- CenterWell (Gainesville, FL)
- … review of clinical documentation in addition to feedback and recommendations by Utilization Review staff . Upon completion of the assessment, creates and ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to...of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's… more
- CenterWell (Ocala, FL)
- … review of clinical documentation in addition to feedback and recommendations by Utilization Review staff . Upon completion of the assessment, creates and ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to...of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's… more
- Community Health Systems (Naples, FL)
- …for the planning, coordination, and oversight of care management services, including utilization review , discharge planning, and transitions of care. The role ... effectively, and in compliance with organizational standards. + Oversees utilization review and discharge planning processes to...and other risk factors. + Evaluates patients through chart review , interviews with providers and staff , and… more
- Elevance Health (Miami, FL)
- …members and providers. **How you will make an impact:** + Perform physician-level case review , following initial nurse review , of Medical Oncology regimens ... and supportive care. + Perform physician-level case review , following initial nurse review ,...regimens. + As necessary, assist pre-certification nurses and other staff in understanding the principles behind appropriate utilization… more
- AdventHealth (Orlando, FL)
- …Services in the verification process. Obtains pre-authorization and provides information to the Utilization Review Specialist, Utilization Review Case ... Mission Control RN Tier 1 is a professional registered nurse functioning withing Mission Control in one of three...and placement of all patients. Proactively initiates steps, including utilization of the hospital and physician chain of command,… more
- HCA Healthcare (Tallahassee, FL)
- …position if current and compliant** + **Certification in Case Management, Nursing, or Utilization Review , preferred** + **Three years of nursing experience in ... location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential...supporting a balance of optimal care and appropriate resource utilization . The RN CM Care Coordinator will identify potential… more
- HCA Healthcare (Kissimmee, FL)
- …while supporting a balance of optimal care and appropriate resource utilization . Identify potential barriers to patient throughput and quality outcomes and ... processes, for the appropriate level of care, patient status, and resource utilization . + Conducts interdisciplinary team meetings to provide a mechanism for all… more
- HCA Healthcare (Tallahassee, FL)
- …position if current and compliant** + **Certification in Case Management, Nursing, or Utilization Review , preferred** + **Three years of nursing experience in ... throughput while supporting a balance of optimal care and appropriate resource utilization . The RN CM Care Coordinator will identify potential barriers to patient… more
- University of Miami (Miami, FL)
- …To learn how to apply for a faculty or staff position, please review this tip sheet ... Current Employees: If you are a current Staff , Faculty or Temporary employee at the University...enforcing adherence to state board of nursing and state nurse practice act requirements, and to other governing agency… more
- HCA Healthcare (Tallahassee, FL)
- …for position if current and compliant + Certification in Case Management, Nursing, or Utilization Review , preferred + Three years of nursing experience in acute ... throughput while supporting a balance of optimal care and appropriate resource utilization . The RN CM Care Coordinator will identify potential barriers to patient… more