- AdventHealth (Altamonte Springs, FL)
- …Balance, Excellence, Stewardship, and Teamwork + Completes accurate and timely record review to ensure the integrity of clarification compliance for all CDSs ... Quality reviews consist of, but are not limited to; concurrent , mortality, Retrospect and other internal CDI audits to...REQUIRED:** . Current active State license as a Registered Nurse , Nurse Practitioner, or Physician's Assistant .… 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
- 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
- Elevance Health (Jacksonville, FL)
- …standard procedures that do not require the training or skill of a registered nurse . **How you will make an impact:** + Confirms medical services are appropriate ... plans and/or contracts. + Conducts and may approve precertification, concurrent , retrospective, out-of-network, and/or appropriateness of treatment setting reviews… more
- Baylor Scott & White Health (Tallahassee, FL)
- …qualifications and prior experience. **Essential Functions of the Role** + Performs concurrent and retrospective medical record review to investigate quality ... tasks to meet desired deadlines + Licensed clinician such as nurse , physical therapist, occupational therapist, dietitian, respiratory therapist, etc. preferred.… more
- Elevance Health (FL)
- …case types that do not require the training or skill of a registered nurse . **Primary duties may include but are not limited to:** + Responsible for moderately ... less experienced staff. + Conducts and may approve precertification, concurrent , retrospective, out-of-network, and/or appropriateness of treatment setting reviews… more
- Elevance Health (Miami, FL)
- …standard procedures that do not require the training or skill of a registered nurse . **How You Will Make an Impact** Primary duties may include, but are not ... plans and/or contracts. + Conducts and may approve precertification, concurrent , retrospective, out-of-network, and/or appropriateness of treatment setting reviews… 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