- CVS Health (Tallahassee, FL)
- …guiding the team in determining correct coding and appropriate documentation during the review of medical records. This role requires a strong focus on meeting ... projects. + Ensure staff provide detailed written summaries of medical record review findings and ensure the team articulates findings effectively to investigators,… more
- Centene Corporation (Tallahassee, FL)
- …health clinicians preferred. Behavioral health clinical knowledge and ability to review and/or assess ABA Treatment Plans required. Knowledge of ABA services ... and BH utilization review process required. Experience working with providers and healthcare...Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure required… more
- Molina Healthcare (FL)
- …business. The candidate must have an RN licensure. Experience with UM medical review and prior authorization is a bonus. PEGA knowledge is highly preferred. Remote ... meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN). **Required Experience** 1-3 years of hospital or medical… more
- Molina Healthcare (Miami, FL)
- …meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN). **Required Experience** 1-3 years of hospital or medical ... Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines. To all… more
- Molina Healthcare (Jacksonville, FL)
- …meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN). **Required Experience** 1-3 years of hospital or medical ... clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing (RN) license in good standing. To all current Molina employees: If you are interested in applying for this position, please apply through the… more
- Elevance Health (FL)
- …precertification, prior authorization, and post service requests. + Refers cases requiring clinical review to a Nurse reviewer . + Responsible for the ... I** is responsible for coordinating cases for precertification and prior authorization review . **How will you make an impact:** + Managing incoming calls or… more
- Fresenius Medical Center (Trenton, FL)
- …effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA policies procedures and training and in compliance ... well-being since their last treatment. Report any complaints or observations to the nurse supervisor. + Evaluate vascular access for patency and report any unusual… more
- Northwest Florida Community Hospital (Chipley, FL)
- …appropriate to nurse practitioners; Participate, when appropriate, in the joint review of the plan of care. Must adhere to policy requirements for documentation ... make Northwest Florida Community Hospital your new home. Job Summary: The nurse practitioner shall, under the appropriate direction and supervision by the… more
- University of Miami (Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . $5,000 ... tasks to oversee the Pediatric MA 2 to a Nurse or Designee in charge of the unit/clinic.The Pediatric...competencies pertinent to the unit. Physician in charge shall review and sign-off all Medical Assistant's competencies and evaluations.… more
- HCA Healthcare (Sarasota, FL)
- …Doctors Hospital! **Job Summary and Qualifications** We are seeking a Registered Nurse to join our Med/Surg/Progressive Care Float Pool. You will provide clinical ... families regarding medications and treatment instructions + You will maintain and review patients' records including posting tests and examination results. + You… more