- Zelis (St. Petersburg, FL)
- … clinical appropriateness. The Supervisor will be responsible for monitoring the Clinical Reviewer 's performance to ensure savings are maximized and captured ... shape who you are. Position Overview The Sr. Supervisor, Clinical Chart Review is focused on supervising...will do: + Direct supervision of a team of Clinical Reviewer 's. + Accountable for day-to-day business… more
- Centene Corporation (Tallahassee, FL)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... discuss member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in… 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 ... States and the world. All within a 'living laboratory' of groundbreaking, research-driven clinical solutions that integrate mind, body and spirit in the defeat of… more
- Veterans Affairs, Veterans Health Administration (Tampa, FL)
- …with clinical , coding, and other associated staff. Responsibilities Clinical Documentation Improvement Specialists (CDIS) review documentation in the ... completeness of clinical documentation. Inpatient CDI focuses on the concurrent review of inpatient records with an emphasis on improving documentation while the… more
- CenterWell (Orange Park, FL)
- …policies and standards. + Assesses staff education needs based on own the review of clinical documentation in addition to feedback and recommendations by ... caring community and help us put health first** The ** Clinical Manager** coordinates and oversees all direct care patient...Utilization Review staff. Upon completion of the assessment, creates and… more
- Parexel (Tallahassee, FL)
- … Clinical Quality Monitoring of critical data. Support close to real time clinical data Ongoing medical review with transparent documentation of the activity, ... Plan (TSAP) etc Medical contribution to Patient Narrative preparation, Clinical Trial Report planning and review of...Narrative preparation, Clinical Trial Report planning and review of medical sections of Clinical Trial… more
- Cognizant (Tallahassee, FL)
- …and retro-authorization as well as timely filing deadlines and processes. . Review clinical denials including but not limited to referral, preauthorization, ... the medical necessity determinations to the Health Plan/Medical Director based on the review of clinical documentation in accordance with Medicare, Medicaid, and… more
- Wolters Kluwer (Tampa, FL)
- …with expert clinical consultants in the field. + Conducts peer review of content development (eg, professional drug monographs, projects). + Maintains external ... (Not all hybrid eligible offices are shown). **OVERVIEW** As a **Senior Clinical Content Consultant - Pharmacist for Women's Health** , you will participate… more
- Wolters Kluwer (Tampa, FL)
- …The Senior Content Editor - Nursing is responsible for the development, review , and management of high-quality, evidence-based clinical content for Lippincott ... Solutions products such as Lippincott Blended Learning, Lippincott Certification Review , and Lippincott Professional Development. Your clinical expertise will… more
- Actalent (Cooper City, FL)
- …Responsibilities + Patient Recruitment: Identify and recruit suitable patients for the clinical trial. + Medical Record Review : Conduct thorough reviews of ... Bilingual Clinical Research Coordinator Job Description Hiring for a...main job duties for this position will be chart review , phone screening and patient recruitment. This position will… more