Tennessee Licensed Senior Medical Reviewer
VirtualVocationsClearwater, Florida, United States1 day ago
Job type
- Full-time
Job description
A company is looking for a Registered Nurse Senior Medical Reviewer (Medicare Part B).
Key Responsibilities
Lead and provide guidance to staff in specialty programs, medical review, and utilization management
Monitor workflow and assist in managing workloads and quality reviews
Ensure compliance with quality plans and participate in special projects as needed
Required Qualifications, Training, and Education
Active, unrestricted RN licensure in the United States or a compact multistate license
Associate Degree in Nursing or graduation from an accredited school of nursing
Four years of clinical experience or a combination of clinical and medical review experience totaling four years
Working knowledge of managed care and healthcare delivery systems
Proficiency in Microsoft Office software
Create a job alert for this search
Medical Reviewer • Clearwater, Florida, United States
Related jobs
Medical Director physician job in Florida : .AdventHealth West Florida Division Women's Services Institute is seeking a Medical Director.
The director's medical specialty can be OB / Gyn, Maternal Feta...Show moreLast updated: 29 days ago
AlliedTravelCareers is working with Fusion Medical Staffing to find a qualified CVOR Tech in Kissimmee, Florida, 34741!.Facility in Kissimmee, Florida.
Fusion Medical Staffing is seeking a skilled C...Show moreLast updated: 1 day ago
Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers.We serve more than 750 payers, including the top five national health plans, regional hea...Show moreLast updated: 30+ days ago
TravelNurseSource is working with Patterns LLC to find a qualified Med / Surg RN in Tallahassee, Florida, 32310!.Serve as the patient and family advocate, protecting privacy and confidentiality.Facil...Show moreLast updated: 2 days ago TravelNurseSource is working with Patterns LLC to find a qualified Med / Surg RN in Ocala, Florida, 34474!.We are seeking a dynamic Emergency Room RN to join our team.
To be successful in this role yo...Show moreLast updated: 2 days ago TravelNurseSource is working with Ventura MedStaff to find a qualified Med / Surg RN in Vero Beach, Florida, 32960!.Are you ready to take your Travel career to the next level? See places you have no...Show moreLast updated: 2 days ago TravelNurseSource is working with Patterns LLC to find a qualified Med / Surg RN in Hudson, Florida, 34667!.Job Summary and Qualifications.
What you will do in this role : .You will assess, plan, interv...Show moreLast updated: 2 days ago Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers.We serve more than 750 payers, including the top five national health plans, regional hea...Show moreLast updated: 8 days ago TravelNurseSource is working with Patterns LLC to find a qualified Med / Surg RN in Gainesville, Florida, 32601!.RECENT (within the last 4 years) acute care RN experience.
If a candidate has 3 or more...Show moreLast updated: 2 days ago TravelNurseSource is working with LRS Healthcare to find a qualified Med / Surg RN in Vero Beach, Florida, 32960!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits pack...Show moreLast updated: 2 days ago TravelNurseSource is working with Ventura MedStaff to find a qualified Med / Surg RN in Crestview, Florida, 32539!.Are you ready to take your Travel career to the next level? See places you have not...Show moreLast updated: 2 days ago TravelNurseSource is working with Favorite Healthcare Staffing to find a qualified Med / Surg RN in orlando, Florida, 32809!.
At Favorite Healthcare Staffing, we aspire to learn what thrills you about...Show moreLast updated: 2 days ago TravelNurseSource is working with Ventura MedStaff to find a qualified Case Manager RN in Fort Myers, Florida, 33901!.Are you ready to take your Travel career to the next level? See places you hav...Show moreLast updated: 2 days ago TravelNurseSource is working with Patterns LLC to find a qualified Med / Surg RN in Lake City, Florida, 32055!.Job Summary and Qualifications.
