- AdventHealth (Orlando, FL)
- …support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient. The Second Level Reviewer I educates members of ... team regarding documentation guidelines, including physicians, allied health practitioners, nursing, and care management. The Second Level Reviewer I adheres to… more
- AdventHealth (Altamonte Springs, FL)
- …support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient. The Second Level Reviewer I educates members of ... team regarding documentation guidelines, including physicians, allied health practitioners, nursing, and care management. The Second Level Reviewer I adheres to… more
- Centene Corporation (Tallahassee, FL)
- …to discuss member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical ... determinations or provide recommendations based on requested services and concurrent review findings + Assists with providing...to leadership on opportunities to improve appropriate level of care and medically necessity based on clinical … more
- Datavant (Tallahassee, FL)
- …evolve the product vision, strategy, and roadmap for the Prospective Suspecting and Concurrent Review solutions within Datavant's Clinical Insights Platform ... government agencies, and those who deliver and pay for care . By joining Datavant today, you're stepping onto a...Background in working with provider documentation teams, coders, or concurrent review vendors. + Clinical … more
- Intermountain Health (Tallahassee, FL)
- …extensive knowledge and expertise to work alongside and collaborates with Clinical Documentation Integrity (CDI) Registered Nurses (RN) and Intermountain Physician ... Advisors to review complex facility encounters and assign International Classification of...appropriate codes in support of the provision of value-based care by Intermountain Healthcare to appropriate populations. It ensures… more
- AdventHealth (Orlando, FL)
- …nurses and clinical documentation specialists. This role will oversee the review processes of complex patients that vary in age and have different developments ... Time **Shift** : Days **Location: Remote** **The role you'll contribute:** The Clinical Documentation Integrity Manager is a Registered Nurse and/or a Registered… more
- Actalent (Miami, FL)
- …Title: Clinical Review Nurse Job Description As a Clinical Review Nurse, you will perform concurrent reviews to assess members' overall health, ... + Experience with Interqual and Medicare + Expertise in medical, acute care , concurrent review , and prior authorization + Knowledge of managed care… more
- HCA Healthcare (Gainesville, FL)
- …criteria + Proficient in application and use of InterQual + Analyze documentation of clinical care from the electronic medical record + Exhibit determined and ... Come join our team as a Behavioral Health Utilization Review RN MSW. We care for our...On base + Communicate with physicians regarding patient status, clinical documentation, and concurrent denial mitigation strategies… more
- AdventHealth (Altamonte Springs, FL)
- …**The role you will contribute:** Under general supervision of the Director of Clinical Documentation Integrity and in some situations the supervision of the ... Clinical Documentation Integrity Manager, and in collaboration with physicians,...of illness, expected risk of mortality, and complexity of care of the patient. The CDS educates members of… more
- AdventHealth (Orlando, FL)
- …year **The role you'll contribute:** Under general supervision of the Director of Clinical Documentation Integrity and in some situations the supervision of the ... Clinical Documentation Integrity Manager, and in collaboration with physicians,...of illness, expected risk of mortality, and complexity of care of the patient. The CDS educates members of… more