Utilization review nurse jobs in Lakeland, FL
Travel Nurse – Case Manager and Utilization Review RN
Connecting. Growing together. The Case Manager (CM). Utilization Review (UR) nurse staff augmentation.. During each assignment, the role will provide comprehensive care management or utilization review..
Utilization Management Nurse Consultant
years of experience as a Registered Nurse. Must possess 1. years of clinical experience in acute or post acute setting. Must have active current and unrestricted RN licensure in state of..
Supervisor, Medical Bill Review
Supervisor, Medical Bill Review Are you a seasoned professional in workers compensation medical bill.. As a Supervisor of Bill Review Services for Workers Compensation Medical Review, you will oversee a team..
Supervisor, Medical Bill Review
Job Description Supervisor, Medical Bill Review Are you a seasoned professional in workers compensation.. As a Supervisor of Bill Review Services for Workers Compensation Medical Review, you will oversee a team..
RN Utilization Manager Needed in Flordia
Description. Sterling Medical is seeking a RN Utilization Manager to work at Hulburt Field in Ft. Walton.. Licensure. Current, full, active, and unrestricted license to practice as a Registered Nurse..
Bill Review Services Associate Iii
Key Responsibilities. Primary contact between the client and bill review. Receive and review bills and.. Provide accurate and timely responses to client inquiries regarding bill reviews, escalating complex or..
Licensed Behavioral Health Utilization Data Coordinator
Review, analyze, trend and report utilization care coordination data of individuals receiving behavioral.. public or business administration, public health or related field or registered nurse Behavioral health..
Remote Bill Review Services Associate Iii
Remote Bill Review Services Associate III. 18. 27 hr depending on experience Schedule. Mon Fri 7 00AM 3.. Previous Medical Bill Review experience. The work undertaken by the role holder is completed in line..
Manager, Bill Review Services
Manager, Medical Bill Review ServicesAre you ready to lead a team of bill review specialists and.. Leading a team of bill review specialists and supervisors in accurately processing workers' compensation..
Medical Bill Review Nurse Case-Manager - RN
You will be responsible for reviewing Workers' Compensation provider medical bills via the system for.. year Florida Workers' Compensation.Ability to understand state laws and utilization guidelines as they..
Claims Review Representative Team lead
Description of BenefitsHumana, Inc. and its affiliated subsidiaries (collectively,. Humana ) offers competitive benefits that support whole person well being. Associate benefits ar..
Care Review Clinician I
Works with the Utilization Management team primarily responsible for inpatient medical necessity.. Provides daily review and evaluation of members that require hospitalization and or procedures providing..
Estimate Review Specialist Sr
Forbes Best in State EmployerEstimate Review Specialist SrPRIMARY PURPOSE. To review all estimates and.. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Conducts quality reviews of contractor documentation for repair..
Attorney Review HR Coordinator
Office. Attorney Review HR Coordinator Title. Attorney Review HR Coordinator Location. Orange County Job.. Support the non partner attorney mid year and annual performance review processes by completing request..
Transfer DRG Revenue Review Specialist
JOB SUMMARY The Transfer DRG Revenue Review Specialist performs work to capture lost revenue for.. The company has reviewed this job description to ensure that the essential functions and basic duties..
Bill Review Complex Analyst, Risk Management
Processing of workers compensation medical claims, including adjudication of claims to meet state laws, data entry of bills, filing of bills, correspondence, and all other duties t..
Medical Director Opportunity - Medicare Risk Adjustment HCC Review - Puerto Rico!!
DescriptionMedical Director Opportunity. Medicare Risk Adjustment HCC Review. Puerto Rico (Option to be.. Advises manager of possible trends in inappropriate utilization (under and or over), and other quality..
LPN | Home Health | Shifts |$5K Sign On Bonus |
The Visiting Nurse Association of Florida (VNA) is a 45 year old home health agency that is growing and.. Various Skills Needed. G Tube Multiple Nurses Needed. 2 Cases. As a Licensed Practical Nurse (LPN), you..