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Claims Review Nurse jobs - Tampa, FL

Viewing 1 - 10 of 182 jobs

  • Charge Entry Specialist PRN The Heart Institute St Petersburg

    HCA Healthcare - Saint Petersburg, FL

    The HCA Physician Services Group (PSG) is the physician solution for the Hospital Corporation of America. PSG makes it easier for physicians to practice medicine by reducing the burdens of managing an independent practice and infusing the...

    22 days ago from HCA Healthcare

  • Nurse (LPN or RN) - Memory Care Community

    Validus Senior Living - Tampa, FL

    family. We are seeking a dedicated, mission oriented nurse who will help us fulfill our commitment to our ... reduce the occurrence of Worker’s Compensation claims. 14. Participates in community events, including family and...

    15 days ago from ZipRecruiter

  • Charge Nurse (GPN, LPN, RN)

    Validus Senior Living - Tampa, FL

    family. We are seeking a dedicated, mission oriented nurse who will help us fulfill our commitment to our ... reduce the occurrence of Worker’s Compensation claims. 14. Participates in community events, including family and...

    1 day ago from ZipRecruiter

  • Microsoft Visio/Managed Care - RN/LPN/LVN Clinical Systems Manager

    Castle Health Staffing - Tampa, FL

    Licensed Registered Nurse (RN) or Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) Technical ... Registered Nurse or Licensed Practical/Vocational Nurse Managed Care Project Management/Implementation IDEAL...

    30+ days ago from PostJobFree

  • Clinical Systems Manager (RN/LPN/LVN)

    E-health Jobs - Tampa, FL

    This role interfaces with multiple business units such as accounting / finance, claims, operations, physician clinics, c ... Licensed Registered Nurse (RN) or Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) Technical...

    23 days ago from ZipRecruiter

  • Retrospective Review Nurse

    Managed Staffing - Tampa, FL

    and reports communication with internal departments such as Claims and Appeals and contact communication with ER PLP ... Certifications Required Preferred Licensed Practical Nurse LPN Required Skills State the minimum required for the...

    2 days ago from Managed Staffing

  • Nurse Reviewer

    Carecentrix - Tampa, FL

    moderate direction. Assists the NBC and NCC on billing and claims issues as needed. Assists with the implementation/transition of members when services related to changes at the Specialty Nursing Programs or Specialized Pharmacy accounts-...

    19 days ago from CareCentrix

  • Sr Mgr Medical Review

    Florida Blue - Tampa, FL

    Job Description Sr Mgr Medical Review-5229 Description Job duties include but are not limited to the following: • ... inventories among Pre and Post service medical review departments statewide and offshore. • Coordinate with the...

    19 days ago from Florida Blue

  • Claims Operations Audit Lead - Louisville, Va Beach, or Tampa - KY Medicaid (103907)

    Anthem - Tampa, FL

    FL The Claims Auditor Lead is responsible for leading the Claims Resolution team within Service Operations. Primary ... other audit teams. * Partners with Management on complex claims reviews and resolution. * Responsible for reviewing...

    8 days ago from Anthem, Inc

  • HealthPro Claims Specialist - Aging Services

    CNA Financial - Tampa, FL

    and coordination. Individual should be able to utilize claims policies and guidelines, review coverages, determine ... effective resolution of more complex claims. 7. Analyzes claims activities. Prepares and presents reports for...

    30+ days ago from CNA Financial Corporation