- 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
- Cordis (Miami Lakes, FL)
- …activities related to product safety surveillance and risk management, including review of data from clinical studies, literature reviews, complaints, regulatory ... included in the reports to competent authorities around the world + Review of technical investigations and completeness of conclusions for returned product analysis… more
- Molina Healthcare (Tampa, FL)
- …a current active unrestricted license This a remote role and can sit anywhere within the United States . Work Schedule Monday to Friday - operation hours 6 AM to ... set schedule) Looking for a RN with experience with appeals, claims review , and medical coding. **Job Summary** Utilizing clinical knowledge and experience,… more
- Actalent (Sunrise, FL)
- Job Title: Behavioral Health Utilization Review NurseJob Description We are seeking a dedicated Utilization Management Nurse (UMN) who will work collaboratively ... development, and provide education to the team on utilization review -related issues. Responsibilities + Review prior authorization...30,000 consultants and more than 4,500 clients across the US , Canada, Asia and Europe, Actalent serves many of… more
- Actalent (Sunrise, FL)
- Job Title: Behavioral Health Utilization Review NurseJob Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing requests for ... with the interdisciplinary team, the UMN handles tasks related to utilization review across various specialties, medical treatments, and services. The role involves… more
- Zelis (St. Petersburg, FL)
- …Effective and proven leadership experience is a must as recommendations to the Nurse Reviewer 's regarding their claim management is required. Additionally, this ... Done. So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across...as needed Quality Assurance and complete bi-annual assessment of Nurse Reviewer performance. Report these results to… more
- Veterans Affairs, Veterans Health Administration (Miami, FL)
- …Basic Requirements: All applicants must meet the following basic qualifications. United States Citizenship: Must be a US Citizen Education. A master's or ... Care Service is seeking an experienced and dynamic Certified Nurse Anesthetist (CNA). Our ideal applicants are those who...equivalent, in a State, Territory or Commonwealth of the United States or in the District of… more
- Veterans Affairs, Veterans Health Administration (Jacksonville, FL)
- …Requirements: All applicants must meet the following basic qualifications. United States Citizenship: Must be a US Citizen. English Language Proficiency: In ... Primary Care Service is seeking an experienced and dynamic Nurse Practitioner (NP). Ideal applicants are those who want...NP in a State, Territory or Commonwealth of the United States , or in the District of… more
- Veterans Affairs, Veterans Health Administration (Orlando, FL)
- …selected but may not be hired until all requirements are met. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not ... a range of complex nursing problems, under the general review of a resident preceptor and Registered Nurse...State, Territory or Commonwealth (ie, Puerto Rico) of the United States , or District of Columbia. An… more
- Veterans Affairs, Veterans Health Administration (Port Richey, FL)
- …a State, Territory or Commonwealth (ie, Puerto Rico) of the United States , or the District of Columbia. Graduate Nurse Technician (GNT) Exception: Candidates ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more