- Elevance Health (Miami, FL)
- Med Management Clinician Senior - Licensed Nurse **Location:** Miami, FL **Hybrid 1** : This role requires associates to be in-office 1-2 days a week, fostering ... Friday, 8:00AM - 5:00PM Eastern Time The **Medical Management Clinician Senior ** is responsible for ensuring appropriate, consistent administration of plan benefits… more
- Oracle (Tallahassee, FL)
- …(ECD) alignments, Critical Care workflow implementation, Multi-Disciplinary Rounding, and various nurse chart review and documentation optimizations. The ideal ... and patient care improvements. Manage the nursing needs for multiple concurrent optimization projects, from requirements analysis and solution design to testing,… more
- BayCare Health System (Tampa, FL)
- …other related parties to ensure appropriate level of care through comprehensive concurrent review for medical necessity of outpatient observation and inpatient ... of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior /RN responsibilities include:** + Functions as the… more
- Elevance Health (Tampa, FL)
- **Medical Management Clinician** - Licensed Nurse **Locations:** Tampa, FL **Hybrid 1** : This role requires associates to be in-office 1-2 days a month, fostering ... not require the training or skill of a registered nurse . **Primary duties may include but are not limited...Works on reviews that may require guidance by more senior colleagues and/or management. + May serve as a… more