- CVS Health (Tallahassee, FL)
- …referral to medical services staff. - Approve services that do not require a medical review in accordance with the benefit plan. - Performs non- medical ... years of Call Center experience. **Preferred Qualifications** - Familiarity with basic medical terminology and concepts used in care management. - 2-4 years… more
- Molina Healthcare (Orlando, FL)
- …care experience in the specific programs supported by the plan such as utilization review , medical claims review , long-term services and supports (LTSS), or ... - 5:00pm Central time Remote position **Essential Job Duties** * Performs clinical/ medical reviews of previously denied cases in which a formal appeals request… more
- Datavant (Tallahassee, FL)
- …Prevention Specialist is to effectively defend utilization of available health services, review of admissions for medical necessity and necessity of continued ... language to author appeal letter Identification of referrals to the medical director for review + Select appropriate preferred and contracted providers + Provide… more
- Datavant (Tallahassee, FL)
- …bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized ... severity of a patient's health status. **You will:** + Review , analyze, and code diagnostic information in a patient's..., analyze, and code diagnostic information in a patient's medical record based on client specific guidelines for the… more
- AdventHealth (Palm Coast, FL)
- …The value you'll bring to the team: + Conducts patient assessments. + Performs a medical record review on all patients prior to the initial intervention which ... AdventHealth Daytona Beach The community you'll be caring for: 60 MEMORIAL MEDICAL PKWY, Palm Coast, 32164 The role you'll contribute: Provides speech therapy… more
- AdventHealth (Daytona Beach, FL)
- …value you'll bring to the team:** + Conducts patient assessments. + Performs a medical record review on all patients prior to the initial intervention which ... Weekends and holidays included. **Location: AdventHealth Daytona Beach** 301 Memorial Medical Parkway Daytona Beach, FL 32117 **The role you'll contribute:**… more
- University of Miami (Miami, FL)
- …to investigators. + Screen and recruit eligible participants through interviews, medical history review , and diagnostic testing. Obtain informed consent ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Diabetes Research… more
- MTC (Graceville, FL)
- … medical records; observe applicable HIPAA rules. + Accurately and promptly chart medical care. Review medical files to determine all provided services ... nursing skills all in one package!** The **Graceville Correctional** medical staff are dedicated to providing quality medical... medical staff are dedicated to providing quality medical and dental services to men and women at… more
- Datavant (Tallahassee, FL)
- …and compliant coding practices across multiple specialties. **What You Will Do:** + Review medical records and assign accurate codes for diagnoses and ... for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to… more
- MTC (Quincy, FL)
- … medical records; observe applicable HIPAA rules. + Accurately and promptly chart medical care. Review medical files to determine all provided services ... room as required by their condition and document in medical record or other forms as appropriate. + Practice...behavior, assess and triage with appropriate documentation + Inspect medical unit for items that could be used as… more