- HCA Healthcare (Port St. Lucie, FL)
- **Description** **Introduction** Do you have the career opportunities as a Utilization Review Services Coordinator you want with your current employer? We have an ... caring group of colleagues. Do you want to work as a Utilization Review Services Coordinator where your passion for creating positive patient interactions is valued?… more
- MyFlorida (Tallahassee, FL)
- OPERATIONS REVIEW SPECIALIST - 37010301 Date: Aug 4, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 857608 Agency: Environmental Protection Working Title: OPERATIONS REVIEW SPECIALIST - 37010301 Pay Plan: Career Service Position Number: 37010301… more
- 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
- 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
- MyFlorida (Fort Lauderdale, FL)
- OPERATIONS REVIEW SPECIALIST - 60019169 Date: Aug 15, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 859025 Agency: Children and Families Working Title: OPERATIONS REVIEW SPECIALIST - 60019169 Pay Plan: Career Service Position Number: 60019169… more
- 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
- HCA Healthcare (Tampa, FL)
- …to join an organization that invests in you as a Pro Fee Coding Quality Review Educator? At Parallon, you come first. HCA Healthcare has committed up to $300 million ... are looking for a dedicated Pro Fee Coding Quality Review Educator like you to be a part of...for coder education via coder reviews, stakeholder feedback, and review of data analytics that identify educational opportunities, trends,… more
- Centene Corporation (Tallahassee, FL)
- …a fresh perspective on workplace flexibility. **Position Purpose:** Performs a clinical review and assesses care related to mental health and substance abuse. ... appropriateness in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall health of… more
- Actalent (Miami, FL)
- Job Title: Clinical Review Nurse Job Description As a Clinical Review Nurse, you will perform concurrent reviews to assess members' overall health, review ... of care. Essential Skills + Proficiency in utilization management and utilization review + Experience with Interqual and Medicare + Expertise in medical, acute… more
- CVS Health (Tallahassee, FL)
- …guiding the team in determining correct coding and appropriate documentation during the review of medical records. This role requires a strong focus on meeting ... projects. + Ensure staff provide detailed written summaries of medical record review findings and ensure the team articulates findings effectively to investigators,… more