• Senior Licensed Practical Nurse

    MyFlorida (Tallahassee, FL)
    SENIOR LICENSED PRACTICAL NURSE - 64001481 Date: Aug 1, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 857532 Agency: Department of Health Working Title: SENIOR LICENSED PRACTICAL NURSE - 64001481 Pay Plan: Career Service Position Number: 64001481 Salary:… more
    MyFlorida (08/02/25)
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  • Ops Community Health Nurse

    MyFlorida (Monticello, FL)
    OPS COMMUNITY HEALTH NURSE - 64858492 Date: Jul 28, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Agency: Department of Health Working Title: OPS COMMUNITY HEALTH NURSE - 64858492 Pay Plan: Temp Position Number: 64858492...in EARs into HMS, as specified by the DOH coding manual and CHD performance requirements. Submits leave and… more
    MyFlorida (07/28/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Tampa, FL)
    **JOB DESCRIPTION** For this position we are seeking a (RN) Registered Nurse who must be licensed for the state they reside This position will support Medical Review ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases… more
    Molina Healthcare (08/02/25)
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  • Dialysis Clinical Manager Registered Nurse

    Fresenius Medical Center (Venice, FL)
    …+ Accountable for completion of the Annual Standing Order Review and ICD coding . + Checks correspondence whether electronic, paper or voice mail, and responds as ... appropriate. + Directs information gathering as required supporting billing and collection activities. + Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines… more
    Fresenius Medical Center (07/31/25)
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  • Clinical Dispute Reviewer

    Zelis (St. Petersburg, FL)
    …and outpatient claims for Health Plans and TPA's to ensure adherence to proper coding and billing guidelines as it relates to the Itemized Bill Review product, ... analyzing inpatient DRG claims based on industry standard inpatient coding guidelines, and supporting the Office of the Chief Medical Officer in managing disputes… more
    Zelis (08/02/25)
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  • Associate Quality Practice Advisor

    Centene Corporation (Spring Hill, FL)
    …the position. **A license in one of the following is preferred:** Certified Coding Specialist (CCS), Licensed Practical Nurse (LPN), Licensed Master Social Work ... education for HEDIS measures, appropriate medical record documentation and appropriate coding . Assists in resolving deficiencies impacting plan compliance to meet… more
    Centene Corporation (07/31/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Tampa, FL)
    …an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit ... activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. + Utilizes audit tools,… more
    Elevance Health (08/09/25)
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  • Clinical Documentation Specialist

    Community Health Systems (Naples, FL)
    …insights through individual or group sessions. + Collaborates closely with coding professionals to ensure accurate diagnostic and procedural data through complete ... and conducting formal training sessions. + Monitors regulatory changes in coding , documentation, and quality metrics, ensuring compliance with updated standards and… more
    Community Health Systems (07/09/25)
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  • Clinical Documentation Specialist

    Houston Methodist (FL)
    …with physicians, nursing staff, other patient care givers, and medical records coding staff to ensure that appropriate reimbursement is received for the level ... + Educates all internal customers on clinical documentation opportunities, coding , and reimbursement issues, as well as performance improvement methodologies… more
    Houston Methodist (07/31/25)
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  • Acute Access NP, Virtual Care

    CenterWell (Tallahassee, FL)
    …caring community and help us put health first** The Acute Access Nurse Practitioner, Virtual Care (VSP/PT) applies advanced education and clinical competencies to ... achieve optimal patient outcomes. The Acute Access Nurse Practitioner, Virtual Care (VSP/PT) works on problems of...manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by… more
    CenterWell (08/08/25)
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