Talent.com
VirtualVocations
RN Medical ReviewerVirtualVocations • Tampa, Florida, United States
No longer accepting applications
RN Medical Reviewer

RN Medical Reviewer

VirtualVocations • Tampa, Florida, United States
3 days ago
Job type
  • Full-time
Job description
Working remotely in a full-time capacity, the RN Medical Reviewer will perform medical reviews of claims, determine medical necessity, and document decisions based on clinical guidelines while supporting utilization practices. Key responsibilities Conduct medical claim reviews for complex services and preauthorization requests Make payment determinations based on clinical information and established criteria Educate internal and external staff on medical reviews and coding procedures Required qualifications Associate's degree in a job-related field or graduate of an accredited School of Nursing Active RN licensure in the state hired or an active compact multistate RN license At least 2 years of clinical experience Proficient in Microsoft Office and word processing software Ability to work independently and handle confidential information with discretion
Create a job alert for this search

RN Medical Reviewer • Tampa, Florida, United States

Similar jobs

Travel Nurse RN - Medical-Surgical - $1,525 to $1,606 per week in Marianna, FL

TravelNurseSourceTampa, Florida, US
$1,525.00 weekly
Full-time

Registered Nurse (RN) | Medical-Surgical.Specialty Professional Services .TravelNurseSource is working with Specialty Professional Services to find a qualified Med/Surg RN in Marianna, Florida, 324... Show more

 • Promoted

Travel Nurse RN - Cardiovascular Operating Room - $2,187 to $2,327 per week in Weston, FL

TravelNurseSourceTampa, Florida, US
$2,187.00 weekly
Full-time

Registered Nurse (RN) | Cardiovascular Operating Room.TravelNurseSource is working with Fusion Medical Staffing to find a qualified CVOR RN in Weston, Florida, 33331!.Fusion Medical Staffing is see... Show more

 • Promoted

Travel Nurse RN - Medical-Surgical - $1,336 to $1,485 per week in Marianna, FL

TravelNurseSourceTampa, Florida, US
$1,336.00 weekly
Full-time

Registered Nurse (RN) | Medical-Surgical.TravelNurseSource is working with Host Healthcare to find a qualified Med/Surg RN in Marianna, Florida, 32446!.Host Healthcare is an award-winning travel he... Show more

 • Promoted

Travel Registered Nurse - Medical-Surgical - $1,336 to $1,485 per week in Marianna, FL

TravelNurseSourceTampa, Florida, US
$1,336.00 weekly
Full-time

Registered Nurse (RN) | Medical-Surgical.TravelNurseSource is working with Host Healthcare to find a qualified Med/Surg RN in Marianna, Florida, 32446!.Host Healthcare is an award-winning travel he... Show more

 • Promoted

RN Medical Surgical Days

Direct JobsBoyette, Florida, United States
Full-time

Benefits and Perks Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance Paid Time Off from Day One 403-B Retirement Plan 4 Weeks 100% Paid Parental Leave Career Development ... Show more

 • Promoted

Travel Nurse RN - Medical-Surgical - $1,400 to $1,600 per week in Marianna, FL

TravelNurseSourceTampa, Florida, US
$1,400.00 weekly
Full-time

Registered Nurse (RN) | Medical-Surgical.TravelNurseSource is working with Titan Medical Group to find a qualified Med/Surg RN in Marianna, Florida, 32446!.Titan Medical is looking for travelers to... Show more

 • Promoted

Travel Nurse RN - Medical-Surgical - $1,362 to $1,449 per week in Marianna, FL

TravelNurseSourceTampa, Florida, US
$1,362.00 weekly
Full-time

Registered Nurse (RN) | Medical-Surgical.TravelNurseSource is working with Fusion Medical Staffing to find a qualified Med/Surg RN in Marianna, Florida, 32446!.Fusion Medical Staffing is seeking a ... Show more

 • Promoted

Travel Nurse RN - Cardiovascular Operating Room - $2,352 to $2,502 per week in Margate, FL

TravelNurseSourceTampa, Florida, US
$2,352.00 weekly
Full-time

Registered Nurse (RN) | Cardiovascular Operating Room.TravelNurseSource is working with Fusion Medical Staffing to find a qualified CVOR RN in Margate, Florida, 33063!.Fusion Medical Staffing is se... Show more

 • Promoted

Travel Registered Nurse - Operating Room - $1,610 to $1,713 per week in Fort Lauderdale, FL