As a Registered Nurse, you will be responsible for delive...Show moreLast updated: 2 days ago TravelNurseSource is working with Patterns LLC to find a qualified Med / Surg RN in Tallahassee, Florida, 32310!.To administer, analyze and appraise the care given to patients within the Department.T...Show moreLast updated: 2 days ago Urology physician employment in Florida : .This is a unique opportunity to shape clinical excellence, drive innovation, and expand access to high-quality urologic care in the Tampa Bay region.Provid...Show moreLast updated: 29 days ago TravelNurseSource is working with Patterns LLC to find a qualified Med / Surg RN in Hudson, Florida, 34667!.What you will do in this role : .
You will assess, plan, intervene and evaluate the care of Me...Show moreLast updated: 2 days ago 
Join the Ruskin Animal Hospital team and make a real impact in a supportive, vibrant community! We’re seeking a dedicated Managing Veterinarian and offer work-life balance, flexible scheduling, and...Show moreLast updated: 30+ days ago TravelNurseSource is working with Patterns LLC to find a qualified Med / Surg RN in Gainesville, Florida, 32614!.Serve as the patient and family advocate, protecting privacy and confidentiality.Facil...Show moreLast updated: 2 days ago 
ObGyn physician employment in Florida : This position is in an attractive community an hour outside of Tampa, combining the charm of a small town with the convenience of the big-city amenities near...Show moreLast updated: 29 days ago
- Promoted
Medical Director
AdventHealth West Florida Ambulatory Services, IncTampa, Florida, USFull-time
- Promoted
Travel CVOR Tech - $1,669 to $1,776 per week in Kissimmee, FL
AlliedTravelCareersTampa, Florida, USFull-time
- Promoted
Inpatient DRG Reviewer
Zelis Healthcare, LLCSt. Petersburg, FL, United StatesFull-time
- Promoted
Travel Nurse RN - Medical-Surgical - $40 per hour in Tallahassee, FL
TravelNurseSourceTampa, Florida, USFull-time
- Promoted
Travel Nurse RN - Medical-Surgical - $31 to $46 per hour in Ocala, FL
TravelNurseSourceTampa, Florida, USFull-time +1
- Promoted
Travel Nurse RN - Medical-Surgical - $1,064 to $1,264 per week in Vero Beach, FL
TravelNurseSourceTampa, Florida, USFull-time
- Promoted
Travel Nurse RN - Medical-Surgical in Hudson, FL
TravelNurseSourceHudson, FL, USFull-time
- Promoted
Inpatient DRG Sr. Reviewer
Zelis Healthcare, LLCSt. Petersburg, FL, United StatesFull-time
- Promoted
Travel Nurse RN - Medical-Surgical - $31 to $43 per hour in Gainesville, FL
TravelNurseSourceTampa, Florida, USFull-time +1
- Promoted
Travel Nurse RN - Medical-Surgical - $1,177 to $1,305 per week in Vero Beach, FL
TravelNurseSourceTampa, Florida, USFull-time
- Promoted
Travel Nurse RN - Medical-Surgical - $1,277 to $1,477 per week in Crestview, FL
TravelNurseSourceTampa, Florida, USFull-time
- Promoted
Travel Nurse RN - Medical-Surgical in Orlando, FL
TravelNurseSourceTampa, Florida, USFull-time +1
- Promoted
Travel Nurse RN - Case Manager - $1,766 to $1,966 per week in Fort Myers, FL
TravelNurseSourceTampa, Florida, USFull-time
- Promoted
Travel Nurse RN - Medical-Surgical - $29 to $43 per hour in Lake City, FL
TravelNurseSourceTampa, Florida, USFull-time +1
- Promoted
Travel Nurse RN - Medical-Surgical in Tallahassee, FL
TravelNurseSourceTampa, Florida, USFull-time +1
- Promoted
Urology
AdventHealth West Florida Ambulatory Services, IncTampa, Florida, USFull-time
- Promoted
Travel Nurse RN - Medical-Surgical - $30 to $42 per hour in Hudson, FL
TravelNurseSourceHudson, FL, USFull-time
- Promoted
Medical Director
National Veterinary AssociatesRUSKIN, Florida, United StatesPermanent
- Promoted
Travel Nurse RN - Medical-Surgical - $43 per hour in Gainesville, FL
TravelNurseSourceTampa, Florida, USFull-time
- Promoted
ObGyn
CompHealthZephyrhills, Florida, USFull-time