• Denials Management RN

    AdventHealth (Altamonte Springs, FL)
    …2 years utilizing InterQual and/or MCG . Minimum of three (3) years' experience as Registered Nurse ( RN ) in an acute clinical setting . Clinical experience ... cause and bring about the best opportunity for fair reimbursement. The Clinical Denial Management Specialist will adhere to the AHS Compliance Plan and to all… more
    AdventHealth (01/27/25)
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  • Utilization Review Specialist Senior

    BayCare Health System (St. Petersburg, FL)
    …Call:** No **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred ACM (Case Management ) + Preferred CCM (Case Manager) ... or + Required 2 years in Case Management or + Required 3 years Registered Nurse + Preferred experience in Critical Care or Emergency Service **Benefits:** +… more
    BayCare Health System (03/12/25)
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  • Utilization Review Spec Sr

    BayCare Health System (Clearwater, FL)
    …Call:** No **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred ACM (Case Management ) + Preferred CCM (Case Manager) ... or + Required 2 years in Case Management or + Required 3 years Registered Nurse + Preferred experience in Critical Care or Emergency Service **Benefits:** +… more
    BayCare Health System (12/31/24)
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