- CVS Health (Tallahassee, FL)
- …in a collaborative process to implement, coordinate, monitor and evaluate medical review cases. Applies the appropriate clinical criteria/guideline and plan language ... or policy specifics to render a medical determination to the client. Applies critical thinking, evidenced...Director referral as needed. Assists management with training new nurse reviewers/business partners or vendors to include initial and… more
- University of Miami (Miami, FL)
- …of Miami/UHealth Department of SCCC has an exciting opportunity for a Full Time Clinical Research Nurse 2 to work at the UHealth Medical campus in Miami, Fl CORE ... JOB SUMMARYThe Clinical Research Nurse 2 ensures the integrity and quality of clinical...Performs study data collection and entry using charts, correspondence, medical records, and relevantcommunications. Identifies and procures equipment and… more
- Immigration and Customs Enforcement (Miami, FL)
- …of care, compliance with clinical and regulatory guidelines, overpayment, and audit recovery; and developing policy guidance for nursing care reviews conducted ... or Federal health facility surveyors and in collaboration with IHSC Medical Quality Management Unit. Requirements Conditions of Employment Qualifications TECHNICAL… more
- HCA Healthcare (Kissimmee, FL)
- **Description** **Introduction** Do you have the PRN career opportunities as a(an) RN Trauma Nurse Lead PRN you want with your current employer? We have an exciting ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...Do you want to work as a(an) RN Trauma Nurse Lead PRN where your passion for creating positive… more
- HCA Healthcare (Kissimmee, FL)
- **Description** **Introduction** Do you have the career opportunities as a(an) RN Trauma Nurse Lead PRN you want with your current employer? We have an exciting ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...Do you want to work as a(an) RN Trauma Nurse Lead PRN where your passion for creating positive… more
- MyFlorida (Marianna, FL)
- REGISTERED NURSE SPECIALIST - 67039438 (SUNLAND NURSING - ALL SHIFTS) Date: Jul 29, 2025 The State Personnel System is an E-Verify employer. For more information ... No: 844947 Agency: Agency for Persons with Disabilities Working Title: REGISTERED NURSE SPECIALIST - 67039438 (SUNLAND NURSING - ALL SHIFTS) Pay Plan: Career… more
- HCA Healthcare (Fort Walton Beach, FL)
- …about delivering patient-centered care?** Submit your application for Trauma Clinical Nurse Coordinator- Nights position and spend more time at the bedside ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- Sunrise Senior Living (Jacksonville, FL)
- …is to be a part of.** **Job ID** 2025-231331 **JOB OVERVIEW** The Wellness Nurse is responsible for monitoring the health and well-being of our residents and ... with resident's family and or responsible party to ensure medical needs for the resident are being met. +...faxed to pharmacy accurately and promptly. + Complete MAR/TAR audit each month. + Demonstrate and is knowledgeable of… more
- Molina Healthcare (Tampa, FL)
- …of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/ medical reviews of previously denied… more
- Elevance Health (Tampa, FL)
- **Telephonic Nurse Case Manager I** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while ... in different states; therefore Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager I** is responsible for performing care management within… more