• ECR Dispute Reviewer

    Zelis (St. Petersburg, FL)
    …interests that shape who you are. Position Overview The ECR Dispute Reviewer is responsible for conducting comprehensive clinical reviews of medical records, claims, ... in supporting the quality and integrity of our clinical review processes, providing expert guidance, and contributing to the...is preferred. + Current and unrestricted clinical licensure (eg, RN , MD, DO) is preferred. + Minimum of 8… more
    Zelis (12/17/25)
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  • Clinical Reviewer , Nurse (Medical…

    Evolent (Tallahassee, FL)
    …the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks ... physician-developed medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate, expediting care… more
    Evolent (12/10/25)
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  • Registered Nurse 1 - OPD/Spine…

    University of Miami (Miami, FL)
    …or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Sign on ... have been performed and received for the physician to review the findings. 4. Develops a system that elevates...any abnormal results (non - critical values) to the nurse who in turn will contact the physician accordingly… more
    University of Miami (12/20/25)
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  • Registered Nurse 1 - Lennar…

    University of Miami (Coral Gables, FL)
    …apply for a faculty or staff position, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . CORE JOB ... relevant field required Certification and Licensing: Valid State of Florida RN license required Refer to department description for applicable certification… more
    University of Miami (12/20/25)
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  • Registered Nurse 1 - Plantation…

    University of Miami (Plantation, FL)
    …apply for a faculty or staff position, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . CORE JOB ... relevant field required Certification and Licensing: Valid State of Florida RN license required Refer to department description for applicable certification… more
    University of Miami (12/20/25)
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  • Registered Nurse

    MTC (Graceville, FL)
    …chance to make a difference every day! Are you a dedicated and skilled RN looking for a meaningful opportunity to provide exceptional care? We're hiring passionate ... observe applicable HIPAA rules. + Accurately and promptly chart medical care. Review medical files to determine all provided services are documented. + Closely… more
    MTC (12/18/25)
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  • Registered Nurse 2 - PACU - Full…

    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) . Assesses ... assigned patients and evaluates plans to include documentation of nursing care, and reports symptoms and changes in patients' condition and vital signs. Modifies patient treatment plans as indicated by patients' responses, conditions and physician… more
    University of Miami (12/20/25)
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  • RN Intermediate Care Unit

    HCA Healthcare (Panama City, FL)
    …you to apply for our RN Intermediate Care Unit Registered Nurse opening. Our team will promptly review your application. Highly qualified candidates will ... support our colleagues in their positions. Join our Team as a(an) RN Intermediate Care Unit Registered Nurse and access programs to assist with every stage… more
    HCA Healthcare (11/10/25)
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  • Utilization Review RN

    Community Health Systems (Naples, FL)
    Join us as a ** Registered Nurse ( RN ) - Utilization Review position** at Physicians Regional Collier Unit: Utilization Review Shift: Mon-Fri (this is ... for Full and Part-Time roles **Job Summary** The Utilization Review Nurse - RN reviews...patient-centered service and continuous improvement. **Licenses and Certifications** + RN - Registered Nurse -… more
    Community Health Systems (11/20/25)
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  • Utilization Review RN

    BayCare Health System (Tampa, FL)
    …**Weekend Requirement:** Occasional + **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
    BayCare Health System (10/10/25)
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