- AdventHealth (Ocala, FL)
- …the team:** + Assures compliance with professional practice evaluation through concurrent and retrospective review , identification of deficiencies, and ... Practice Evaluation is responsible for facilitating the medical staff Peer Review , Ongoing Professional Practice Evaluation (OPPE) and Focused Professional Practice… more
- Community Health Systems (Naples, FL)
- …meet deadlines. + Effective written and verbal communication skills. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... **Job Summary** Under the direction of the UR Director/Manager the UR Nurse reviews all admissions for medical necessity, correct orders based on medical condition… more
- AdventHealth (Tampa, FL)
- …other diseases. **The role you'll contribute:** The role of the Utilization Management (UM) Registered Nurse ( RN ) is to use clinical expertise by analyzing ... RN is responsible for denial avoidance strategies including concurrent payer communications to resolve status disputes. **The value...Nursing Required 3 years of relevant work experience required. Registered Nurse ( RN ) License Required.… more
- AdventHealth (Riverview, FL)
- …area, such as surgery, digestive health platform or data collection within a healthcare setting. Registered Nurse ( RN ) Licensed Practical Nurse (LPN) or ... for analysis and corrective action to improve quality outcomes. Assures concurrent review is performed on those patients that may trigger assigned evidence-based… more
- ChenMed (North Miami Beach, FL)
- …RN with bachelor's degree in a related clinical field preferred. + A valid, active Registered Nurse ( RN ) license in State of employment required. + A ... great people to join our team. The Acute Care Nurse ( RN ) is responsible for achieving positive...surveys, studies and special projects as assigned. + Conducts concurrent medical record review using specific indicators… more
- ChenMed (Opa Locka, FL)
- …We're rapidly expanding and we need great people to join our team. The Nurse Case Manager 1 ( RN ) is responsible for achieving positive patient outcomes ... post-acute facilities, as well as, their home environments. The Nurse Case Manager 1 ( RN ) role also...surveys, studies and special projects as assigned. + Conducts concurrent medical record review using specific indicators… more
- ChenMed (Pembroke Pines, FL)
- …+ Participate in surveys, studies and special projects as assigned. + Conduct concurrent medical record review using specific indicators and criteria as approved ... We're rapidly expanding and we need great people to join our team. The Nurse Case Manager I position is responsible for achieving positive patient outcomes and… more
- HCA Healthcare (Kissimmee, FL)
- …+ Trauma Nursing Core Course must be obtained within 6 months of employment start date + ( RN ) Registered Nurse + Associate Degree, or Registered Nurse ... adequate documentation as required by regulatory agencies. + Complete concurrent review of cases to identify quality,...personal growth, we encourage you to apply for our RN Coordinator Trauma opening. We promptly review … more
- HCA Healthcare (Ocala, FL)
- …projects, charge reviews and patient audits. **Qualifications that you will need:** + Registered Nurse Degree required. + Minimum 1 year directly related ... we encourage you to apply for our Revenue Integrity Clinical Charge Analyst RN opening. We promptly review all applications. Highly qualified candidates will… more
- CVS Health (Tallahassee, FL)
- …+ 1 year of varied UM (utilization management) experience within an **outpatient** setting, concurrent review or prior authorization. + 5 years of a variety ... make thorough, independent decisions using clinical judgement. + A Registered Nurse that must hold an unrestricted...of varied UM (utilization management) experience within an inpatient, concurrent review or prior authorization. + Remote… more