- 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
- Actalent (Sunrise, FL)
- …transitions and patient satisfaction is key to this role. Responsibilities + Review prior authorization requests for medical necessity and appropriateness using ... Working under the general supervision of the Director and/or Manager/Supervisor of Medical Management, and in collaboration with an interdisciplinary team, the UMN… more
- Monte Nido (Miami, FL)
- …benefits! We prioritize your success and well-being, providing: + Competitive compensation + Medical , dental, and vision insurance coverage (Benefits At a Glance ... potential denials, and potential for private payment. 9. Leverage understanding of medical necessity criteria and current behavioral health insurance landscape… 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
- HCA Healthcare (Ocala, FL)
- …Do you have the career opportunities as a Revenue Integrity Clinical Charge Review Analyst RN you want with your current employer? We have an exciting ... 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
- Citigroup (Tampa, FL)
- Citibank, NA seeks a Credit Review Senior Officer I for its Tampa, FL location. Duties: Monitor and evaluate retail portfolios, strategies, and credit risks, and ... to risk and control issues, and maintain ongoing contact with a review entity's management through continuous business monitoring and corrective action follow-up… more
- Ascension Health (Pensacola, FL)
- … processes, including management of patient statusing processes and monitoring of medical necessity review functions for assigned sites. + Collaborate with ... quality review programs and key performance indicators for all utilization review activities. + Interact with medical , nursing, and executive leadership to… 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
- HCA Healthcare (Ocala, FL)
- …want to join an organization that invests in you as a Revenue Integrity Charge Review Analyst? At Parallon, you come first. HCA Healthcare has committed up to $300 ... 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
- 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
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