- HCA Healthcare (Sarasota, FL)
- …your next step in your career path, we encourage you to apply for our PRN RN opening. We review all applications. Qualified candidates will be contacted by a ... Do you have the career opportunities as a(an) PRN RN you want in your current role? We invest...develop an individualized plan of care. Our professionals include registered nurses, licensed practical nurses, therapists, and social workers.… more
- University of Miami (Miami, FL)
- … review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Utilization Review Case Manager RN - Full Time The ... University of Miami is currently seeking a Prior Authorization Nurse Case Manager. The incumbent purose is to conduct...forth by the payer or clinical guidelines + Accurate review of coverage benefits and payer policy limitations to… more
- BayCare Health System (Tampa, FL)
- …Requirement:** Every Third Weekend + **On Call:** No **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred ACM (Case Management) + ... or + Required 2 years in Case Management or + Required 3 years Registered Nurse + Preferred experience in Critical Care or Emergency Service **Benefits:** +… more
- AdventHealth (Tavares, FL)
- ** RN Supervisor AdventHealth Medical Group - AHMG Pediatrics at Tavares** **All the benefits and perks you need for you and your family:** + Benfits from Day One + ... of subordinate employees. + Evaluates and verifies employee performance through the review of completed work assignments and work techniques. + Identifies staff… more
- Elevance Health (Tampa, FL)
- ** Nurse Appeals** **Hybrid 1:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing ... employment, unless an accommodation is granted as required by law._ The ** Nurse Appeals** is responsible for investigating and processing and medical necessity… more
- NHS Management, LLC (Daytona Beach, FL)
- …successes they experience along the way. We are in search of a qualified Registered Weekend Nurse Supervisor: + Assists in maintaining resident care standards by ... nurses engaged in quality assurance, infection control, and utilization review activities. + Receives physicians' instructions regarding resident care and… more
- University of Miami (Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote. The...chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …criteria. Responsibilities: + Manages appropriate cases that require medical necessity review such as home care, elective inpatient and outpatient service requests. ... + Minimum 2 years of experience with pre-authorization, utilization review /management, case management, care coordination, and/or discharge planning. Knowledge/Skills/Abilities:… more
- HCA Healthcare (Ocala, FL)
- …do in this role:** + During the implementation of Meditech Expanse, will review daily charges to ensure expected total charge variations balance to maintain revenue ... to apply for our Revenue Integrity Charge Analyst opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews.… more
- Centene Corporation (Tallahassee, FL)
- …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... perspective on workplace flexibility. **Position Purpose:** Performs a clinical review and assesses care related to mental health and...Care only: LMSW, LCSW, LMHC, LPC, LMFT, LMHP or RN required Pay Range: $26.50 - $47.59 per hour… more