- Actalent (Sunrise, FL)
- …+ Medicare + Managed care + Patient care + Medical record + Case management + Concurrent review + Discharge planning + Medical + Acute care Additional Skills & ... Actalent is hiring a Utilization Management Nurse ! Job Description The Utilization Management Nurse...cases, develops internal processes, and educates physicians on utilization review issues. The role involves managing continuity of care,… more
- ChenMed (North Miami Beach, FL)
- …+ Participates in surveys, studies and special projects as assigned. + Conducts concurrent medical record review using specific indicators and criteria as ... Bachelor's Degree in nursing (BSN) or RN with bachelor's degree in a related clinical field preferred. + A valid, active Registered Nurse (RN) license in State… more
- Centene Corporation (Tallahassee, FL)
- …medical appropriateness in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine ... a fresh perspective on workplace flexibility. **Position Purpose:** Performs a clinical review and assesses care related to mental health and substance abuse.… more
- AdventHealth (Altamonte Springs, FL)
- …to all. **The value you will bring to the team:** . Reviews concurrent medical record for documentation 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… 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
- 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 ... you will need:** .Bachelor's Degree required in Nursing or Healthcare related field required; Master's Degree preferred .Current Florida licensure as a Registered … 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 ... you will need:** . Bachelor's Degree required in Nursing or Healthcare related field required; Master's Degree preferred . Current Florida licensure as a Registered … more