- Cleveland Clinic (Vero Beach, FL)
- …one of the most respected healthcare organizations in the world. RN Case Managers work collaboratively with inter-professional teams across the continuum of care ... (CTM, ACM, CCM or AHA) + 2 years of recent experience in utilization review , quality or care management + Knowledge of acute care and accreditation requirements +… more
- Cleveland Clinic (Port Saint Lucie, FL)
- …one of the most respected healthcare organizations in the world. RN Case Managers work collaboratively with inter-professional teams across the continuum of care ... (CTM, ACM, CCM or AHA) + Two years of recent experience in utilization review , quality or care management + Knowledge of acute care and accreditation requirements +… more
- BayCare Health System (Tampa, FL)
- …+ Preferred Masters in Nursing or Business **Experience:** + Required 2 years in Utilization Review or + Required 2 years in Case Management or + Required 3 ... trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior/RN responsibilities include:** + Functions as the primary… more
- Community Health Systems (Naples, FL)
- Join us as a **Registered Nurse (RN) - Utilization Review position** at Physicians Regional Collier Unit: Utilization Review Shift: Mon-Fri (this is an onsite ... more available for Full and Part-Time roles **Job Summary** The Utilization Review Nurse - RN reviews hospital admissions, extended stays, and supporting… more
- BayCare Health System (St. Petersburg, FL)
- …respect, responsibility and clinical excellence. **The Team Lead Utilization Review responsibilities include:** + Directing and coordinating the daily operations ... goals and policies of the department + Required experience includes 3 years of Case Management or 3 years of Utilization Management or 6 years of clinical nursing… more
- Devereux Advanced Behavioral Health (Viera, FL)
- **Description** Are you looking to advance your career in Admissions & Utilization Review ? If you answered yes, then consider joining our team where you can take ... your career to the next level. **Being the Utilization Review Coordinator at Devereux has its Advantages!** Devereux Florida is a nonprofit behavioral health… more
- Sedgwick (Jacksonville, FL)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Bill Review Analyst | Professional Liability | Remote **PRIMARY PURPOSE** : The Bill ... Review Analyst plays a critical role in supporting the...a working knowledge of legal terminology, litigation phases, and case management processes to evaluate the appropriateness of billed… more
- Evolent (Tallahassee, FL)
- …for the culture. **What You'll Be Doing:** **Cardiovascular Utilization Management Reviewer (Interventional Cardiologist)** Are you ready to make a meaningful impact ... interventional cardiology to help ensure the delivery of high-value, evidence-based case reviews. Enjoy improved work-life balance while contributing to better… more
- CVS Health (Tallahassee, FL)
- …within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical ... consists of working intensely as a telephonic Associate Manager, Case Management with staff and clients for fully and/or...a potential quality of care issue to a physician reviewer . - Identify and address quality issues and participates… more
- AdventHealth (Daytona Beach, FL)
- …other conferences and training as appropriate. + Participates in Quality Assurance peer review , as a reviewer and reviewee. Timely correction of abstractions ... Institute across the Central Florida Division. The ODS-C completes case finding, abstracting, longitudinal patient follow-up, and completes additional activities… more