- HCA Healthcare (Panama City, FL)
- …to appropriate agencies and third party payers regarding pre-admission screening, concurrent , outpatient and retrospective review process as it relates ... nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want...compact license required within 90 days of hire. Advanced Nurse Practitioner license acceptable + 5 years Case Management… 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 ... have completed post-secondary education coursework to facilitate licensure as a Registered Nurse (RN) + Must have healthcare management experience with multiple age… more
- Molina Healthcare (Orlando, FL)
- …requests in timely support of nurse reviewers; reviews cases requiring concurrent review , and manages the denial process. + Monitors appropriate care ... Public Health, Healthcare Administration, etc. **PREFERRED EXPERIENCE:** + Peer Review , medical policy/procedure development, provider contracting experience. + Experience… more
- HCA Healthcare (Ocala, FL)
- …protocol, corporate standards and other applicable documentation. Provides charge review results and develops and coordinates educational in-services for facility ... to the mapping between Facility chargemaster and Meditech Expanse, performance of concurrent charge reviews to support the application of charges in Patient… more
- Insight Global (Altamonte Springs, FL)
- …of care, and as required by accreditation and regulatory requirements. This nurse leader is a collaborator with strong emotional intelligence to lead ... in alignment with the organizations strategic imperatives. . Performs comprehensive, concurrent , and retrospective reviews to understand root causes and trends of… 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 (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
- 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 ... FL RN license required within 90 days of hire + Advanced Practice Registered Nurse license is acceptable for position if current and compliant + CPHQ certification… more
- HCA Healthcare (Ocala, 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 ... costs to patient and patient families. What qualifications you will need: + Registered Nurse + Associate Degree HCA Florida Ocala Hospital is a 323-bed facility. We… more