- PNC (Tampa, FL)
- …to contribute to the company's success. We are looking to hire a Credit Risk Review Advisor Senior in Credit Risk Review within PNC's Independent Risk Management ... organization. The primary objective of Credit Risk Review (CRR) is to conduct timely and independent assessments of PNC's credit exposures and credit risk. Results… more
- BAYADA Home Health Care (Orlando, FL)
- …around this requirement.** BAYADA Home Health Care is hiring a full time OASIS Review and Coding Manager. The OASIS and Coding Review Manager provides support ... about BAYADA Benefits, click here (https://www.bayada.com/benefits/) . **Responsibilities:** + Review clinical information for appropriateness, congruency, and accuracy as… more
- UKG (Ultimate Kronos Group) (Weston, FL)
- …gives you purpose. We're united by purpose, inspired by you. In the role of Review Site Manager, this individual will lead our presence across third-party review ... role is for you. **Key Responsibilities** * Own execution across B2B product review platforms (eg, G2, TrustRadius, Gartner Peer Insights). * Develop and manage a… more
- BAYADA Home Health Care (Orlando, FL)
- …Home Health Care has an immediate opening for a **Full Time,** OASIS and Coding Review Manager with OASIS and Coding certification to work remotely. RN, PT, OT, and ... match, direct deposit, and employee assistance program **Responsibilities:** + Review clinical information for appropriateness, congruency, and accuracy as it… more
- Actalent (Orlando, FL)
- Job Title: Clinical Review NurseJob Description: The Review Nurse will be responsible for reviewing approximately 20 cases a day to assess medical necessity for ... decisions and gather additional information about the member's condition. Responsibilities: + Review approximately 20 cases a day for medical necessity. + Advocate… more
- HCA Healthcare (Gainesville, FL)
- …**Introduction** Do you have the career opportunities as a Revenue Integrity Charge Review Analyst you want with your current employer? We have an exciting ... + Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident,… more
- Florida Atlantic University (Boca Raton, FL)
- …Workday employee account. Position Summary: Florida Atlantic University is seeking a Course Review Assistant - Boca Raton, FL. With over 30,000 students from all 50 ... Education (COCE) at Florida Atlantic University is seeking a dedicated Course Review Assistant committed to excellence in online learning. The Course Review… more
- Actalent (Orlando, FL)
- Job Title: Clinical Review Nurse Job Description As a Clinical Review Nurse, you will perform concurrent reviews to assess members' overall health, review ... of care. Essential Skills + Proficiency in utilization management and utilization review + Experience with Interqual and Medicare + Expertise in medical, acute… more
- SitusAMC (St. Petersburg, FL)
- …+ Assist with performing QC checks on input data to ensure accuracy + Review imaged documents, identify, and perform data input of relevant document data points of ... document knowledge preferred + Attention to detail in the review and data entry of information from documents +...in various benefit plans, including medical, dental, vision, life, disability insurance and 401K; in each case in accordance… more
- Centene Corporation (Tallahassee, FL)
- …a fresh perspective on workplace flexibility. **Position Purpose:** Performs a clinical review and assesses care related to mental health and substance abuse. ... appropriateness in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall health of… more