- Molina Healthcare (Orlando, FL)
- …requests in timely support of nurse reviewers; reviews cases requiring concurrent review , and manages the denial process. + Monitors appropriate care ... state, and local laws and regulatory requirements affecting the medical and clinical staff. **Job Duties** + Provides medical oversight and expertise in… 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 (Kissimmee, FL)
- …database to ensure adequate documentation as required by regulatory agencies. + Complete concurrent review of cases to identify quality, timelines and systems of ... and Patient Safety (PIPS) Program. The PI Coordinator will review the continuum of care to determine compliance with...trauma patients. + Serve as a liaison to the clinical areas responsible for trauma patients. + Coordinate multidisciplinary… more
- HCA Healthcare (Miami, FL)
- …At HCA Florida Kendall Hospital, our nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want to create your own personal career ... and Qualifications** The Burn PI Coordinator performs retrospective and concurrent reviews of patient care records and assesses for...thorough written presentation is developed to facilitate a formal review by BMD, BPD, and Burn M&M Committee when… 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)
- …data collection and follow up for multiple quality measures. Abstraction consists of concurrent review of in-house patients for multiple populations; eg, Heart ... effective skills in all forms of communication especially with clinical staff and clinical leadership - able...within 90 days of hire + Advanced Practice Registered Nurse license is acceptable for position if current and… 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
- HCA Healthcare (Ocala, 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 (Sun City Center, FL)
- …medical staff and board members on analysis of risk assessment, historical and concurrent occurrence and claims data and national trends. . You will ensure ... 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