Utilization review nurse jobs in Lakeland, FL

Apply today. Essential Job Functions and Responsibilities Reviews facility & outpatient bills as it.. Bachelor's Degree in Nursing or Health related field. R.N. (Registered Nurse) or L.P.N. (Licensed..

Robins Kaplan LLP is directly hiring for a 2 3 week remote document review project that will start.. Project Attorneys will assist with document review, analysis, and coding. This document review is on a..

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..

We are looking for a Data Entry Specialist whose main function is providing excellent customer service by quickly and accurately processing submissions sent electronically by our m..

Utilization Management is responsible to collaborate with healthcare providers and members to promote.. Licensed NursePlease be advised that Elevance Health only accepts resumes for compensation from agencies..

Description of BenefitsHumana, Inc. and its affiliated subsidiaries (collectively,. Humana ) offers competitive benefits that support whole person well being. Associate benefits ar..

NOVA Engineering is seeking a senior level Building Enclosure Consultant in the Orlando, Florida metropolitan area. Responsibilities will include. Peer review of construction documents including..

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..

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..

Position Overview. At Zelis, the Itemized Bill Review Facility Reviewer is responsible for analyzing.. They will work closely with Hospital Bill Review and Concept Development staff to efficiently identify..

Medical Review Team POSITION LOCATIONThis position is available to Virginia residents as Richmond or.. What you bringActive Registered Nurse (RN) licensure At least two years experience working in a role..

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..

This office continues the same level of care and experience received at Tampa General Hospital. The Visiting Nurse Association of Florida (VNA) is a 45 year old home health agency that is..

Job Description Job Description We are dedicated to providing exceptional patient care, and we're looking for a passionate Junior Marketer to help us grow our reach in the communit..

We are actively seeking experienced Travel Nurses to join our network, offering exciting opportunities.. Partners connexzia.com Initial Screening. Our recruitment team will review your application and reach..

Certified Nephrology Nurse (CNN) or Certified Dialysis Nurse (CDN) DaVita is a clinical leader! We have.. We expect our nurses to commit to improving patient health through clinical goal setting and quality..

hour subject to periodic review Part time hourly position (1099 position) Alternating Friday 8 45am to 5pm at Tampa and Orlando Clinic Tampa Clinic 730 Creative Dr, Suite 7, Lakeland, FL..

This nurse works with the established company protocols and by the direction and guidance of Nursing.. Assist in the yearly policies and procedures required review as designated by Nursing Leadership..