• Dispute Resolution Reviewer I

    St. George Tanaq Corporation (Tallahassee, FL)
    Dispute Resolution Reviewer I Fully Remote*GA Job Type Full-time Description **Overview** Tanaq Support Services (TSS) delivers professional, scientific, and ... **About the Role** We are seeking a **Dispute Resolution Reviewer I (DRR I)** to support a contract with...anywhere in the United States. **Responsibilities** + Reviews medical records/ case file, writes a decision that is clear, concise,… more
    St. George Tanaq Corporation (05/07/25)
    - Related Jobs
  • Second Level Reviewer I PRN Remote

    AdventHealth (Altamonte Springs, FL)
    …collaboration with physicians, nursing and HIM coders, the Second Level Reviewer I strategically facilitates and obtains appropriate and quality physician ... complexity of care of the patient. The Second Level Reviewer I educates members of the patient care team...(ROM), and quality. . Completes accurate and timely record review to ensure the integrity of documentation compliance. .… more
    AdventHealth (06/12/25)
    - Related Jobs
  • Dispute Resolution Reviewer III

    St. George Tanaq Corporation (Tallahassee, FL)
    Dispute Resolution Reviewer III Fully Remote*GA Job Type Full-time Description **Overview** Tanaq Support Services (TSS) delivers professional, scientific, and ... community and shareholders. **About the Role** We are seeking a **Dispute Resolution Reviewer III (DRR III)** to support a contract with our federal client. The… more
    St. George Tanaq Corporation (06/25/25)
    - Related Jobs
  • Acute Care Case Manager , Registered Nurse…

    ChenMed (North Miami Beach, FL)
    …clinical work experience required. + A minimum of 1 year of utilization review and/or case management, home health, hospital discharge planning experience ... and post-acute facilities, as well as, their home environments. The Nurse Case Manager 1 (RN) role also involves establishing relationships with patients' families… more
    ChenMed (05/28/25)
    - Related Jobs
  • Division Vice President Case Management

    HCA Healthcare (Fort Lauderdale, FL)
    …level. + Lead centralized case management function, including Clinical Case Management, Utilization Review Services, and Clinical Documentation Improvement. ... + Lead centralized case management function, including Clinical Case Management, Utilization Review Services, and Clinical Documentation Improvement.… more
    HCA Healthcare (08/01/25)
    - Related Jobs
  • RN Case Manager Evenings

    HCA Healthcare (Gainesville, FL)
    …nursing experience required. Case management experience preferred. + Certification in Case Management, Nursing or Utilization Review is preferred HCA Florida ... in your career path, we encourage you to apply for our RN Case Manager opening. We review all applications. Qualified candidates will be contacted by a member of… more
    HCA Healthcare (06/21/25)
    - Related Jobs
  • RN Case Manager Part Time

    HCA Healthcare (Tallahassee, FL)
    …license is acceptable for position if current and compliant** + **Certification in Case Management, Nursing, or Utilization Review , preferred** + **Three years ... compelling, we encourage you to apply for our RN Case Manager Part Time opening. We promptly review... Case Manager Part Time opening. We promptly review all applications. Highly qualified candidates will be directly… more
    HCA Healthcare (06/21/25)
    - Related Jobs
  • Nurse (Intermittent) - Community Care Case

    Veterans Affairs, Veterans Health Administration (Winter Park, FL)
    …satisfaction throughout the continuum of care. Responsibilities The Community Care (CC) Case Manager Registered Nurse (RN) is responsible for executing a streamlined ... and decision-making, deliberate planning, and critical thinking skills. The CC Case Manager possesses intimate knowledge of the internal referral care process,… more
    Veterans Affairs, Veterans Health Administration (08/01/25)
    - Related Jobs
  • Case Management Assistant

    HCA Healthcare (Fort Walton Beach, FL)
    …provides satisfaction and personal growth, we encourage you to apply for our Case Management Assistant opening. We promptly review all applications. Highly ... We care like family! Jump-start your career as a Case Management Assistant today with HCA Florida Fort Walton-Destin...vary by location._** Come join our team as a Case Management Assistant. We care for our community! Just… more
    HCA Healthcare (07/18/25)
    - Related Jobs
  • Director Case Management

    HCA Healthcare (Kissimmee, FL)
    …satisfaction and personal growth, we encourage you to apply for our Director Case Management opening. We promptly review all applications. Highly qualified ... care like family! Jump-start your career as a Director Case Management today with HCA Florida Osceola Hospital. **Benefits**...by location._** Come join our team as a(an) Director Case Management. We care for our community! Just last… more
    HCA Healthcare (06/21/25)
    - Related Jobs