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86 clinical nurse reviewer jobs in Tampa, FL

Nurse Reviewer

CareCentrix 63 Reviews Tampa, FL

• Assists with the implementation/transition of members when services related to changes at the Specialty Nursing Programs or Specialized Pharmacy… CareerBuilder

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UR Nurse

Medix 93 Reviews Tampa, FL

• TheUR Nursecompletesinpatient admission and concurrent reviewsfor members, considering MCG criteria and other national standards, Policy… StartWire

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Nurse Reviewer

Summit Partners 6 Reviews Tampa, FL

This position maintains and enhances the Specialty Nursing Programs or Specialized Pharmacy accounts satisfaction through ongoing internal and… Summit Partners

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Onsite RN - Utilization Review - Sarasota

Humana 100+ Reviews Tampa, FL

Humanas dream is to help our members and our own associates achieve lifelong well-being. Use your clinical experience to work with patients and… Beyond.com

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Medical Assistant - Clinic

Laser Spine Institute 49 Reviews Tampa, FL

At Laser Spine Institute, our Medical Assistants are responsible for a variety of direct patient care tasks in our world-class clinic; taking and… Beyond.com

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Clinical Projects Nurse (RN)

JSA Medical Group 16 Reviews Saint Petersburg, FL

The Clinical Projects Nurse reports to the VP, Affiliate Provider Relations. Duties include: review medical charts on EMR or at health centers… CareerBuilder

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Case Manager I (Concurrent Review) – new

Centene 100+ Reviews Tampa, FL

License/Certification: RN, LPN or LVN license. Current state nursing license. Valid driver’s license. UM certification preferred.… Centene

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Nurse - Clinical Utilization Management Elevation

CareCentrix 63 Reviews Tampa, FL

• Abides by and demonstrates the company Mission - Vision - Values through both behavior and job performance on a day-to-day basis. • Convey a… CareerBuilder

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Clinical Support Coordinator

Matrix Medical Network 44 Reviews Clearwater, FL

Dedicated to improving the health and lives of senior Americans, we work on behalf of Medicare Advantage health plans throughout the United States… Job Board

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Clinical Appeals Nurse - RN

Soyring Consulting Saint Petersburg, FL

Clinical Appeals Nurse needed to review medical documentation and draft appeal letters. The clinical appeals nurse will utilize regulatory and payor… CareerBuilder

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Anesthesiology - Physician

Harris Medical Associates 2 Reviews Tampa, FL

.•Assists the staff in identifying and solving patient care problems relating to anesthesia services on a day-to-day basis.•Provides continuity of… DocCafe

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Florida Licensed Psychologists

Cotler Health Care & Development, Inc. Saint Petersburg, FL

We are looking for qualified Florida Licensed Psychologists and Florida Licensed Clinical Social Workers to partner with a company whose focus is on… Job Board

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Appeals Review Nurse

WellCare 100+ Reviews Tampa, FL

• Collects information concerning eligibility, provider status, benefit coverage, coordination of benefits and subrogation necessary to reach… WellCare

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Clinical Manager (Home Health) - Registered Nurse

Medical Services of America 34 Reviews Largo, FL

Medical Services of America Home Health currently seeks an experienced Registered Nurse to join our team as the Clinical Manager for our Largo, FL… CareerBuilder

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Supervisor, Medical UM

Health Integrated 23 Reviews Tampa, FL

The Working Supervisor for Concurrent Review monitors and directs Utilization Management (UM) Program activities including prospective concurrent… CareerBuilder

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