- Zelis (St. Petersburg, FL)
- …and Clinical Validation (MS and APR), Itemized Bill Review (IBR) and Clinical Chart Review (CCR) and submit explanation of dispute rationale back to ... review content, including but not limited to DRG Reviewer Rationales, DRG Clinical Validation Policies, CCR...CCS, CIC, RHIA, RHIT, CPC or equivalent credentialing). + Registered Nurse licensure preferred + Bachelor's degree… more
- Elevance Health (Miami, FL)
- …guidelines including Risk Adjustment payment model, STARS and HEDIS highly preferred. + Clinical review experience. Please be advised that Elevance Health only ... quality of life through home-care and community based services. ** Clinical Quality Consultant Nurse Practitioner** Location: **Virtual**...**How you will make an impact:** + Focus on chart reviews by supplying clinical expertise to… more
- BrightSpring Health Services (Palatka, FL)
- …clinicians grow professionally and create a strong team culture. As a RN Clinical Supervisor You will: + Review new patient referrals and determine care ... area: Palatka, FL Schedule: Days, FT Are you a RN Clinical Supervisor looking for a new...more! *Benefits may vary by employment status Qualifications + Registered nurse with current licensure to practice… more
- AdventHealth (Orlando, FL)
- ** Clinical Research Coordinator II - RN -...+ Current, active State of Florida license as a Registered Nurse + BLS + **Preferred qualifications:** ... 125,000 outpatients each year **The role you'll contribute:** The Clinical Research Coordinator II RN (CRC-II ...over the interests of science and society. (Add from Chart )_ _Manages multiple clinical trial protocols, coordinates… more
- Elevance Health (Tampa, FL)
- …and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a ... **Diagnosis Related Group Clinical Validation Auditor- RN ** **Virtual:** This role...impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity… more
- ChenMed (Largo, FL)
- …degree in home in a related clinical field preferred + A valid, active Registered Nurse ( RN ) license in State of employment required. Compact License ... team. The Intensive Community Care Manager (ICCM) is a Registered Nurse ( RN ) who works...episode of care management the register nurse ( RN ) will review patient chart … more
- University of Miami (Miami, FL)
- …care, and discharge and readmission risk. + Evaluates the plan of care regularly by chart review and patient interviews, as well as collaborates with the medical ... of nursing, Bachelor's degree (BSN). Certification and Licensing: + Valid Florida Registered Nurse License, BLS certification from the American Heart Association… more
- AdventHealth (New Smyrna Beach, FL)
- …+ This position requires special training specific to critical care nursing. + Registered Nurse licensure in the State of Florida. **Preferred qualifications** : ... the department of anesthesia and attending surgeon as well as all clinical support ancillary services. Responsible for adhering to Florida Hospital Corporate… more
- AdventHealth (New Smyrna Beach, FL)
- …Call requirements Location: AdventHealth New Smyrna Beach The role you'll contribute: The Registered Professional Nurse ( RN ) is responsible for providing and ... nursing. + Current valid State of Florida or multistate license as a Registered Nurse Preferred qualifications: + Bachelor's degree in Nursing + Professional… more
- AdventHealth (Orlando, FL)
- …(ACLS & PALS) + Current valid State of Florida or multi state license as a Registered Nurse **Preferred qualifications:** + BSN or MSN + One year of recent ... Emergency Department (CRSED) is responsible for all audits, patient chart reviews and data collection in compliance with hospital...RN program + Two years of recent ED clinical nursing experience + Basic Life Support (BLS) certification… more