- Humana (Tallahassee, FL)
- …comprehensive health care fraud investigations ( Medical Coding or Healthcare ( Medical Chart Review / Insurance Billing) or Internal/External Audit or ... your life extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan, time off (including… more
- 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
- 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
- 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
- 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 (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 ... 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
- Actalent (Orlando, FL)
- …decisions and gather additional information about the member's condition. Responsibilities: + Review approximately 20 cases a day for medical necessity. + ... Job Title: Clinical Review NurseJob Description: The Review Nurse...for reviewing approximately 20 cases a day to assess medical necessity for members admitted to the hospital. The… 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
- Actalent (Orlando, FL)
- …overall health, review the type of care being delivered, evaluate medical necessity, and contribute to discharge planning following established care policies and ... + Experience with Interqual and Medicare + Expertise in medical , acute care, concurrent review , and prior...- Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and… more