- Johns Hopkins Medicine (St. Petersburg, FL)
- …Surgery certification required within three years of hire Authorization to Work in the United States : Applicants requiring sponsorship now or in the future will ... most challenging medical problems. Ranked in multiple specialties by US News & World Report, we provide access to...surgical duties. Ensures all appropriate data is available for review by the surgeon. Assists other OR personnel in… more
- Integrated Resources Inc. (Miami, FL)
- …assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow. We've stayed true to our focus of ... areas. Our partner-employers know that they can rely on us to find the right match between their needs...Inpatient Medical experience, 3 years of Utilization experience, Concurrent Review experience and HMO exp. A strong candidate would… more
- Harmony United Psychiatric Care (Coral Gables, FL)
- …Compliance & Risk Management / Outpatient Clinics / Full‑time Employment / Coral Gables About Us Harmony United Psychiatric Care is part of Harmony United ... Company: Harmony United Psychiatric Care Job Title: Inhouse Counsel / Manager Legal,… more
- University of Miami (Coral Gables, FL)
- …process. To learn how to apply for a faculty or staff position, please review this .**CORE JOB SUMMARY**The Director, Nursing administers the nursing program in a ... necessary. CORE QUALIFICATIONS Bachelor's degree in relevant field* Registered Nurse Licensing (RN)* Minimum 5 years of relevant experienceThe...our points of pride.The University ranks No. 55 on US News & World Report's 2022 Best Colleges list… more
- Zelis (St. Petersburg, FL)
- …maintain claim review content, including but not limited to DRG Reviewer Rationales, DRG Clinical Validation Policies and Dispute Rationales + Perform regulatory ... Done. So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across...are. Position Overview At Zelis, the DRG Clinical Dispute Reviewer role is responsible for the resolution of facility… more
- Zelis (FL)
- …Zelis, we Get Stuff Done. So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare ... interests that shape who you are. Position Overview The Inpatient DRG Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay… more
- HCA Healthcare (Orlando, FL)
- …front line, empathetic for patients. At UCF Lake Nona Hospital our nurses set us apart from any other healthcare provider. We are seeking a(an) Registered Nurse ... nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want...coordinate education and communication related to regulator updates. **CLINICAL REVIEWER RESPONSIBILITIES** : + MBS clinical reviewer … more
- Actalent (Orlando, FL)
- Remote Clinical Review Nurse - Prior Authorization Location: Must be located in Central or Eastern time zones Employment Type: Full‑Time About the Role We are ... seeking an experienced Registered Nurse to join our team within a leading Managed...to gather additional information when needed. + Document all review decisions clearly, accurately, and in compliance with regulatory… more
- Elevance Health (Tampa, FL)
- …within the scope of licensure in applicable state(s) or territory of the United States required. + Multi-state licensure is required if this individual ... include every weekend (Saturday and Sunday). The **Medical Management Nurse ** will be responsible for review of...is providing services in multiple states . + Clinical experience preferred. Please be advised that… more
- HCA Healthcare (Port Charlotte, FL)
- …throughout HCA Healthcare, we are one of the largest employers of nurses in the United States . Education is key to excellence! As a majority owner of Galen ... in their positions. Join our Team as a(an) Registered Nurse RN Float Pool and access programs to assist...medications and treatment instructions + You will maintain and review patients' records including posting tests and examination results.… more
