- Actalent (Sunrise, FL)
- Utilization Management Nurse !Job Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing service authorization requests to ensure ... staff to direct utilization and capture data effectively. Responsibilities + Review prior authorization requests for medical necessity and appropriateness, utilizing… more
- Actalent (Orlando, FL)
- Job Title: Clinical Review NurseJob Description: The Review Nurse will be responsible for reviewing approximately 20 cases a day to assess medical necessity ... requires following various procedures and processes to complete authorizations successfully. The nurse will collaborate with a team of nurses and communicate with… more
- Actalent (Orlando, FL)
- Job Title: Clinical Review Nurse Job Description As a Clinical Review Nurse , you will perform concurrent reviews to assess members' overall health, ... review the type of care being delivered, evaluate medical...for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits… more
- Community Health Systems (Naples, FL)
- **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 ... improvement programs + Addresses facility and departmental communication through daily review of all correspondence, including incoming email messages. + Performs… more
- Centene Corporation (Tallahassee, FL)
- …discuss member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in ... determinations or provide recommendations based on requested services and concurrent review findings + Assists with providing education to providers on utilization… more
- AdventHealth (Ocala, FL)
- …Practice Evaluation is responsible for facilitating the medical staff Peer Review , Ongoing Professional Practice Evaluation (OPPE) and Focused Professional Practice ... Practice Evaluation Policy. This includes the analysis of events that require peer review and the examination of medical records as identified by clinical indicators… more
- AdventHealth (Orlando, FL)
- …home health + 2 years of experience in management position. + Registered Nurse State Licensure and/or Compact State Licensure + Cert for Oasis Specialist-Clinical ... creed, religion, national origin, sex, marital status, age or disability /handicap with respect to recruitment, selection, placement, promotion, wages, benefits… more
- Vighter Medical Group (Jacksonville, FL)
- Flight Registered Nurse (RN), Jacksonville, FL Job Details Job Location Jacksonville, FL - Jacksonville, FL Position Type Full Time Education Level Registered ... Nurse (RN) Salary Range $47.00 Hourly Travel Percentage Up...repatriated to their countries of origin. The RN will review medical records to determine if detainees are capable… more
- MyFlorida (Land O' Lakes, FL)
- SENIOR LICENSED PRACTICAL NURSE - 50000083 1 Date: Aug 4, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 857808 Agency: Veterans Affairs Working Title: SENIOR LICENSED PRACTICAL NURSE - 50000083 1 Pay Plan: Career Service Position Number: 50000083… more
- HCA Healthcare (Largo, FL)
- …RN Registered Nurse Float Pool opening. Our team will promptly review your application. Highly qualified candidates will be contacted for interviews. **Unlock ... we support our colleagues in their positions. Join our Team as a(an) RN Registered Nurse Float Pool and access programs to assist with every stage of your career.… more