• Oncology Prior Authorization Case Manager RN…

    University of Miami (Miami, FL)
    …Authorization Nurse Case Manager. The incumbent purose is to conduct initial chart reviews for medical necessity and identify the need for authorization. The ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Utilization Review... nurse coordinates with the healthcare team for optimal and… more
    University of Miami (08/23/25)
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  • Pulmonary APRN/PA Ahmg

    AdventHealth (Zephyrhills, FL)
    …GALL BLVD, Zephyrhills, 33542** **The community you'll be caring for:** AdventHealth Medical Group Zephyrhills **The role you'll contribute:** Functions as a member ... of the medical care management team. Provides medical treatment...delineation criterion. The Critical Care Advanced Services Practice Registered Nurse (APRN) or Surgical Physicians Assistant (PA) provides self-directed,… more
    AdventHealth (09/04/25)
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  • RN Stroke Program Coordinator

    HCA Healthcare (Orange Park, FL)
    …Degree, or Registered Nurse Diploma + APRN preferred + 3 years Medical /Surgical Nursing required + 1 year in Quality Improvement required + BLS required + ... The Program Coordinator, provides ongoing patient tracking, concurrent and retrospective chart abstracting, and data entry for performance monitoring, root cause… more
    HCA Healthcare (08/30/25)
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  • Clinical Documentation Specialist

    Houston Methodist (FL)
    …caring for adults in an acute care hospital setting is required; coding and utilization review experience preferred + For Medical School graduate - One year of ... quality and completeness of clinical documentation. This position analyzes medical records for DRG's, complications, and comorbidities; identifies trends; and… more
    Houston Methodist (07/31/25)
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  • Director Of Nursing

    MTC (Quincy, FL)
    …and confidentiality of all medical records; observes applicable HIPAA rules. 13. Review medical files to determine all provided services are documented. 14. ... Highway Quincy, Florida 32351 **Status:** Full Time **Benefit package includes:** + Medical , vision, and prescription drug benefits + Dental benefits + Life… more
    MTC (09/05/25)
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  • Inpatient Rehab PPS Coordinator

    HCA Healthcare (Orange Park, FL)
    …strengths of patients. . Verify appropriate CMG designation through chart review , staff interview and collaboration with Rehab Medical Director . ... 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
    HCA Healthcare (09/06/25)
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  • Registered Nursing Consultant

    MyFlorida (Miami, FL)
    …children or young adults. - Knowledge of medical compliance and experience with medical chart reviews. - A background in Nursing Administration. - A Bachelor ... with Headquarters Office of Health Services. DUTIES AND RESPONSIBLITIES: Review of medical histories of youth pending...have an active valid professional license as a Registered Nurse in the state of Florida pursuant to Chapter… more
    MyFlorida (09/02/25)
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  • Physician Lead

    CenterWell (Daytona Beach, FL)
    …+ Assisting in resolution of inquiries, requests, and complaints from patients + Ongoing chart review / audit of clinical staff to ensure quality care and ... medicine, continuity of care, health maintenance, and disease prevention. Keeps a medical history and medical records. Refers the patient to specialists… more
    CenterWell (07/10/25)
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  • Physician (Cardiology Non-Invasive)

    Veterans Affairs, Veterans Health Administration (Gainesville, FL)
    …supervise, teach and provide consultation to other health care providers ( nurse practitioners, medical students and residents rotating through cardiology ... service and cardiology fellows). Provides consultations to the medical and support staff on cardiology issues when needed Attends Cardiology Inpatient CCU and… more
    Veterans Affairs, Veterans Health Administration (07/29/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (FL)
    …you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance ... Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs… more
    Elevance Health (08/23/25)
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