- AdventHealth (Daytona Beach, FL)
- …Beach, 32117 **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 Utilization...+ Current and valid license to practice as a Registered Nurse (ADN or BSN) required. +… more
- Cognizant (Tallahassee, FL)
- …expectations. **What you need to have to be considered** . Educational background - Registered Nurse ( RN ) . 2-3 years combined clinical and/or utilization ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...as well as timely filing deadlines and processes. . Review clinical denials including but not limited to referral,… more
- Wellpath (Fort Lauderdale, FL)
- …and point of care support. **How you make a difference** The Utilization Management Registered Nurse works under the guidance of the Utilization Provider to ... and acute care using InterQual Criteria, ensuring adherence to department procedures. * Review concurrent clinical information and document it in the ERMA Care… more
- AdventHealth (Tampa, FL)
- …ro** **le you'll contribute:** The role of the Emergency Department Utilization Management (UM) Registered Nurse ( RN ) is to use clinical expertise by ... to the Physician Advisor or designated leader for additional review as determined by department standards. The Utilization Management...electronic health records of at least two years Preferred RN - Registered Nurse -… 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 (Lake City, FL)
- …chain of command in a timely manner. **What qualifications you will need:** + ( RN ) Registered Nurse + Associate Degree + One year experience ... over 156,000 hours volunteering in our communities. As a(an) RN Case Manager Part Time with HCA Florida Lake...setting required. + Current State of Florida license for Registered Nurse or appropriate compact licensure. If… more
- HCA Healthcare (Lake City, FL)
- …chain of command in a timely manner. **What qualifications you will need:** + ( RN ) Registered Nurse + Associate Degree + One year experience ... join an organization that invests in you as an RN Case Manager PRN? At HCA Florida Lake City...setting required. + Current State of Florida license for Registered Nurse or appropriate compact licensure. If… more
- HCA Healthcare (Orange Park, FL)
- …safety and customer service of the patient first.** **What qualifications you will need:** + ( RN ) Registered Nurse in the state in which you practice + ... **Introduction** Do you have the career opportunities as an RN Stroke Program Coordinator you want in your current...Associate Degree, or Bachelors Degree, or Registered Nurse Diploma + APRN preferred +… more
- Actalent (Sunrise, FL)
- Job Title: Behavioral Health Utilization Review NurseJob Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing requests for ... management, behavioral health, and mental health. + Proficiency in clinical and utilization review processes. + Current unrestricted Florida RN or LPN License. +… more
- AdventHealth (Celebration, FL)
- …in specialty unit_ Current valid State of Florida or multistate license as a Registered Nurse Basic Life Support (BLS) certification * ACLS certification, per ... the defeat of illness and disease **The role you'll contribute:** The Clinical Nurse Education Facilitator (CNEF) is an expert clinician, highly skilled in nursing… more