• Nurse Manager - Radiology - Northern…

    University of Miami (North Miami, FL)
    …position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Accountabilities ... and applicable certifications and professional practice standards. Responsible for the utilization and maintenance of appropriate nursing care plans and assessment… more
    University of Miami (09/23/25)
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  • Director Cardiac Cath Lab

    HCA Healthcare (Gainesville, FL)
    …recognizes physicians as important customers. What qualifications you will need: + State Registered Radiologic Technician, or Registered Nurse + Associate ... Cardiac Cath Lab with HCA Florida North Florida Hospital, you can be a manager in an organization that is devoted to giving! **Benefits** HCA Florida North Florida… more
    HCA Healthcare (09/19/25)
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  • VP of Quality and Patient Safety

    HCA Healthcare (Trinity, FL)
    …Healthcare related field required; Master's Degree preferred .Current Florida licensure as a Registered Nurse preferred _**If serving as facility's primary Risk ... Quality) OR CHCQM (Diplomate in American Board of Quality Assurance and Utilization Review Physicians) _Individuals without CPHQ or ABQUARP will be granted a 12… more
    HCA Healthcare (08/15/25)
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  • VP of Quality and Patient Safety

    HCA Healthcare (Sun City Center, FL)
    …related field required; Master's Degree preferred . Current Florida licensure as a Registered Nurse preferred _**If serving as facility's primary Risk Manager ... Quality) OR CHCQM (Diplomate in American Board of Quality Assurance and Utilization Review Physicians) _Individuals without CPHQ or ABQUARP will be granted a 12… more
    HCA Healthcare (07/24/25)
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  • Physician Lead

    CenterWell (Daytona Beach, FL)
    …the strategic intent + Overseeing other clinicians which includes Physicians, Advanced Registered Nurse Practitioners (ARNP), and Physicians Assistants (PA) + ... inquiries, requests, and complaints from patients + Ongoing chart review / audit of clinical staff to ensure quality...+ Identifying trends and areas of opportunity in pharmacy utilization (pharmacy management) to impact Part D per Member… more
    CenterWell (07/10/25)
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  • Nurse Reviewer I

    Elevance Health (FL)
    ** Nurse Reviewer I** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing ... set of clinical domains, including radiology, cardiology and oncology. The ** Nurse Reviewer I** is responsible for conducting preauthorization, out of network… more
    Elevance Health (09/26/25)
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  • Nurse Audit Senior (Operating Room)

    Elevance Health (Miami, FL)
    …fraud and over- utilization by performing medical reviews via prepayment claims review and post payment auditing. + Correlates review findings with ... ** Nurse Audit Senior (Operating Room)** **Virtual:** This role...responsible for identifying, monitoring, and analyzing aberrant patterns of utilization and/or fraudulent activities by health care providers through… more
    Elevance Health (09/30/25)
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  • Appeals Nurse Reviewer I

    Elevance Health (FL)
    **Appeals Nurse Reviewer I** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... of clinical domains, including radiology, cardiology and oncology. The **Appeals Nurse Reviewer I** is responsible for conducting preauthorization, out of network… more
    Elevance Health (09/26/25)
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  • Lead Social Worker Trauma

    HCA Healthcare (Kissimmee, FL)
    …high-risk patients with discharge planning or psychosocial needs. + Obtains input from the RN case manager to ensure the discharge plan is appropriate and aligns ... injuries which includes discharge planning and psychosocial needs. + Review of patient notes to help identify psychosocial needs...of level of care, length of stay and resource utilization issues. + Identifying barriers to discharge and contacting… more
    HCA Healthcare (09/04/25)
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  • Case Mgr IR PRN

    HCA Healthcare (Aventura, FL)
    …2 years of critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred HCA Florida Aventura ... your knowledge and expertise! **Job Summary and Qualifications** The Case Manager (CM) ensures high-quality, patient-centered care by managing Rehabilitative care to… more
    HCA Healthcare (07/14/25)
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