- Actalent (Sunrise, FL)
- Utilization Management Nurse !Job Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing service authorization requests to ... Working under the general supervision of the Director and/or Manager /Supervisor of Medical Management, and in collaboration with an...reports on department activities as assigned. Essential Skills + Clinical review + Utilization review + … more
- Fresenius Medical Center (Tampa, FL)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... functions, leading your business, and advanced leadership. As a Clinical Manager , you may advance your career...Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and… more
- Fresenius Medical Center (Venice, FL)
- …the delivery of maximum quality care to all patients. + Must complete Clinical Manager training modules and ongoing developmental programs within the specified ... requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory… more
- ChenMed (Pembroke Pines, FL)
- …We're rapidly expanding and we need great people to join our team. The Nurse Case Manager I position is responsible for achieving positive patient outcomes ... quality of care across the continuum of care. The Nurse Case Manager I will first and...aspects of healthcare delivery. + Promote effective and efficient utilization of clinical resources and mobilizes resources… more
- BayCare Health System (Tampa, FL)
- …built on a foundation of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior responsibilities include:** ... Opportunity Employer Veterans/Disabled **Position** Utilization Review Specialist Sr. **Location** Tampa:St Josephs | Clinical | Full Time **Req ID** 112758 more
- BayCare Health System (Clearwater, FL)
- …built on a foundation of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior responsibilities include:** ... Opportunity Employer Veterans/Disabled_ **Position** Utilization Review Spec Sr **Location** Clearwater:Morton Plant | Clinical | Part Time **Req ID** 112223 more
- Molina Healthcare (Tampa, FL)
- …decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical /medical ... Officer during Fair Hearings as may be required. + Serves as a clinical resource for Utilization Management, Chief Medical Officer, Physicians, and… more
- Elevance Health (FL)
- …outpatient precertification, prior authorization, and post service requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for the ... ** Utilization Management Representative I** **Location:** Virtual: This role...inquiries from clients, providers and in-house departments. + Conducts clinical screening process. + Authorizes initial set of sessions… more
- HCA Healthcare (Sanford, FL)
- **Description** **Introduction** Are you ready to manage in a new era as a Nurse Manager FSED Mt Dora where building a healthier tomorrow is more than a job? Our ... an HCA Healthcare facility. Be an impact as a(an) Nurse Manager FSED Mt Dora where your...established policies/procedures and holds staff accountable for quality and clinical outcomes in support of facility objectives. + … more
- University of Miami (Miami, FL)
- …. The University of Miami/UHealth Palmetto Bay has an exciting opportunity for a Nurse Manager . The Manager , Nursing promotes and restores patients' health ... to provide safe, quality care. + Responsible for the utilization and maintenance of appropriate nursing care plans, and...a formal orientation plan and preceptor in coordination with nurse educators and evaluates effectiveness of the clinical… more