- Elevance Health (FL)
- **Appeals Nurse Reviewer I** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... is a benefit-management leader in Illinois. Our platform delivers significant cost-of- care savings across an expanding set of clinical domains, including radiology,… more
- CenterWell (Tallahassee, FL)
- …**Use your skills to make an impact** **Required Qualifications** + Licensed Registered Compact Nurse license ( RN ) with no disciplinary ... caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge,...procedures to provide the best and most appropriate treatment, care or services for members. Coordinates and communicates with… more
- HCA Healthcare (Kissimmee, FL)
- …coordinate care of trauma patients in relation to appropriateness of level of care , length of stay and resource utilization issues. + Identifying barriers to ... need for immediate intervention/family support + Works collaboratively with RN case managers, acute care nurses, physicians,...planning or psychosocial needs. + Obtains input from the RN case manager to ensure the discharge… more
- Elevance Health (Miami, FL)
- …Senior** is responsible for identifying, monitoring, and analyzing aberrant patterns of utilization and/or fraudulent activities by health care providers through ... ** Nurse Audit Senior (Operating Room)** **Virtual:** This role...will make an impact:** + Investigates potential fraud and over- utilization by performing medical reviews via prepayment claims review… more
- AdventHealth (Apopka, FL)
- …for individuals from at-risk populations from interdisciplinary team members (including physicians, RN Care Managers, staff nurses, and other members of the ... The Clinical Social Worker, Licensed, , in collaboration with the patient/family, care manager nurses, nurses, physicians and the interdisciplinary team, ensures… more
- AdventHealth (Orlando, FL)
- …for individuals from at-risk populations from interdisciplinary team members (including physicians, RN Care Managers, staff nurses, and other members of the ... The Clinical Social Worker, Licensed, , in collaboration with the patient/family, care manager nurses, nurses, physicians and the interdisciplinary team, ensures… more
- AdventHealth (Celebration, FL)
- …for individuals from at-risk populations from interdisciplinary team members (including physicians, RN Care Managers, staff nurses, and other members of the ... The Clinical Social Worker, Licensed, , in collaboration with the patient/family, care manager nurses, nurses, physicians and the interdisciplinary team, ensures… more
- AdventHealth (Orlando, FL)
- …for individuals from at-risk populations from interdisciplinary team members (including physicians, RN Care Managers, staff nurses, and other members of the ... team). The Social Work Specialist, in collaboration with the patient/family, care manager nurses, nurses, physicians and the interdisciplinary team, ensures… more
- AdventHealth (Orange City, FL)
- …for individuals from at-risk populations from interdisciplinary team members (including physicians, RN Care Managers, staff nurses, and other members of the ... team). The Clinical Social Worker, Licensed, in collaboration with the patient/family, care manager nurses, nurses, physicians and the interdisciplinary team,… more
- AdventHealth (Palm Coast, FL)
- …the administrative and clinical activities of the following units: Post Anesthesia Care Unit (PACU), Pre-Admission Testing (PAT), Ambulatory Surgery Unit (ASU), Main ... and Anesthesia Support Services. The Director will also work with the Manager of Anesthesia Professional Services and provides oversight support when needed.… more