- 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
- 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 ... fresh perspective on workplace flexibility. **Centene is Hiring - Remote Clinical Review Nurse (Prior Authorization)!** **Ready to take your nursing career beyond… more
- Raymond James Financial, Inc. (St. Petersburg, FL)
- …for underwriting decision + Track completion of exams and forward to insurance carrier for review + Order medical records for clients to assist in ... **Essential Duties and Responsibilities** + Perform initial review of submitted life insurance applications + Validate...underwriting decision + Follow-up on requests for medical records to ensure timely completion +… more
- City of Coral Gables, FL (Coral Gables, FL)
- …the processing of workers' compensation. Knowledge of medical terminology in the review of diagnostic and treatment records A comparable amount of training ... of workers' compensation? + Yes + No 04 Do you have knowledge of medical terminology in the review of diagnostic and treatment records ? + Yes + No Required… more
- Robert Half Legal (Boca Raton, FL)
- …personal injury and medical malpractice litigation through administrative and legal tasks. * Review medical records and summarize findings to aid in case ... opportunity to work in a collaborative office environment, contributing to high-stakes medical malpractice cases. The role is fully on-site and includes competitive… 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 ... Required **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance… more
- Actalent (Sunrise, FL)
- …+ Medical management + Medicare + Managed care + Patient care + Medical record + Case management + Concurrent review + Discharge planning + Medical + ... in word processing software, spreadsheet software such as Microsoft Excel, and electronic medical record software. Work Environment This position offers a hybrid… more
- MTC (Graceville, FL)
- …are performed. 16. Maintain absolute security and confidentiality of all medical records . Observe applicable HIPAA rules. 17. Review medical files to ... in compliance with American Correctional Association (ACA) standards, MTC Medical , and Florida Department of Corrections (FDOC) directives. **Essential Functions:**… more
- AdventHealth (Daytona Beach, FL)
- …as well as supporting on-going quality assurance needs for coding staff. They will review medical records and documentation for coding accuracy, providing ... coding staff to assist with or resolve issues relating to medical record documentation and coding. May participate in Iodine Retrospect inpatient reviews… more
- Ascension Health (Pensacola, FL)
- …cases. + Assist departmental staff with issues related to coding, medical records /documentation, precertification, reimbursement and claim denials/appeals. + ... health care services regarding admissions, case management, discharge planning and utilization review . + Review admissions and service requests within assigned… more