Top 29 Clinical documentation & utilization review nurses Jobs in Orlando, Fl

Second Level Reviewer I PRN Remote
AdventHealth Corporate —Altamonte Springs, FL
- $31.82 - $59.17 an hour
- PRN
- Remote
- Background check
- Nursing
- RN License
- Paid parental leave
- Disability insurance
Care Review Clinician (RN) Remote
Molina Healthcare —Mid Florida, FL
- $26.41 - $51.49 an hour
- 8 hour shift
- RN License
- Mid-level
- Critical & Intensive Care
- Health insurance
Clinical Reimbursement Specialist RN/LPN
Terrace of St. Cloud —Saint Cloud, FL
- $90,000 - $100,000 a year
- Full-time
- Nursing
- Skilled nursing facility
- RN License
Quick Apply
MDS Nurse/ RN
Terrace of St. Cloud —Saint Cloud, FL
- Weekends as needed
- Background check
- Nursing
- RN License
Quick Apply
Clinical Documentation Excellence I, RN - Full Time - Lakeland
Orlando Health —Orlando, FL
- Full-time
- Nursing
- RN License
- Hospital
Care Review Clinician, Specialty Therapist (Occupational / Physical / Speech) - REMOTE from Florida
Molina Healthcare —Orlando, FL
- $26.41 - $51.49 an hour
- Full-time
- Remote
- Physical & Rehabilitation Medicine
- Mid-level
- Physical Therapy License
- Health insurance
Care Review Clinician (RN) - Remote in FL
Molina Healthcare —Orlando, FL
- $26.41 - $51.49 an hour
- Full-time
- Remote
- RN License
- Mid-level
- Critical & Intensive Care
- Health insurance
Senior Clinical Documentation Integrity Specialist
AdventHealth Population Health Services Organization —Maitland, FL
- $49,718.59 - $92,468.74 a year
- Full-time
- Microsoft Word
- Background check
- Microsoft Outlook
- Paid parental leave
- Disability insurance
3d
Utilization Review Care Manager - Must have 3 years in IQ/MCG
Orlando Health —Orlando, FL
- Full-time
- Hybrid work
- Nursing
- RN License
- Hospital
Second Level Reviewer I
AdventHealth Corporate —Altamonte Springs, FL
- $66,170.74 - $123,073.07 a year
- Full-time
- Background check
- Nursing
- RN License
- Paid parental leave
- Disability insurance
Home Health Clinical Review Specialist (Part-Time/Weekends)
Pinnacle Home Care Inc. —Orlando, FL
- Part-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Referral program
Quick Apply
Care Review Clinician (BH Licensed) - Remote in FL
Molina Healthcare —Orlando, FL
- $26.41 - $51.49 an hour
- Full-time
- Remote
- LMFT
- Licensed Clinical Social Worker
- Mid-level
- Health insurance
RN Coding Liaison
AdventHealth Corporate —Altamonte Springs, FL
- $33.99 - $63.22 an hour
- Full-time
- Background check
- Nursing
- RN License
- Paid parental leave
- Disability insurance
MDS Coordinator
Skilled Nursing and Rehab of Kissimmee —Kissimmee, FL
- Full-time
- Nursing
- Skilled nursing facility
- RN License
Quick Apply
6d
NURSING PROGRAM SPECIALIST - MDS - 50556088
The State of Florida —Orlando, FL
- $72,113.08 a year
- Full-time
- Background check
- CPR Certification
- Nursing
- Paid holidays
- Health insurance
MDS Coordinator (LPN or RN)
Avante at Orlando —Orlando, FL
- Full-time
- Background check
- Nursing
- Skilled nursing facility
- Paid holidays
- Health insurance
Quick Apply
10d
PT MDS Coordinator (LPN or RN)
Avante at St. Cloud —Saint Cloud, FL
- Part-time
- Background check
- Nursing
- Skilled nursing facility
- Paid holidays
- Health insurance
Quick Apply
5d
MDS Nurse RN/LPN
Terrace of St. Cloud —Saint Cloud, FL
- Weekends as needed
- Background check
- Nursing
- RN License
Quick Apply
14h
Clinical Appeals & Grievances Nurse Reviewer
Tanaq Support Services LLC —United States
- Weekends as needed
- Microsoft Word
- Nursing
- Microsoft Excel
Appeals Professional III (Licensed Clinician)
Tanaq Support Services LLC —United States
- Full-time
- Remote
- Nursing
- RN License
- Writing skills
10d

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clinical documentation & utilization review nurses jobs near orlando, fl

Second Level Reviewer I PRN Remote

AdventHealth Corporate -
Altamonte Springs, FL

Apply Now

Job Details

PRN
$31.82 - $59.17 an hour

Benefits

Paid parental leave
Disability insurance
Health insurance
Dental insurance
Paid time off
Parental leave
Vision insurance
403(b)
Benefits from day one
Life insurance

Qualifications

Triage
Acute care facility experience
Typing

Full Job Description

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

All the benefits and perks you need for you and your family:

Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
Paid Time Off from Day One
403-B Retirement Plan
4 Weeks 100% Paid Parental Leave
Career Development
Whole Person Well-being Resources
Mental Health Resources and Support
Pet Benefits

