- CenterWell (The Villages, FL)
- …first** Make a meaningful impact every day as a CenterWell Home Health nurse . You'll provide personalized, one-on-one care that helps patients regain independence in ... team members and resources. Maintains focus on all healthcare quality and affordability initiatives (HCQAI's). Established productivity standards and performance… more
- University of Miami (Miami, FL)
- …of progress. 20. Works effectively and cooperativel y in groups/teams to ensure quality patient care. 21. Communicates effective with manager and other members ... any abnormal results (non - critical values) to the nurse who in turn will contact the physician accordingly...necessary. 25. Serves as mentor and role model 26. Compliance with UM, Hospital and department policies and procedures… more
- Molina Healthcare (Orlando, FL)
- …making appropriate and correct clinical decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ... Utilization Management and Long-Term Services & Supports issues. + Identifies and reports quality of care issues. + Prepares and presents cases in conjunction with… more
- Actalent (Sunrise, FL)
- Actalent is hiring UM nurses!Job Description The Utilization Management Nurse (UMN) plays a crucial role in optimizing the utilization of healthcare services. ... Working under the general supervision of the Director and/or Manager /Supervisor of Medical Management, and in collaboration with an interdisciplinary team, the UMN… more
- AdventHealth (Deland, FL)
- …Deland, 32720 **The role** **you** **'ll** **contribute** **:** This specifically trained nurse is responsible for participating in the surgical suite to function in ... responsible to adhere to the Adventist Health System Corporate Compliance Plan, and to all the rules and regulations...any other tasks directed by the specialty coordinator/charge or manager of the CVOR. The RN may be assigned… more
- AdventHealth (Tarpon Springs, FL)
- …the supervision of the Director Surgical Services and Pre-Post Surgery Manager /Supervisor. The RN is responsible for utilizing nursing knowledge, organizational and ... safe manner. The RN adheres to the AdventHealth Corporate Compliance Plan and to all rules and regulations of...for department. The objectives and goals are to provide quality and safe patient care. . Assists with staff… more
- Highmark Health (Tallahassee, FL)
- …in achieving their personal health goals. Will work with providers to insure quality and appropriate care is being delivered in a timely manner. **ESSENTIAL ... industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans to… more
- AdventHealth (Altamonte Springs, FL)
- …and in collaboration with physicians, nursing and HIM coders. The CDI Quality & Compliance Team Leader strategically facilitates and obtains appropriate ... including attending physicians, allied health practitioners, nursing, care management and quality abstracters. The Quality Auditor Manager adheres… more
- Edwards Lifesciences (Tallahassee, FL)
- …understand nature of complaints and possible health risks; Interprets complaint data for Quality compliance staff, complaint investigators and other Quality ... and be part of our inspiring journey. The Senior Manager , Clinical Product Quality will plan and...plus. + Supervisory or people leadership experience. + Registered nurse with current state license in good standing **What… more
- Maxim Healthcare Services (Gainesville, FL)
- …the functions and benefits of health care services. Additionally, the Operations Manager leads the quality improvement process, program development, and ... Maxim Healthcare Group is currently seeking an Operations Manager . The Operations Manager is responsible...contracting with new customers while maintaining compliance with all reimbursement guidelines, as well as, Maxim… more