- Cognizant (Tallahassee, FL)
- …to Friday - Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact by performing advanced level work related to clinical ... as well as timely filing deadlines and processes. . Review clinical denials including but not limited to referral,...have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization… more
- BayCare Health System (Tampa, FL)
- …other related parties to ensure appropriate level of care through comprehensive concurrent review for medical necessity of outpatient observation and inpatient ... trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior/RN responsibilities include:** + Functions as the primary… more
- Community Health Systems (Naples, FL)
- …match & more available for Full and Part-Time roles **Job Summary** The Utilization Review Nurse - RN reviews hospital admissions, extended stays, and supporting ... Join us as a **Registered Nurse (RN) - Utilization Review position**...the Utilization Review leadership, this role supports concurrent review processes, facilitates authorizations, and partners… more
- BayCare Health System (St. Petersburg, FL)
- …respect, responsibility and clinical excellence. **The Team Lead Utilization Review responsibilities include:** + Directing and coordinating the daily operations ... of the UM department responsible for concurrent reviews and observation management + Ensuring that the...clinical nursing **Certifications and Licensures:** + Required RN (Registered Nurse ) + Preferred ACM (Case Management) + Preferred CCM… more
- AdventHealth (Orlando, FL)
- …stewardship in the management of resources entrusted to them. Reviews concurrent medical record for compliance including completeness and accuracy for severity ... risk of mortality (ROM) and quality. Completes accurate and timely record review to ensure the integrity of documentation compliance. Completes accurate and concise… more
- AdventHealth (Orlando, FL)
- …role you'll contribute:** The Clinical Documentation Integrity Manager is a Registered Nurse and/or a Registered Health Information Administrator with a high level ... of registered nurses and clinical documentation specialists. This role will oversee the review processes of complex patients that vary in age and have different… more
- BrightSpring Health Services (Gainesville, FL)
- …of Nursing is unavailable + Participates on the safety, infection control, incident review and human rights committees + Facilitates communication and serves as a ... education coursework to facilitate licensure as a Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN)...governing sources + Excellent communication with ability to handle concurrent tasks and responsibilities + Ability to work as… more
- 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
- HCA Healthcare (Tallahassee, FL)
- …for patients in accordance with Utilization Plan using ISD criteria, and performs concurrent stay reviews at least every 72 hours for medical necessity using ISD ... patient families. **What qualifications you will need:** + Registered Nurse , or Advance Practice Registered Nurse (APRN)...to apply for our Manager Case Management opening. We review all applications. Qualified candidates will be contacted by… more
- AdventHealth (Daytona Beach, FL)
- …stewardship in the management of resources entrusted to them. + Reviews concurrent medical record for compliance including completeness and accuracy for severity of ... of mortality (ROM) and quality. + Completes accurate and timely record review to ensure the integrity of documentation compliance. Completes accurate and concise… more