- Immigration and Customs Enforcement (Miami, FL)
- …policies, accreditation standards, laws, and regulations. Collaborates with the Clinical Director and Nurse Manager , as a function of the Triad of leadership, to ... the local leadership team (TRIAD) working in collaboration with the clinical director and nurse manager . This is a supervisory position. Incumbent serves as the… more
- CenterWell (Tampa, FL)
- …market. The Stars Improvement, Clinical Professional (RN) works assignments involving moderately complex to complex issues where the analysis of situations or ... market. The Stars Improvement, Clinical Professional (RN) works assignments involving moderately complex to complex issues where the analysis of situations or… more
- AdventHealth (Orlando, FL)
- …pre-authorization and provides information to the Utilization Review Specialist, Utilization Review Case Manager and the Clinical Support Specialist to ensure ... contribute:** The Mission Control RN Tier 1 is a professional registered nurse functioning withing Mission Control in one of three primary roles. Responsibilities… more
- Travelers Insurance Company (Tampa, FL)
- …with insured based on application of policy information to facts or allegations of each case . + Consults with Manager on use of Claim Coverage Counsel as needed. ... activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other experts. +… more
- CenterWell (Daytona Beach, FL)
- …market. The Stars Improvement, Clinical Professional (RN) works assignments involving moderately complex to complex issues where the analysis of situations or ... **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) without restriction in Florida + 5+ years of clinical nursing… more
- University of Miami (Miami, FL)
- …Attendings, Nursing team, Insurance company representatives, University faculty, staff, patients and nurse case manager . + Works well under pressure. ... . + Provides general health education and assists with emergency treatment and complex procedures. + Answers calls and participates in audits and inquiries related… more
- ChenMed (Orlando, FL)
- …a plan of care, providing health education, specialty referrals and case management referrals, providing follow-up care and applying clear, in-depth documentation ... focused on Prevention, Patient Outcomes and Quality of Care: a. Simplifying complex care through collaboration and care coordination b. Focused on early chronic… more
- Elevance Health (Miami, FL)
- …for ensuring that appropriate member treatment plans are followed on moderately complex cases and for proactively identifying ways to improve the health of ... plan modifications and determines need for additional services, in conjunction with case management and provider. + Coordinates identification of and referral to… more
- Travelers Insurance Company (Tampa, FL)
- …with insured based on application of policy information to facts or allegations of each case . + Consults with Manager on use of Claim Coverage Counsel as needed. ... activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other experts. +… more
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