- Centene Corporation (Tallahassee, FL)
- …flexibility. **Must Reside in Florida!** **Centene is Hiring!** **We're looking for a Remote Concurrent Review Nurse to support our Medicaid team.** **Ideal ... needed to discuss member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member… more
- Cognizant (Tallahassee, FL)
- …and retro-authorization as well as timely filing deadlines and processes. . Review clinical denials including but not limited to referral, preauthorization, ... determinations to the Health Plan/Medical Director based on the review of clinical documentation in accordance with...have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical … more
- AdventHealth (Orlando, FL)
- …inpatients, sending/presenting opportunities for improved documentation compliance to physicians, nurse practitioners and other clinical team members. ... Virtual **The role you'll contribute:** Under general supervision of the Director of Clinical Documentation Integrity and in some situations the supervision of the … more
- AdventHealth (Orlando, FL)
- …Full Time **Shift** : Days **Location: Remote** **The role you'll contribute:** The Clinical Documentation Integrity Manager is a Registered Nurse and/or a ... nurses and clinical documentation specialists. This role will oversee the review processes of complex patients that vary in age and have different developments… more
- Community Health Systems (Naples, FL)
- …and accurate clinical documentation. Under the direction of the Utilization Review leadership, this role supports concurrent review processes, ... match & more available for Full and Part-Time roles **Job Summary** The Utilization Review Nurse - RN reviews hospital admissions, extended stays, and supporting… more
- BayCare Health System (Tampa, FL)
- …other related parties to ensure appropriate level of care through comprehensive concurrent review for medical necessity of outpatient observation and inpatient ... built on a foundation of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior/RN responsibilities… more
- AdventHealth (Daytona Beach, FL)
- …for inpatients, sending/presenting opportunities for improved documentation compliance to physicians, nurse practitioners and other clinical team members. + ... 32117 **The role you'll contribute:** Under general supervision of the Director of Clinical Documentation Integrity and in some situations the supervision of the … more
- AdventHealth (Orlando, FL)
- …and 3 years of Clinical Documentation Specialist experience + RN - Registered Nurse - State Licensure and/or Compact State Licensure + NP - Nurse ... year **The role you'll contribute:** Under general supervision of the Director of Clinical Documentation Integrity and in some situations the supervision of the … more
- AdventHealth (Orlando, FL)
- …year **The role you'll contribute:** Under general supervision of the Director of Clinical Documentation Integrity and in some situations the supervision of the ... Clinical Documentation Integrity Manager, and in collaboration with physicians,...the management of resources entrusted to them. + Reviews concurrent medical record for compliance including completeness and accuracy… more
- AdventHealth (Orlando, FL)
- …significant pediatric population **The role you'll contribute:** As a Pediatric Clinical Documentation Specialist (CDS), you will focus on supporting high-quality, ... **pediatric patients** . Under the supervision of the Director of Clinical Documentation Integrity and in collaboration with pediatricians, pediatric specialists,… more