- AdventHealth (Altamonte Springs, FL)
- …any field of study . Experience in denial management, utilization review , case management, clinical documentation improvement, revenue integrity, or related ... in non-nursing field, must have at least an Associate's Degree in Nursing) . Utilization Review / Utilization Management experience of at least 2 years… 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
- Molina Healthcare (Orlando, FL)
- **Job Description** Looking for a Registrared Nurse or Licensed Social worker to support HealthPlans within Molina Healthcare. In this position you will be assisting ... for opportunities to improve efficiency, productivity, effectiveness, and accuracy. * Review , research, analyze and evaluate information to assess compliance between… more