- Actalent (Sunrise, FL)
- …staff to direct utilization and capture data effectively. Responsibilities + Review prior authorization requests for medical necessity and appropriateness, ... standardized Review Criteria. + Coordinate with the Medical Director/Physicians for requests outside standard Review ...- Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and… more
- 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
- Abbott (Orlando, FL)
- …spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues ... you dream of. + Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO...health and get on with their lives. The Payment Review & Administration SME is responsible for leading the… more
- HCA Healthcare (Tampa, FL)
- …to join an organization that invests in you as a Pro Fee Coding Quality Review Educator? At Parallon, you come first. HCA Healthcare has committed up to $300 million ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- BAYADA Home Health Care (Orlando, FL)
- …includes the following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance , 401k with company match, ... Home Health Care is hiring a full time OASIS Review and Coding Manager. The OASIS and Coding Review Manager provides support to all BAYADA Home Health Care… more
- BAYADA Home Health Care (Orlando, FL)
- …includes the following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance , 401k with company match, ... 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… more
- Centene Corporation (Tallahassee, FL)
- …for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering ... a fresh perspective on workplace flexibility. **Position Purpose:** Performs a clinical review and assesses care related to mental health and substance abuse.… more
- SitusAMC (St. Petersburg, FL)
- …time employees also are eligible to participate in various benefit plans, including medical , dental, vision, life, disability insurance and 401K; in each case ... QC checks on input data to ensure accuracy + Review imaged documents, identify, and perform data input of...document knowledge preferred + Attention to detail in the review and data entry of information from documents +… more
- USG Insurance Services, Inc. (Tampa, FL)
- …high client satisfaction and loyalty. You'll apply your expertise in commercial insurance to review submissions, assess exposures, and identify appropriate ... client satisfaction and loyalty. + Applies expertise in commercial insurance coverages to review submissions from retail...Basic Life, AD&D, and Team member Assistance Program + Medical , Dental, Vision, and Life + 401K Retirement Plan… more
- Centene Corporation (Tallahassee, FL)
- …for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering ... status of Applied Behavioral Analysis (ABA) services provided to determine medical appropriateness. Monitors clinical effectiveness and efficiency of member's care… more