- Humana (Tallahassee, FL)
- …caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and ... communication of medical services and/or... services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require… more
- Humana (Tallahassee, FL)
- …QikView (QV) + Knowledge of Medicaid Utilization Management + Certified Nurse Assistant or Medical Assistant background **Additional Information** **Workstyle:** ... of our caring community and help us put health first** The Compliance ( UM ) Coordinator 2 issues notice of adverse benefit determination letters for Medicaid line… more
- Centers Plan for Healthy Living (Margate, FL)
- …For Healthy Living is currently accepting applications for Full Time Registered Nurse without experience. The Utilization Management Clinical Reviewer works within a ... Clinical Reviewer will assess and process all authorization requests to determine medical necessity to ensure all care services, member education, and preventative… 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 ... 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
- CVS Health (Tallahassee, FL)
- …high-quality healthcare for members. We are seeking a dedicated Utilization Management ( UM ) Nurse Consultant to join our remote team. **Key Responsibilities** ... Holding, Inc. (AHH), a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost-effective care… more
- University of Miami (Miami, FL)
- …this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . JOB DESCRIPTION UM Title: Senior Registered Nurse Supervisor's ... Date: April 24, 2014. Job Summary (Purpose and Function): The Pain Management Nurse will be a professional registered nurse who administers care using… more
- University of Miami (Miami, FL)
- …Advanced Practice Registered Nurse Human Genetics Full Time The Advanced Practice Registered Nurse (H) (APRN) d elivers medical care to a wide variety of ... tests. Advises patients about continuing care. JOB FUNCTIONS + Is a medical care provider to primarily newborn screen genetic patients (infants and sometimes… more
- University of Miami (Miami, FL)
- …25% 1. Ensures that each clinic is well prepared consi sting of all medical records (print and electronic) are up to date with all pertinent tests received ... any abnormal results (non - critical values) to the nurse who in turn will contact the physician accordingly...physician accordingly 5. Ens ures that patients receive appropriate medical pre - op medical clearances 6.… more
- Veterans Affairs, Veterans Health Administration (Orlando, FL)
- …integration of VHA and industry best standards. Responsibilities Responsibilities of the RUR Nurse Manager (NM) include, but are not limited, to the following: RUR ... Nurse Manager is accountable to the Consolidated Patient Account...System personnel and engages effectively with customers, including VA Medical Center service lines within the assigned region, community… more
- University of Miami (Miami, FL)
- …Non-exempt Employees Include Percent of Effort): Meets requirements of Clinical Trials Chemotherapy Nurse 50% Works closely with the medical director and the ... protocol and clinical practice standards. Provides documentation to the Research Nurse / Nurse Coordinators, and/or Research Staff/Data Managers. Meets study… more