• Dialysis Clinical Manager Registered

    Fresenius Medical Center (Venice, FL)
    …requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory ... and FMS patient care and administrative policies as the clinical leader, has the authority to make daily decisions...completion of the Annual Standing Order Review and ICD coding . + Checks correspondence whether electronic, paper or voice… more
    Fresenius Medical Center (07/31/25)
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  • Registered Nurse

    Veterans Affairs, Veterans Health Administration (Miami, FL)
    Summary The Miami VA medical Center is looking for recruit for an Registered Nurse - Supervisor/Assistant Nurse Manager, for our Nursing Nursing GEC who ... action when notified by the CLC management team, charge nurse , or designee of any discrepancies in coding...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (08/09/25)
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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 ... decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical /medical… more
    Molina Healthcare (08/02/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Tampa, FL)
    …and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a ... **Diagnosis Related Group Clinical Validation Auditor- RN ** **Virtual:** This role...+ Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in… more
    Elevance Health (08/09/25)
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  • Clinical Documentation Specialist RN

    Houston Methodist (FL)
    Coding and utilization review experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact ... **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Educates all internal customers on clinical documentation opportunities, coding , and reimbursement issues, as… more
    Houston Methodist (08/13/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (St. Petersburg, FL)
    …state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing. ... Medical Surgical, or Pediatrics. Advanced Practice Nursing. Billing and coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical more
    Molina Healthcare (08/08/25)
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  • Quality Improvement RN

    CenterWell (Tampa, FL)
    …excellence **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in applicable state + ... and help us put health first** The Stars Improvement, Clinical Professional ( RN ) is responsible for the...programs + Data sharing and connectivity + Documentation and coding + Additional areas related to provider performance, member… more
    CenterWell (08/13/25)
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  • Quality Improvement RN

    CenterWell (Orlando, FL)
    …operational excellence **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in Florida + 5+ ... and help us put health first** The Stars Improvement, Clinical Professional ( RN ) is responsible for the...programs + Data sharing and connectivity + Documentation and coding + Additional areas related to provider performance, member… more
    CenterWell (08/12/25)
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  • Nurse Audit Manager

    Humana (Tallahassee, FL)
    …**Use your skills to make an impact** **Required Qualifications** + Registered nurse ( RN ). + 5 or more years of clinical RN experience in a hospital ... for accuracy will make a meaningful impact. As the Nurse Audit Manager, you will spearhead audit and validation...and submits recommendations for appropriate change management. + Applies clinical and coding experience to conduct reviews… more
    Humana (08/13/25)
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  • PPS Coordinator ( RN , PT, OT, SLP)…

    Select Medical (Tallahassee, FL)
    …your career growth and personal well-being.** + **Start Strong** : Extensive and thorough Registered Nurse ( RN ) orientation program to ensure a smooth ... **Overview** **Position:** PPS Coordinator _( RN , PT, OT, SLP required)_ **Location:** Tallahassee, FL...reimbursement, and continuing education. + **Elevate Your Skills** : Clinical ladder program and certifications such as PCCN and… more
    Select Medical (08/08/25)
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