- Molina Healthcare (Tampa, FL)
- …be licensed for the state they reside This position will support Medical Review for Medicare and Marketplace request authorization. Strongly prefer candidates with ... compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/ medical reviews of previously denied cases in which a formal… more
- Community Health Systems (Naples, FL)
- As an LPN at Physicians Regional Medical Center you'll join a team and be a part of a culture that's dedicated to providing top quality care to our patients. Our ... This role involves providing direct patient care, assisting with medical procedures, administering medications, performing diagnostic testing, and documenting… more
- Centene Corporation (Spring Hill, FL)
- …(NCQA) HEDIS measures. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding. Assists in resolving deficiencies ... community physician and small provider practices in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance… more
- HCA Healthcare (Palm Beach Gardens, FL)
- …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 ... as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision...in health care office management are preferred. RN, LPN ( LVN ), or additional appropriate education may be substituted for… more
- HCA Healthcare (Tampa, FL)
- …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 ... as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision...in health care office management are preferred. RN, LPN ( LVN ), or additional appropriate education may be substituted for… more
- ERP International (Eglin AFB, FL)
- …Benefits!** Paid Vacation, Paid Sick Time, Plus 11 Paid Federal Holidays!** Medical /Dental/Vision, Health Savings Account available, STD, LTD and Life Insurance! and ... * Shall demonstrate skill in setting up, operating, and monitoring specialized medical equipment such as cardiac monitoring devices, EKG units, oxygen analyzers,… more
- Evolent (Tallahassee, FL)
- …for performing precertification and prior approvals. Tasks are performed within the RN/ LVN /LPN scope of practice, under Medical Director direction, using ... independent nursing judgement and decision-making, physician-developed medical policies, and clinical decision-making criteria sets. Acts as a member advocate by… more
- Sedgwick (Jacksonville, FL)
- …consult providers and employees; to provide case direction; and to ensure medical information substantiates the need for absence from work. **ESSENTIAL FUNCTIONS and ... clinical review of referred claims; documents decision rationale; and completes medical review of all claims to ensure information substantiates disability. +… more
- HCA Healthcare (Largo, FL)
- …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 ... as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision...obtained within 30 days of employment start date + (LPN/ LVN ) Licensed Practical or Vocational Nurse must be obtained… more
- Owens & Minor (Lakeland, FL)
- …success starts with our teammates. Owens & Minor teammate benefits include: + Medical , dental, and vision insurance, available on first working day + 401(k), ... healthcare services, we provide home respiratory services and select medical equipment to help our patients sleep better, breathe...Licensed Practical Nurse (LPN) license, or Licensed Vocational Nurse ( LVN ) license in the state of practice and all… more