TravelNurseSourceTampa, Florida, US
$1,610.00 weekly
Full-time

Registered Nurse (RN) | Operating Room.TravelNurseSource is working with Fusion Medical Staffing to find a qualified OR RN in Fort Lauderdale, Florida, 33316!.Facility in Fort Lauderdale, Florida.F... Show more

 • Promoted

RN Medical ICU

HCA Florida South Tampa HospitalTampa, FL, US
Full-time +1

HCA Florida South Tampa Hospital is committed to investing in the latest technology enabling nurses to work more efficiently.Are you passionate about delivering patient-centered care?.Submit your a... Show more

 • Promoted

Travel Nurse RN - Operating Room - $1,615 to $1,718 per week in Fort Myers, FL

TravelNurseSourceTampa, Florida, US
$1,615.00 weekly
Full-time

Registered Nurse (RN) | Operating Room.TravelNurseSource is working with Fusion Medical Staffing to find a qualified OR RN in Fort Myers, Florida, 33912!.Facility in Fort Myers, Florida.Fusion Medi... Show more

 • Promoted

Travel Registered Nurse - Medical-Surgical - $1,400 to $1,600 per week in Marianna, FL

TravelNurseSourceTampa, Florida, US
$1,400.00 weekly
Full-time

Registered Nurse (RN) | Medical-Surgical.TravelNurseSource is working with Titan Medical Group to find a qualified Med/Surg RN in Marianna, Florida, 32446!.Titan Medical is looking for travelers to... Show more

 • Promoted

RN Med Surg

HCA Florida South Tampa HospitalTampa, FL, US
Full-time +1

Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities.As a(an) RN Med Surg with HCA Florida South Tampa Hospital you can be a part of an organization t... Show more

 • Promoted

RN Medical ICU

HCA HealthcareTampa, Florida, United States
Full-time +1

Introduction HCA Florida South Tampa Hospital is committed to investing in the latest technology enabling nurses to work more efficiently.Are you passionate about delivering patient-centered care? ... Show more

 • Promoted

Clinical Research RN I

CenexelresearchTampa, Florida, United States
Full-time

ForCare Clinical Research CenExel FCR 15416 N.Tampa, FL 33613, USA CenExel is a leading nationwide clinical research site and patient network serving the life sciences industry.Leading in CNS and ... Show more

 • Promoted

Travel Nurse RN - Operating Room - $1,610 to $1,713 per week in Fort Lauderdale, FL

TravelNurseSourceTampa, Florida, US
$1,610.00 weekly
Full-time

Registered Nurse (RN) | Operating Room.TravelNurseSource is working with Fusion Medical Staffing to find a qualified OR RN in Fort Lauderdale, Florida, 33316!.Facility in Fort Lauderdale, Florida.F... Show more

 • Promoted

Travel Nurse RN - Medical-Surgical - $1,541 per week in Marianna, FL

TravelNurseSourceTampa, Florida, US
$1,541.00 weekly
Full-time

Registered Nurse (RN) | Medical-Surgical.TravelNurseSource is working with Medical Solutions to find a qualified Med/Surg RN in Marianna, Florida, 32446!.A facility in Marianna, FL is seeking its n... Show more

 • Promoted

Travel Nurse RN - Operating Room - $1,755 to $1,867 per week in Crestview, FL

TravelNurseSourceTampa, Florida, US
$1,755.00 weekly
Full-time

Registered Nurse (RN) | Operating Room.TravelNurseSource is working with Fusion Medical Staffing to find a qualified OR RN in Crestview, Florida, 32539!.Facility in Crestview, Florida.Fusion Medica... Show more

 • Promoted

Travel Nurse RN - Operating Room - $2,006 to $2,134 per week in Jacksonville, FL

TravelNurseSourceTampa, Florida, US
$2,006.00 weekly
Full-time

Registered Nurse (RN) | Operating Room.TravelNurseSource is working with Fusion Medical Staffing to find a qualified OR RN in Jacksonville, Florida, 32216!.Facility in Jacksonville, Florida.Fusion ... Show more

 • Promoted

Travel Registered Nurse - Medical-Surgical - $1,362 to $1,449 per week in Marianna, FL

TravelNurseSourceTampa, Florida, US
$1,362.00 weekly
Full-time

Registered Nurse (RN) | Medical-Surgical.TravelNurseSource is working with Fusion Medical Staffing to find a qualified Med/Surg RN in Marianna, Florida, 32446!.Fusion Medical Staffing is seeking a ... Show more