Schedule:

PRN

Shift:

Day (United States of America)

Address:

900 HOPE WAY

City:

ALTAMONTE SPRINGS

State:

Florida

Postal Code:

32714

Job Description:

Reviews concurrent medical records for documentation compliance, including completeness and accuracy for severity of illness (SOI), risk of mortality (ROM), and quality. Completes accurate and timely record reviews to ensure the integrity of documentation compliance. Inputs data into CDI Software accurately and concisely, resulting in precise metrics obtained through the reconciliation process. Recognizes opportunities for documentation improvement using strong critical-thinking skills and sound judgment. Initiates and formulates CDI severity worksheets and clinically credible clarifications for inpatients, presenting opportunities for improved documentation compliance to physicians, nurse practitioners, and other clinical team members. Transcribes documentation clarifications as appropriate for SOI, ROM, PSI, HCCs, and HACs to ensure documentation compliance. Educates members of the patient-care team regarding documentation regulations and guidelines, including physicians, allied health practitioners, and nursing, with quarterly and annual compliance updates from Medicare. Communicates effectively and appropriately with physicians and other healthcare providers to ensure accurate and complete clinical documentation. Collaborates with HIM staff to resolve discrepancies with DRG assignments and other coding issues. Completes well-timed follow-up case reviews on all cases, prioritizing resolution of those with clinical documentation clarifications. Participates in department meetings, providing feedback on outstanding issues, presentations for educational opportunities, and addressing needs identified by CDI leaders. Assumes personal responsibility for professional growth, development, and continuing education to maintain a high level of proficiency. Performs other duties as assigned.

Knowledge, Skills, and Abilities:

Excellent interpersonal skills including excellent verbal and written communication skills; proficient in and demonstrates excellent physician relations. [Required]
Able to organize and present information clearly and concisely; excellent computer and keyboarding skills; ability to use multiple software programs simultaneously; high degree of prioritization skills. [Required]
Ability to learn/develop and fine-tune the skills necessary to perform optimally as a Clinical Documentation Specialist. [Required]
Dependable, self-motivated and pleasant. [Required]
Utilize and demonstrate excellent critical-thinking, problem-solving and deductive-reasoning skills. [Required]
Knowledge of pathophysiology, disease processes and treatments. [Required]
Strong ability to organize/triage work and manage multiple priorities at once. [Required]
Knowledge of clinical documentation requirements that identify clinical conditions or procedures. [Preferred]
Coding background. [Preferred]
Knowledge of quality guidelines. [Preferred]

Education:

Bachelor's of Nursing [Required]
Master's [Preferred]

Field of Study:

in healthcare related field

Work Experience:

5+ years acute care nursing experience with specific medical/surgical, Intensive Care, post-acute care unit, or Emergency Department experience. [Required]
3+ years of Clinical Documentation Specialist experience [Required]

Additional Information:

An equivalent combination of education and relevant work experience may be considered in lieu of the stated degree requirement:- BSN and 3+ years of Clinical Documentation Specialist experience OR - 4+ years of Clinical Documentation Specialist experience OR - Less than 2 years of Clinical Documentation Integrity experience and 10 years of acute care nursing experience.

Licenses and Certifications:

Registered Nurse (RN) [Required] OR
Physician Assistant (PA) [Required] OR
Advanced Practice Registered Nurse (APRN) [Required] OR
Certified Clinical Documentation Specialist (CCDS) [Required]
Certified Billing and Coding Specialist (CBCS) [Preferred]
Certified Cardiac Device Specialist (CCDS) [Required]

Physical Requirements: (Please click the link below to view work requirements)

Physical Requirements -https://tinyurl.com/23km2677

Pay Range:

$31.82 - $59.17

Background Screening Requirement (Florida Law)

Certain positions are subject to Florida Level 2 background screening, including fingerprinting, as required by state law.

Applicants may review general information about Florida’s background screening requirements at the Florida Care Provider Background Screening Clearinghouse:
https://info.flclearinghouse.com/

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

Apply Now

Refine Your Search

clinical documentation & utilization review nurses jobs in orlando, fl

Second Level Reviewer I PRN Remote

Care Review Clinician (RN) Remote

Clinical Reimbursement Specialist RN/LPN

MDS Nurse/ RN

Clinical Documentation Excellence I, RN - Full Time - Lakeland

Care Review Clinician, Specialty Therapist (Occupational / Physical / Speech) - REMOTE from Florida

Care Review Clinician (RN) - Remote in FL

Senior Clinical Documentation Integrity Specialist

Utilization Review Care Manager - Must have 3 years in IQ/MCG

Second Level Reviewer I

Home Health Clinical Review Specialist (Part-Time/Weekends)

Care Review Clinician (BH Licensed) - Remote in FL

RN Coding Liaison

MDS Coordinator

NURSING PROGRAM SPECIALIST - MDS - 50556088

MDS Coordinator (LPN or RN)

PT MDS Coordinator (LPN or RN)

MDS Nurse RN/LPN

Clinical Appeals & Grievances Nurse Reviewer

Appeals Professional III (Licensed Clinician)

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