- AdventHealth (Daytona Beach, FL)
- …Ancillary Departments to develop and implement improvement initiatives. Actively participates in concurrent case review to assure that evidence based best ... the assessment, planning, implementation and evaluation of the multi-disciplinary Physician Peer Review Program for FHMMC. **The value you'll bring to the team:** +… more
- Molina Healthcare (Tampa, FL)
- …requests in timely support of nurse reviewers; reviews cases requiring concurrent review , and manages the denial process. + Monitors appropriate care ... national, state, and local laws and regulatory requirements affecting the medical and clinical staff. + Marketplace UM reviews + MD licenses required for the… more
- Oracle (Tallahassee, FL)
- …(ECD) alignments, Critical Care workflow implementation, Multi-Disciplinary Rounding, and various nurse chart review and documentation optimizations. The ideal ... of analysts providing support for operationally required changes and enhancements to clinical applications, and aa group of analysts leading projects that will… more
- Molina Healthcare (Jacksonville, FL)
- …requests in timely support of nurse reviewers, reviews cases requiring concurrent review and manages the denial process. * Monitors appropriate care ... for national committee for quality assurance (NCQA) and utilization review accreditation commission (URAC) certifications. * Provides leadership and consultation… more
- BrightSpring Health Services (Gainesville, FL)
- …for assisting the Director of Nursing with the daily performance of clinical personnel by ensuring proper care is delivered to patients/clients. Serves as ... monitors both skilled and non-skilled healthcare services + Directly supervises clinical personnel + Provides clinical teaching and conducts performance… more
- HCA Healthcare (Tallahassee, FL)
- …and accountability in ensuring all admissions and continued stays meet clinical criteria for appropriateness and medical necessity. Assesses discharge planning needs ... level of care across the continuum. Ensures plan meets patient's clinical , psychological and discharge needs in collaboration with the attending physician… more
- HCA Healthcare (Aventura, FL)
- …database to ensure adequate documentation as required by regulatory agencies. + Complete concurrent review of cases to identify quality, timelines and systems of ... nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want...trauma patients. + Serve as a liaison to the clinical areas responsible for trauma patients. + Coordinate multidisciplinary… more
- AdventHealth (Kissimmee, FL)
- …of care systems and assures compliance with quality measures through concurrent and retrospective review , identification of deficiencies, and implementing ... in collaboration with medical and hospital staff. This position offers clinical and professional expertise to patients, families, staff members, and healthcare… more
- BrightSpring Health Services (Clearwater, FL)
- …Registered Professional Nurse + Excellent communicator with ability to handle concurrent tasks and responsibilities + Ability to travel within assigned area + ... monitoring both skilled and non-skilled healthcare services + Directly supervises clinical personnel + Providing clinical teaching and conducting performance… more
- HCA Healthcare (Trinity, FL)
- …staff and board members on analysis of risk assessment, historical and concurrent occurrence and claims data and national trends. .You will ensure responsibility ... field required; Master's Degree preferred .Current Florida licensure as a Registered Nurse preferred _**If serving as facility's primary Risk Manager, VP must have… more