- CenterWell (Tallahassee, FL)
- …Home Health, Hospice, and Palliative Care Services. + Assist with clinical eligibility review for alternate services + Participates in special projects ... working weekends, it will allow for off-days during the week.** The ** Clinical Care Coordinator/ Care Manager, Telephonic Nurse** helps to ensure optimal… more
- Evolent (Tallahassee, FL)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Clinical Reviewer , Nurse, you will be a key member of the utilization management ... while providing better health outcomes. **Collaboration Opportunities:** As a Clinical Reviewer , Nurse, you will routinely interact...**What You Will Be Doing:** + Functions in a clinical review capacity to evaluate all cases,… more
- Evolent (Tallahassee, FL)
- …mission. Join a mission with a company behind it. **What You'll Be Doing:** As a Clinical Reviewer , Nurse, you will be a key member of the utilization management ... while providing better health outcomes. **Collaboration Opportunities:** As a Clinical Reviewer , Nurse, you will routinely interact...**What You Will Be Doing:** + Functions in a clinical review capacity to evaluate all cases,… more
- AdventHealth (Orlando, FL)
- …+ Clinical Pharmacy Services Actively participates in direct patient care programs and provides accurate, safe, timely, and appropriate medication therapy based ... and 125,000 outpatients each year **The role you'll contribute:** The Clinical Pharmacist supports the mission of the department, hospital, and health-system… more
- Veterans Affairs, Veterans Health Administration (Cape Coral, FL)
- … experience in occupational health, primary care , or equivalent clinical background. Preferred experience as Medical Review Officer, Certified medical ... VAMC. Assures self-development responsibilities and maintains current knowledge of trends in clinical care and the theory, evidence base and implementation of… more
- Centers Plan for Healthy Living (Margate, FL)
- …applications for Full Time Registered Nurse without experience. The Utilization Management Clinical Reviewer works within a multidisciplinary team to help ... home to improve their quality of life. Utilization Management Clinical Reviewer will assess and process all...care managers and believe that coordinating high quality clinical and social services will result in better … more
- University of Miami (Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . General ... of the division. This includes education, research, and patient care within our inpatient and/or outpatient care ...+ Actively participate in quality assurance programs and peer review activities + Determine required referrals based on level… more
- AdventHealth (Orlando, FL)
- …support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient. The Second Level Reviewer I educates members of ... team regarding documentation guidelines, including physicians, allied health practitioners, nursing, and care management. The Second Level Reviewer I adheres to… more
- AdventHealth (Altamonte Springs, FL)
- …support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient. The Second Level Reviewer I educates members of ... team regarding documentation guidelines, including physicians, allied health practitioners, nursing, and care management. The Second Level Reviewer I adheres to… more
- HCA Healthcare (Jacksonville, FL)
- …want to join an organization that invests in you as a Coding Quality Audit Reviewer ? At Parallon, you come first. HCA Healthcare has committed up to $300 million in ... and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +...We are looking for a dedicated Coding Quality Audit Reviewer like you to be a part of our… more