- Molina Healthcare (Orlando, FL)
- …Required Qualifications * At least 2 years experience, including experience in hospital acute care , inpatient review, prior authorization, managed care ... for a RN with experience with appeals, claims review, and medical coding . JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment… more
- Datavant (Tallahassee, FL)
- …BA or BS in Nursing, experience preferred to perform + Minimum Experience: 3 to 5 years acute care experience + 2 years Health Plan or Acute Care ... medical necessity and necessity of continued stay in the inpatient patient care setting and/or discharge to...UR/CM + Preferred Experience: 5 years acute care or health plan UR/CM with 1 year ICU/ER… more
- AdventHealth (Ocala, FL)
- …round by contributing specific surgical perspective and promoting integrated comprehensive patient care Inpatient consultation and admission at the direction of ... of AdventHealth with primary focus on clinical services in the inpatient and outpatient setting. Inpatient Responsibilities include: pre-operative admission,… more
- BayCare Health System (Largo, FL)
- …Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of ... of the patient's conditions and precise descriptions of patient care rendered during the hospital inpatient stay....Bachelors:** + 2 years Clinical Documentation & 5 years Acute Care . **Required experience with Masters:** +… more
- Humana (Tallahassee, FL)
- …in care management. The clinical scenarios predominantly arise from outpatient, inpatient or post- acute care environments. Has discussions with external ... post residency or fellowship, which preferably includes some experience in an inpatient /outpatient environment and/or related to care of a Medicare type… more
- CenterWell (Tallahassee, FL)
- … care facilitation with hospitals. The clinical scenarios predominantly arise from inpatient or post- acute care environments. There are discussions with ... experience post residency or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare type… more
- Humana (Tallahassee, FL)
- …participation in care management. The clinical scenarios arise from outpatient, inpatient or post- acute care environments. The Medical Director will ... experience post residency or fellowship, which preferably includes some experience in an inpatient and/or outpatient environment and/or related to care of a… more
- AdventHealth (Tampa, FL)
- …of patient care /safety + Functions fully within the Outpatient and Inpatient setting + Providing on-call coverage for medical triage for outpatients in ... healthcare providers for continued education to ensure comprehensive and coordinated patient care . Provides medical care to patients under the supervision of… more
- AdventHealth (Tampa, FL)
- …caring for:** AdventHealth Tampa AdventHealth Tampa, a faith-based not-for-profit 626-bed tertiary-level acute care hospital located in the uptown district of ... **The role you'll contribute:** Assigns ICD-10-CM and ICD-10-PCS codes to hospital inpatient accounts utilizing Epic, the 3M Encoder and Dolbey Computer Assisted … more
- AdventHealth (Ocala, FL)
- …round by contributing specific surgical perspective and promoting integrated comprehensive patient care Inpatient consultation and admission at the direction of ... clinical operation of AdventHealth with primary focus on clinical services in the inpatient and outpatient setting. **The value you'll bring to the team:** PRINCIPAL… more