- Molina Healthcare (Orlando, FL)
- **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse (RN) provides support for internal appeals clinical processes - ensuring that appeals requests are ... - 5:00pm Central time Remote position **Essential Job Duties** * Performs clinical/ medical reviews of previously denied cases in which a formal appeals request… more
- Elevance Health (Tampa, FL)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in- office 1 - 2 ... flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic… more
- BayCare Health System (Clearwater, FL)
- …accountability and development. + Performing the role of preceptor and charge nurse when assigned. Why BayCare? Our network consists of 16 community-based hospitals, ... focus on tomorrow by achieving personal and professional success today. **Benefits:** + Medical , Dental and Vision Benefits + Paid time off + Tuition Reimbursement +… more
- Molina Healthcare (Tampa, FL)
- **JOB DESCRIPTION** **Job Summary** The Delegation Oversight Nurse provides support for delegation oversight quality improvement activities. Responsible for ... reviews, or equivalent combination of relevant education and experience. + Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). The license must be… more
- AccentCare, Inc. (Spring Hill, FL)
- Overview Licensed Practical Nurse , LPN Continuous Care, Hospice Location: Spring Hill Position: Nurse LVN/LPN Continuous Care, Hospice Position Type: Full-Time ... meet you: + Must hold a current Licensed Practical Nurse (LPN) license in the practicing state(s); associate degree...verbal, and organizational skills, along with proficiency in Microsoft Office and EMR systems + Must have a valid… more
- Cognizant (Tallahassee, FL)
- …to Friday - Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact by performing advanced level work related to clinical ... the Health Plan/Payer. The comprehensive process includes analyzing, reviewing, and processing medical necessity denials for resolution. You will be a valued member… more
- Evolent (Tallahassee, FL)
- …utilization management and quality improvement functions under the auspices of the office of the Chief Medical Officer. **ESSENTIAL DUTIES AND RESPONSIBILITIES** ... as a clinical liaison to providers, clients, and patients as directed by the office of the Chief Medical Officer. Responsible for clinical conversations with… more
- University of Miami (Miami, FL)
- …Miami, Bascom Palmer Eye Institute, has an exciting job opportunity for a full time Nurse Educator in the OR - Department of Nursing with CNOR certification. The ... Nurse Educator provides clinical education to nursing and patient...a specialized area of nursing. The incumbent collaborates with medical practitioners to incorporate nursing processes into the plan… more
- University of Miami (Miami, FL)
- …Sign On Bonus The Department of Neurological Surgery is currently seeking a full time Nurse Specialist to work in Miami, FL. The Nurse Specialist assesses a ... staff sustain an established level of competency.CORE JOB FUNCTIONS1. Performs medical tests in patients to diagnose their health condition.2. Interprets laboratory… more
- University of Miami (Miami, FL)
- …on Bonus The Department of Stem Cell Transplant is currently seeking a full time Registered Nurse 2 to work in Miami. The Registered Nurse 2 - Specialty delivers ... goals and render superior patient care; seeks assistance when needed.13. Safely operates medical equipment. Serves as a preceptor and assists new staff in the… more