Medicaid Clinical Review jobs in Palm Harbor, FL

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Clinical Reimbursement Manager
Genesis HealthCare 514 reviews - Oldsmar, FL
of long term care clinical nursing experience is required. Experience with Medicare/Medicaid reimbursement, MDS completion, clinical resource utilization and/or...
Sponsored by Genesis HealthCare - 8 days ago
Clinical Appeals & Coding RN - Telecommute Opportunity
UnitedHealth Group 1,372 reviews - Tampa, FL
Clinical Writing (writing nursing tools and reference information to support the design of clinical... Review experience Knowledge of Medicare/Medicaid...
Sponsored by UnitedHealth Group - 14 days ago

Clinical Reimbursement Manager

Genesis HealthCare 514 reviews - Oldsmar, FL 34677
He/she will integrate information from nursing, dietary, social services, restorative, rehabilitation and physician services to ensure appropriate reimbursement...
8 days ago - save job - block - email - more...

Social Services Assistant

Sabal Palms Health Care Center 3 reviews - Largo, FL
Licensing/Certifications. Ensure that all social services personnel are aware of the care plan and that care plans are used in providing daily social services...
The Goodman Group - 3 days ago - save job - block - email - more...

Inpatient Care Nurse- LPN/RN- Tampa, FL Office Setting

WellCare 74 reviews - Tampa, FL
Ability to use health services management systems. Initiates, assesses, and coordinates discharge planning with physicians, members, families, caregivers and...
6 hours ago - save job - block - email - more...

Supervisor, Clinical Care - Behavioral Health

WellCare 74 reviews - Tampa, FL
Ability to use proprietary health care management system. Monitors and tracks production and quality driven work/outcomes on assigned staff....
7 days ago - save job - block - email - more...

Quality Improvement Project Manager, Tampa, FL - Corporate H...

WellCare 74 reviews - Tampa, FL
No. Acts as knowledge expert for continuous quality improvement activities, educating staff of other functional areas regarding the QI process and accreditation...
1 day ago - save job - block - email - more...

Appeals Coordinator

WellCare 74 reviews - Tampa, FL
Knowledge of and/or ability to learn and use personal computers and industry software such as Peradigm, Sidewinder, and EMMA....
2 days ago - save job - block - email - more...

Clinical Product Optimization Manager

MedHOK, Inc. - Tampa, FL 33634
The ideal candidate has the passion and desire to improve the product line, help drive innovation and help remove impediments so the team can consistently move...
Easily apply
14 days ago - save job - block - email - more...

Health Services Clinical Compliance Specialist

WellCare 74 reviews - Tampa, FL
Advanced Ability to work as part of a team. Participates in audits and site visits by State, Federal and Accreditation by collecting, reviewing and validating...
23 days ago - save job - block - email - more...

Behavioral Health Care Manager (Tampa, FL)

WellCare 74 reviews - Tampa, FL
Licenses/Certifications:. Coordinates psychiatric diagnoses, behavioral health treatment services, and psychotropic medications with behavioral health providers...
13 days ago - save job - block - email - more...

Outpatient Nurse Care - LPN/RN - Office Setting (Tampa, FL)

WellCare 74 reviews - Tampa, FL
No. Identifies and refers cases appropriate for case management. Initiates and continues direct communication with health care providers involved with the care...
14 days ago - save job - block - email - more...
Behavioral Health Care Manager (Tampa, FL)
WellCare 74 reviews - Tampa, FL
and clinical concurrent review, discharge and... years experience in a clinical/hospital setting using stated criteria 1+ year clinical behavioral health...
Sponsored by WellCare - 13 days ago
Clinical Product Optimization Manager
MedHOK, Inc. - Tampa, FL
Role Overview: The Clinical Product Optimization... and defects • Manage the design validation and clinical evaluation process, ensuring that key customer...
Easily apply
Sponsored by MedHOK, Inc. - 14 days ago
Medical Director
Simply Healthcare Plans - Tampa, FL
on-going evaluation/review for any and all approved... medical review and oversight for all Grievances and Appeals cases that require medical review/intervention... $175,000 - $220,000 a year
Sponsored by TheLadders.com - 9 days ago
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Company with Medicaid Clinical Review jobs
1,372 reviews
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