- Veterans Affairs, Veterans Health Administration (Orlando, FL)
- …with 3-4 years nursing experience, 1-3 years relevant case management or utilization review experience, InterQual experience preferred, Case Management or ... for revenue cases. Manages clinical denials for revenue . Performs legal case relatedness review for...Utilization Review certification preferred. Knowledge and skilled in applying CPT,… more
- CenterWell (Lake Mary, FL)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... Branch Director and Company Finance Department to establish location's revenue and budget goals. + Participates in sales and...requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking… more