• Clinical Content Specialist - Nursing NCLEX…

    Wolters Kluwer (Tampa, FL)
    …Content Specialist - Nursing, you will work closely with the PreView & ReView Manager/Senior Clinical Content Specialists to plan and deliver high quality NCLEX ... Review services by identifying and assessing client needs and...the synthesis and inclusion of new evidence-based material. **RESPONSIBILITIES** ** ReView & PreView** + Use evidence-based research and best… more
    Wolters Kluwer (08/22/25)
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  • Credit Risk Review Advisor Senior…

    PNC (Tampa, FL)
    …to contribute to the company's success. We are looking to hire a Credit Risk Review Advisor Senior in Credit Risk Review within PNC's Independent Risk Management ... organization. The primary objective of Credit Risk Review (CRR) is to conduct timely and independent assessments of PNC's credit exposures and credit risk. Results… more
    PNC (08/14/25)
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  • Non-Clinical Coding and OASIS Review

    BAYADA Home Health Care (Orlando, FL)
    …around this requirement.** BAYADA Home Health Care is hiring a full time OASIS Review and Coding Manager. The OASIS and Coding Review Manager provides support ... about BAYADA Benefits, click here (https://www.bayada.com/benefits/) . **Responsibilities:** + Review clinical information for appropriateness, congruency, and accuracy as… more
    BAYADA Home Health Care (08/15/25)
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  • Utilization Review Nurse

    Actalent (Sunrise, FL)
    …staff to direct utilization and capture data effectively. Responsibilities + Review prior authorization requests for medical necessity and appropriateness, utilizing ... standardized Review Criteria. + Coordinate with the Medical Director/Physicians for...Coordinate with the Medical Director/Physicians for requests outside standard Review Criteria. + Maintain compliance with federal, state guidelines,… more
    Actalent (08/21/25)
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  • Clinical Coding and OASIS Review

    BAYADA Home Health Care (Orlando, FL)
    …Home Health Care has an immediate opening for a **Full Time,** OASIS and Coding Review Manager with OASIS and Coding certification to work remotely. RN, PT, OT, and ... match, direct deposit, and employee assistance program **Responsibilities:** + Review clinical information for appropriateness, congruency, and accuracy as it… more
    BAYADA Home Health Care (08/15/25)
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  • Payment Administration & Review Subject…

    Abbott (Orlando, FL)
    …allowing people to restore their health and get on with their lives. The Payment Review & Administration SME is responsible for leading the review and analysis ... operating procedures, and contribute to process improvement initiatives across the payment review and administration functions. **What You'll Work On** + Analyze and… more
    Abbott (07/22/25)
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  • Revenue Integrity Charge Review Analyst

    HCA Healthcare (Gainesville, FL)
    …**Introduction** Do you have the career opportunities as a Revenue Integrity Charge Review Analyst you want with your current employer? We have an exciting ... group of colleagues. Do you want to work as a Revenue Integrity Charge Review Analyst where your passion for creating positive patient interactions is valued? If you… more
    HCA Healthcare (07/11/25)
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  • Commercial Title Order Entry & Title Review

    Vylla Title (Jacksonville, FL)
    …amazing team and work from home!** The Commercial Order Entry & Title Review Specialist will be responsible for receiving, reviewing and opening all commercial ... verify property details before placement with partner. + Conduct a thorough review of commercial property details to provide third-party underwriting partner with… more
    Vylla Title (08/22/25)
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  • Operations Review Specialist

    MyFlorida (Tallahassee, FL)
    OPERATIONS REVIEW SPECIALIST - 60074975 Date: Aug 18, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 859074 Agency: Children and Families Working Title: OPERATIONS REVIEW SPECIALIST - 60074975 Pay Plan: Career Service Position Number: 60074975… more
    MyFlorida (08/19/25)
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  • Quality Review Specialist (Residential…

    CCMS & Associates (Dunedin, FL)
    …& Associates is looking for a 1099 Residential and Commercial Property Claims Quality Review Specialist for the upcoming CAT season. We are answering a call to ... innovative team! We are seeking a Property Claims Quality Review Specialist with at least 3 years of field...damage, other state licenses may be needed. Responsibilities: + Review and apply applicable coverage forms and endorsements +… more
    CCMS & Associates (08/16/25)
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