HEDIS QA Reviewer - REMOTE Companycare Jacksonville, FL, USA Compensation $30 to $32 Hourly Benefits Offered 401K, Dental, Medical, Vision Employment Type Why Work Here? Our mission is to treat you, our stakeholder, better than anyone in our industry! Pride Health is actively
Utilization Management Nurse 2 - Northeast Region Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2
Care Managers (CA, AZ, WA, TX, FL) Various locations in CA, AZ, WA, TX, FL Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care. Assess the member's
Required Qualifications. Licensed Registered Nurse (RN) in the state of Florida with no disciplinary action. 3 - 5 years of Medical Surgery, Heart, Lung or Critical Care Nursing experience required. Previous experience in utilization management or case management in a hospital setting.
Candidate will possess excellent clinical knowledge and ability to lead and guide others to be successful. CareCentrix maintains a drug-free workplace in accordance with Florida's Drug Free Workplace Law.
Nurse Auditor 2-RN Chart Auditor Description The RN Chart Auditor performs clinical audit/validation processes to ensure that the hospital itemized bill and the medical record documentation for services rendered is complete, compliant and accurate to support optimal reimbursement. RN Chart