• Primary Care Physician

    CenterWell (The Villages, FL)
    …doctors, advanced practice professionals, pharm D, care coach nurses, medical assistants, behavioral health, specialists, quality-based coders, referral coordinators ... accordance with standards of care. . Follows level of medical care and quality for patients and monitors care...manner working with a quality- based coder to optimize coding specificity. . Follows policy and protocol defined by… more
    CenterWell (05/11/25)
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  • Primary Care Physician

    CenterWell (Deerfield Beach, FL)
    …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... accordance with standards of care. . Follows level of medical care and quality for patients and monitors care...manner working with a quality- based coder to optimize coding specificity. . Follows policy and protocol defined by… more
    CenterWell (02/22/25)
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  • Physician

    CenterWell (Delray Beach, FL)
    …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... accordance with standards of care. + Follows level of medical care and quality for patients and monitors care...manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by… more
    CenterWell (02/14/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (FL)
    …the likelihood of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, ... compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/ medical reviews of previously denied cases in which a formal… more
    Molina Healthcare (05/10/25)
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  • Dispute Resolution Reviewer III

    St. George Tanaq Corporation (Tallahassee, FL)
    …can be based anywhere in the United States. **Responsibilities** + Reviews medical records /case file, writes a reconsideration/dispute resolution decision that ... made, and documents review + Makes sound, independent decisions based on medical evidence in accordance with statutes, regulations, rulings, and policy + Responds… more
    St. George Tanaq Corporation (05/07/25)
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  • Nursing Program Specialist - MDS

    MyFlorida (Land O' Lakes, FL)
    …in Care Planning + Experience in ICD-9 Coding + Experience with electronic medical records + Successful completion of a current Level 2 Background Screening ... Regional MDS position, multi-facility role + Experience with Matrix Care electronic medical records POSITION DESCRIPTION : Coordinates and oversees all functions… more
    MyFlorida (04/26/25)
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  • Physician - CenterWell

    CenterWell (Apopka, FL)
    …doctors, advanced practice professionals, pharm D, care coach nurses, medical assistants, behavioral health, specialists, quality-based coders, referral coordinators ... accordance with standards of care. . Follows level of medical care and quality for patients and monitors care...manner working with a quality- based coder to optimize coding specificity. . Follows policy and protocol defined by… more
    CenterWell (05/11/25)
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  • Dispute Resolution Reviewer I

    St. George Tanaq Corporation (Tallahassee, FL)
    …position that can be based anywhere in the United States. **Responsibilities** + Reviews medical records /case file, writes a decision that is clear, concise, and ... made, and documents review + Makes sound, independent decisions based on medical evidence in accordance with statutes, regulation, rulings, and policy + Responds… more
    St. George Tanaq Corporation (05/07/25)
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  • NP/PA Cardiology - Tampa Florida

    CenterWell (Plant City, FL)
    …and treats center patients in accordance with standards of care. Follows level of medical care and quality for patients and monitors care using available data and ... Acts as an active participant and key source of medical expertise with the care team through daily huddles....manner working with a quality- based coder to optimize coding specificity. Follows policy and protocol defined by Clinical… more
    CenterWell (04/22/25)
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  • Primary Care Physician

    CenterWell (Leesburg, FL)
    …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... accordance with standards of care. . Follows level of medical care and quality for patients and monitors care...manner working with a quality- based coder to optimize coding specificity. . Follows policy and protocol defined by… more
    CenterWell (04/19/25)
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