- 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
- CVS Health (Tallahassee, FL)
- …guiding the team in determining correct coding and appropriate documentation during the review of medical records. This role requires a strong focus on meeting ... projects. + Ensure staff provide detailed written summaries of medical record review findings and ensure the team articulates findings effectively to investigators,… more
- MyFlorida (Tallahassee, FL)
- OPERATIONS REVIEW SPECIALIST Date: Aug 26, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 859207 Agency: Department of Corrections Working Title: OPERATIONS REVIEW SPECIALIST Pay Plan: Career Service Position Number: 70047595 Salary:… more
- MyFlorida (Tallahassee, FL)
- OPERATIONS REVIEW SPECIALIST - 72003718 Date: Aug 19, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 859149 Agency: Management Services Working Title: OPERATIONS REVIEW SPECIALIST - 72003718 Pay Plan: Career Service Position Number: 72003718… more
- AdventHealth (Ocala, FL)
- …Practice Evaluation is responsible for facilitating the medical staff Peer Review , Ongoing Professional Practice Evaluation (OPPE) and Focused Professional Practice ... Practice Evaluation Policy. This includes the analysis of events that require peer review and the examination of medical records as identified by clinical indicators… more
- UMB Bank (Tallahassee, FL)
- …under normal and stressed scenarios. Within Credit Administration, the **Appraisal Review ** team supports Commercial, Small Business and Consumer Lending. As a ... Senior Commercial Review Appraiser, you will ensure compliance with the valuation...pregnancy, sexual orientation, and gender identity), national origin, age, disability , military service, veteran status, genetic information, or any… more
- CVS Health (Tallahassee, FL)
- …a collaborative process to implement, coordinate, monitor and evaluate medical review cases. + Applies the appropriate clinical criteria/guideline and plan language ... thinking, evidenced based clinical criteria and clinical practice guidelines. Med Review nurses use specific criteria to authorize procedures/services or initiate a… more
- Centene Corporation (Tallahassee, FL)
- …health clinicians preferred. Behavioral health clinical knowledge and ability to review and/or assess ABA Treatment Plans required. Knowledge of ABA services ... and BH utilization review process required. Experience working with providers and healthcare...color, religion, sex, sexual orientation, gender identity, national origin, disability , veteran status, or other characteristic protected by applicable… more
- American Express (Sunrise, FL)
- …identity theft, and other financial crimes. The GFCSU's Quality Control Review (QCR) Team performs ongoing monitoring of Anti-Money Laundering (AML) investigations ... if a material or non-material error is identified. + Close all cases after review is completed. This includes correcting any errors prior to submission for closure… more