department: Family & Community Serv...
  • 3/28/2024 12:00:00 AM

S
Microcomputer / Network Specialist I
  • State of Alaska
  • Juneau, AK
  • Salary: $2,720.00 Biweekly Location : Juneau, AK Job Type: Full Time Job Number: L1680 Department: Legislative Affairs D...
  • 3/28/2024 12:00:00 AM

S
Maintenance Specialist, Journey 2/Lead (PCN 05-8389)
  • State of Alaska
  • Juneau, AK
  • Salary: $29.44 Hourly Location : Seward, AK Job Type: Full Time Job Number: 44108 Department: Labor & Workforce Developm...
  • 3/27/2024 12:00:00 AM

S
Division Operations Manager (PCN 024026)
  • State of Alaska
  • Juneau, AK
  • Salary: $4,043.20 Biweekly Location : Juneau, AK Job Type: Full Time Job Number: 44629 Department: Administration Divisi...
  • 3/25/2024 12:00:00 AM

S
Maintenance Specialist Electronics Journey 2/Lead (PCN 20-5542)
  • State of Alaska
  • Juneau, AK
  • Salary: $28.97 - $32.07 Hourly Location : Mackenzie Point, AK Job Type: Full Time Job Number: 43767 Department: Correcti...
  • 3/24/2024 12:00:00 AM

S
Psychiatric Nurse 1, On-Call (PCN 06N07106)
  • State of Alaska
  • Juneau, AK
  • Salary: $43.04 Hourly Location : Anchorage, AK Job Type: Part Time Job Number: 44087 Department: Family & Community Serv...
  • 3/24/2024 12:00:00 AM

According to the United States Census Bureau, the borough has an area of 3,255 square miles (8,430 km2), making it the third-largest municipality in the United States by area (the largest is Yakutat City and Borough, Alaska).[dubious – discuss] 2,716.7 square miles (7,036 km2) of it is land and 538.3 square miles (1,394 km2) of it (16.54%) is water. Central (downtown) Juneau is at 58°18′07″N 134°25′11″W / 58.30194°N 134.41972°W / 58.30194; -134.41972. The City and Borough of Juneau includes Douglas Island, a tidal island to the west of mainland Juneau. Douglas Island can be reached via the...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Branch Review Specialist jobs
$55,067 to $71,604
Juneau, Alaska area prices
were up 2.8% 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