- Actalent (Miami, FL)
- Job Title: Clinical Review Nurse Job Description As a Clinical Review Nurse , you will perform concurrent reviews to assess members' overall health, ... review the type of care being delivered, evaluate medical...Essential Skills + Proficiency in utilization management and utilization review + Experience with Interqual and Medicare + Expertise… more
- Centene Corporation (Tallahassee, FL)
- …discuss member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in ... determinations or provide recommendations based on requested services and concurrent review findings + Assists with providing education to providers on utilization… more
- Community Health Systems (Naples, FL)
- **Job Summary** Under the direction of the UR Director/Manager the UR Nurse reviews all admissions for medical necessity, correct orders based on medical condition ... improvement programs + Addresses facility and departmental communication through daily review of all correspondence, including incoming email messages. + Performs… more
- AdventHealth (Ocala, FL)
- …Practice Evaluation is responsible for facilitating the medical staff Peer Review , Ongoing Professional Practice Evaluation (OPPE) and Focused Professional Practice ... Practice Evaluation Policy. This includes the analysis of events that require peer review and the examination of medical records as identified by clinical indicators… more
- Veterans Affairs, Veterans Health Administration (Miami, FL)
- …and record relevant patient information. Completed work should need only a general review by a registered nurse (RN) or physician (MD/DO) for appropriateness ... Carter VAMC is looking for a Licensed Practical/License Vocational Nurse (LPN/LVN) to work in our Nursing, GEC Service....completed work may require routine or detailed higher level review depending upon the complexity of the duties involved.… more
- Veterans Affairs, Veterans Health Administration (Gainesville, FL)
- …and record relevant] patient information. Completed work should need] only a general review by a registered nurse (RN) or physician (MD/DO) for appropriateness ... Summary The primary purpose of the Licensed Practical Nurse (LPN) is to perform assigned duties in...completed work may require routine or detailed higher level review depending upon the complexity of the duties involved.… more
- Veterans Affairs, Veterans Health Administration (Palm Bay, FL)
- …sufficient to solve a range of complex nursing problems, under the general review of a Registered Nurse (RN) in the outpatient clinic. Responsibilities ... for care delivery. Completed work should only need very limited review by a registered nurse (RN) or Provider for appropriateness and conformity with established… more
- CVS Health (Tallahassee, FL)
- …a collaborative process to implement, coordinate, monitor and evaluate medical review cases. + Applies the appropriate clinical criteria/guideline and plan language ... thinking, evidenced based clinical criteria and clinical practice guidelines. Med Review nurses use specific criteria to authorize procedures/services or initiate a… more
- ChenMed (Largo, FL)
- …visits. Once a patient has completed their episode of care management the register nurse (RN) will review patient chart for discharge and conduct final discharge ... The Intensive Community Care Manager (ICCM) is a Registered Nurse (RN) who works with our highest complexity patients,...patient needs and services available in the community or review of their benefits. + Completes individual plan of… more
- HCA Healthcare (Plantation, FL)
- …and personal growth, we encourage you to apply for our PRN Endo GI Nurse opening. We review all applications. Qualified candidates will be contacted for ... have the career opportunities as a PRN Endo GI Nurse you want with your current employer? We have...you want to work as a PRN Endo GI Nurse where your passion for creating positive patient interactions… more