• Licensed Clinical Social Worker Pediatric…

    AdventHealth (Orlando, FL)
    …intervening to remove barriers to timely and efficient care delivery and reimbursement . The Clinical Social Worker, Licensed, provides education to nurses, ... Time **Shift** : Days **The role you'll contribute:** The Clinical Social Worker, Licensed, intervenes with patients who have...nurses, and other members of the care team). The Clinical Social Worker, Licensed, , in collaboration with the… more
    AdventHealth (08/28/25)
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  • Licensed Clinical Social Worker Part Time…

    AdventHealth (Orlando, FL)
    …intervening to remove barriers to timely and efficient care delivery and reimbursement . The Clinical Social Worker, Licensed, provides education to nurses, ... of emergency cases: 89,018 **The role you'll contribute:** The Clinical Social Worker, Licensed, intervenes with patients who have...nurses, and other members of the care team). The Clinical Social Worker, Licensed, , in collaboration with the… more
    AdventHealth (08/07/25)
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  • Licensed Clinical Social Worker

    AdventHealth (Orange City, FL)
    …intervening to remove barriers to timely and efficient care delivery and reimbursement . The Clinical Social Worker, Licensed, provides education to nurses, ... 1055 SAXON BLVD, Orange City, 32763 **The role you'll contribute:** The Clinical Social Worker, Licensed, intervenes with patients who have complex psychosocial… more
    AdventHealth (08/07/25)
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  • Clinical Documentation Specialist RN

    Houston Methodist (FL)
    …conducted as needed. **FINANCE ESSENTIAL FUNCTIONS** + Promotes clarification to clinical documentation to ensure that appropriate reimbursement is received ... **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Educates all internal customers on clinical documentation opportunities, coding, and reimbursement issues, as… more
    Houston Methodist (08/13/25)
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  • Provider Reimbursement Adm-Certified…

    Elevance Health (Miami, FL)
    …sponsorship. **Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and ... + Reviews company specific, CMS specific, and competitor specific medical policies, reimbursement policies, and editing rules, as well as conducts clinical more
    Elevance Health (08/20/25)
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  • Senior Reimbursement Analyst- Cost…

    BayCare Health System (Clearwater, FL)
    …that's built on a foundation of trust, dignity, respect, responsibility and clinical excellence. **Responsibilities:** + The Senior Reimbursement Analyst will ... of management. + This position is responsible for government payer reimbursement related to Medicare, Medicaid and TRICARE/CHAMPUS, specifically completion of the… more
    BayCare Health System (08/09/25)
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  • Remote Inpatient Coding Specialist

    AdventHealth (Altamonte Springs, FL)
    …. Discusses optimization and documentation issues with appropriate physicians and clinical personnel to ensure optimal coding and reimbursement , querying ... and the impact the accuracy of the data has on mortality rates, clinical quality, reimbursement , internal scorecards, and key quality indicators. Qualifications… more
    AdventHealth (08/20/25)
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  • Medical Director - Spine

    CVS Health (Jacksonville, FL)
    …Responsible for predetermination reviews ad reviews of claim determinations, providing clinical , coding, and reimbursement expertise, using multiple computer ... system is more transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources. **This is a… more
    CVS Health (08/08/25)
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  • MDS LPN or RN

    Good Samaritan (Kissimmee, FL)
    …and various other nursing interventions. Has functional knowledge of RUGs and PDPM clinical reimbursement related to the MDS assessment. The MDS LPN functions ... appropriate age and population specific standards as designated in their assigned clinical setting. Cares for residents in all phases of preventative care, health… more
    Good Samaritan (07/28/25)
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  • Medical Director - Medicare Appeals

    CVS Health (Tallahassee, FL)
    …Projects and Committee participation when needed. The Medical Director will provide clinical , coding, and reimbursement expertise as well as directing case ... transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources....The Medical Director will act as a business and clinical liaison to network providers and facilities if needed,… more
    CVS Health (08/08/25)
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