Medical Reviewer jobs in Palm Harbor, FL

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MSLA - Medical Report Reviewer - Tampa, FL
OptumCare - 6 reviews - Tampa, FL 33647
The Medical Report Reviewer is part of the Quality Assurance Department, and reviews medical reports based on established protocols and medical knowledge for...
Administrative RN Case Manager
Valforce - Pinellas Park, FL
$32 - $34 an hour
Army Reserve Medical Command *,*. Case Managers shall be familiar with and understand regulations pertinent to managing Soldiers who have medical issues and...
Easily apply
Utilization Review Nurse (RN)
Consults with clinical reviewers and/or medical directors. Strong medical skills and knowledge. Works with medical directors in interpreting appropriateness of...

Client Relations Coordinator

MCMCLLC - Clearwater, FL
Medical terminology strongly preferred. Place outgoing calls to reviewers and clients regarding case issues. Triage incoming calls and emails from clients and...

Lead Clinical Reviewer

Keystone Peer Review - Tampa, FL
Lead Clinical Reviewer. Utilizes clinical expertise for the review of medical records against appropriate criteria in conjunction with contract requirements,...

MSLA - Medical Report Reviewer

UnitedHealth Group - 5,365 reviews - Tampa, FL 33646 (Downtown area)
And you'll do your life's best work.(sm) The Medical Report Reviewer is part of the Quality Assurance Department, and reviews medical reports based on...

Clinical Reviewer - LPN/RN

Keystone Peer Review - Tampa, FL
Clinical Reviewers - LPN/RN. Experience using medical necessity screening tool, or other hospital criteria (InterQual Strongly Preferred)....

Call Center Nurse (RN)

Anthem, Inc. - 2,102 reviews - Tampa, FL
May access and consult with peer clinical reviewers, Medical Directors and/or delegated clinical reviewers to help ensure medically appropriate, quality, cost...

UM Reviewer - Vision

Argus Dental & Vision - Tampa, FL
Consults with medical director regarding cases that fall outside the parameters in the. The UM Reviewer is responsible for managing all provider requests for...
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Clinical Reviewer

Global TPA LLC - 2 reviews - Tampa, FL 33609 (Swann Estates area)
The Clinical Reviewer will perform clinical review, in partnership with the Medical Director, for redeterminations generated by the Appeals department for...

Intellectual/Developmental Disabilities Medical Peer Review...

Quality Health Strategies - 9 reviews - Temple Terrace, FL
Consults with Quality Assurance Reviewers, Regional Medical Case Management, Regional Behavior Analyst, Medical Director, Physicians, Waiver Providers and...
Easily apply

CLINIC BASED EM MEDICAL CODER EDUCATOR

University of South Florida Health - 6 reviews - Tampa, FL
Serve as Physician Practice E&M coding reviewer and documentation educator. Identifies focus areas of improvement for each provider based on medical record...

Registered Nurse Surgical Clinical Reviewer

Florida Hospital Tampa - 390 reviews - Tampa, FL 33602 (Downtown area)
Utilizes working knowledge of hospital electronic medical record and other information systems required for abstraction of accurate data, i.e. Premier, Cerner....
Call Center Nurse (RN) - Tampa, FL 130114
Anthem, Inc. - 2,102 reviews - Tampa, FL 33601
May access and consult with peer clinical reviewers, Medical Directors and/or delegated clinical reviewers to help ensure medically appropriate, quality, cost...

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