- CVS Health (Tallahassee, FL)
- …skills in a collaborative process to implement, coordinate, monitor and evaluate medical review cases. Applies the appropriate clinical criteria/guideline and ... active license. + 3+ Years of clinical experience. + 1+ Year of Utilization Review Management and/or Medical Management experience. + Must have active and… more
- Veterans Affairs, Veterans Health Administration (Winter Park, FL)
- …throughout the continuum of care. Responsibilities The Community Care (CC) Utilization Review Registered Nurse (RN) is responsible for collecting, interpreting, ... and care coordination for the VAHCS. The CC Utilization Review RN performs a wide variety of clinical and...facility or to a lower level of care. The nurse demonstrates proficient practice and decision-making, deliberate planning, and… 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 ... decisions and gather additional information about the member's condition. Responsibilities: + Review approximately 20 cases a day for medical necessity. +… 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 necessity, and contribute to discharge planning following established...+ Experience with Interqual and Medicare + Expertise in medical , acute care, concurrent review , and prior… 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 ... on performance improvement of the UR KPI's. Ensures proper and accurate medical record documentation. **Essential Functions** + Reviews new admissions using 3rd… more
- Molina Healthcare (Tampa, FL)
- …within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests additional information from members or providers in ... meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN). **Required Experience** 1-3 years of hospital or … more
- Vighter Medical Group (Jacksonville, FL)
- …to DHS/ICE detainees being repatriated to their countries of origin. The RN will review medical records to determine if detainees are capable of flying and ... Flight Registered Nurse (RN), Jacksonville, FL Job Details Job Location...Customs Enforcement. Healthcare is delivered in accordance with approved medical protocols and in compliance with Department of Homeland… more
- University of Miami (Miami, FL)
- … Medical Training Lab at the Gordon Center is currently seeking a full time Nurse Educator - Medical Simulation and Education Lab to work in Miami, FL. 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) . The University of… more
- HCA Healthcare (Inverness, FL)
- …affordable to gain certifications and job skills. Apply today for our RN Registered Nurse Medical Neuro Tele opening and continue to learn! **Job Summary and ... we encourage you to apply for our RN Registered Nurse Medical Neuro Tele opening. Our team...Medical Neuro Tele opening. Our team will promptly review your application. Highly qualified candidates will be contacted… more
- HCA Healthcare (Englewood, FL)
- …set us apart from any other healthcare provider. We are seeking a(an) Registered Nurse Medical Surgical Unit to join our healthcare family. **Benefits** HCA ... - and empowers their passion for patient care. Apply today for our Registered Nurse Medical Surgical Unit opportunity. **Job Summary and Qualifications** We are… more