Tennessee Licensed Senior Medical ReviewerVirtualVocations • Saint Petersburg, Florida, United States
serp_jobs.error_messages.no_longer_accepting
Tennessee Licensed Senior Medical Reviewer
VirtualVocations • Saint Petersburg, Florida, United States
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for a Registered Nurse Senior Medical Reviewer (Home Health and Hospice).
Key Responsibilities
Acts as team leader for medical review and case management, providing guidance and training to staff
Monitors workflow and workloads, ensuring timely completion of tasks and addressing any issues
Participates in quality reviews and compliance initiatives, ensuring adherence to quality plans
Required Qualifications, Training, and Education
Active, unrestricted RN licensure in the state of hire or compact multistate RN 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
serp_jobs.job_alerts.create_a_job
Medical Reviewer • Saint Petersburg, Florida, United States
Job_description.internal_linking.related_jobs
TravelNurseSource is working with Fusion Medical Staffing to find a qualified Telemetry RN in Tallahassee, Florida, 32308!.
Facility in Tallahassee, Florida.Fusion Medical Staffing is seeking a skil...serp_jobs.internal_linking.show_more
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...serp_jobs.internal_linking.show_more
JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes.Responsible for verifying that services are medically necessary and align with established clini...serp_jobs.internal_linking.show_more Provides support for clinical member services review assessment processes.Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance p...serp_jobs.internal_linking.show_more 
Supervisor, Clinical Chart Review.Supervisor, Clinical Chart Review is focused on supervising a team of Clinician's performing clinical reviews of facility claims, including UB's, Itemized Bills an...serp_jobs.internal_linking.show_more TravelNurseSource is working with LRS Healthcare to find a qualified Med / Surg RN in Largo, Florida, 33770!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits package, ...serp_jobs.internal_linking.show_more 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...serp_jobs.internal_linking.show_more TravelNurseSource is working with LRS Healthcare to find a qualified Telemetry RN in Jacksonville, Florida, 32204!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits p...serp_jobs.internal_linking.show_more 
HCA Florida Largo West 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 ap...serp_jobs.internal_linking.show_more TravelNurseSource is working with Patterns LLC to find a qualified Med / Surg RN in Gainesville, Florida, 32601!.Job Summary and Qualifications.
RECENT (Within the last 4 years) of Observation / Med-Sur...serp_jobs.internal_linking.show_more TravelNurseSource is working with American Medical Staffing to find a qualified Med / Surg / Tele RN in Titusville, Florida, 32796!.
We’re living in the new normal.Lives and careers look different tod...serp_jobs.internal_linking.show_more TravelNurseSource is working with Medical Solutions to find a qualified Telemetry RN in Tallahassee, Florida, 32308!.A facility in Tallahassee, FL is seeking its next amazing RN (Registered Nurse) ...serp_jobs.internal_linking.show_more 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...serp_jobs.internal_linking.show_more TravelNurseSource is working with Cynet Health to find a qualified Telemetry RN in Jacksonville, Florida, 32204!.Job Title : RN Medical / Surgical Profession : RN Medical / Surgical Specialty : RN Med...serp_jobs.internal_linking.show_more The Medical Claim Review Nurse provides support for medical claim review activities.Responsible for ensuring timely claims payment processes, providing counsel to members regarding coverage and ben...serp_jobs.internal_linking.show_more 
Monday–Friday schedule, professional collaboration, and the chance to make a meaningful impact by supporting quality behavioral health care across diverse patient populations.Daily Responsibilities...serp_jobs.internal_linking.show_more
Permanent Pathology - Anatomic / Clinical - Largo, FL - Full Time Days - Pay Negotiable - Largo, FL.Job Overview HCA Healthcare Pathology Services and their West Florida Division is seeking an Associ...serp_jobs.internal_linking.show_more
Oncology Department Registrar - 119500.BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community.We are looking for an...serp_jobs.internal_linking.show_more 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...serp_jobs.internal_linking.show_more 
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care.
The work you do here impacts the lives of millions of people ...serp_jobs.internal_linking.show_more
Travel Nurse RN - Telemetry - $1,755 to $1,867 per week in Tallahassee, FL
TravelNurseSource • Tampa, Florida, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Inpatient DRG Reviewer
Zelis Healthcare, LLC • St. Petersburg, FL, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Care Review Clinician, Inpatient Review (RN)
Molina Healthcare • Tampa, FL, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Care Review Clinician (RN) (Must reside in MI)
Molina Healthcare • Saint Petersburg, FL, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Sr. Supervisor, Clinical Chart Review
Zelis • Saint Petersburg, FL, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Travel Nurse RN - Medical-Surgical - $1,446 to $1,603 per week in Largo, FL
TravelNurseSource • Largo, FL, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Inpatient DRG Sr. Reviewer
Zelis Healthcare, LLC • St. Petersburg, FL, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Travel Nurse RN - Telemetry - $691 to $766 per week in Jacksonville, FL
TravelNurseSource • Tampa, Florida, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
RN Clinical Nurse Coordinator Behavioral Health PT
HCA Florida Largo West Hospital • Largo, FL, US
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Travel Nurse RN - Medical-Surgical - $31 to $43 per hour in Gainesville, FL
TravelNurseSource • Tampa, Florida, US
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Travel Nurse RN - Med / Surg / Telemetry - $1,405 per week in Titusville, FL
TravelNurseSource • Tampa, Florida, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Travel Nurse RN - Telemetry - $2,122 per week in Tallahassee, FL
TravelNurseSource • Tampa, Florida, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Travel Nurse RN - Medical-Surgical - $29 to $43 per hour in Lake City, FL
TravelNurseSource • Tampa, Florida, US
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Travel Nurse RN - Telemetry - $1,442 per week in Jacksonville, FL
TravelNurseSource • Tampa, Florida, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
RN Medical Claim Review Nurse Remote
Molina Healthcare • Saint Petersburg, FL, US
serp_jobs.filters.remote
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Remote Behavioral Medical Director
HealthCare Support • Tampa, FL, United States
serp_jobs.filters.remote
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Permanent Pathology - Anatomic / Clinical - Largo, FL - Full Time Days - Pay Negotiable
HCA • Largo, FL, United States
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Oncology Department Registrar - 119500
BayCare • Safety Harbor, FL, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Travel Nurse RN - Medical-Surgical - $43 per hour in Gainesville, FL
TravelNurseSource • Tampa, Florida, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Senior Medical Director for UnitedHealthcare Payment Integrity - Remote
UnitedHealth Group • Tampa, FL, United States
serp_jobs.filters.remote
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted