- Amergis (Gainesville, FL)
- …and local requirements + Must be at least 18 years of age + Experience with Utilization Review Benefits At Amergis, we firmly believe that our employees are the ... heartbeat of our organization and we are happy to offer the following benefits: + Competitive pay & weekly paychecks + Health, dental, vision, and life insurance + 401(k) savings plan + Awards and recognition programs *Benefit eligibility is dependent on… more
- Sedgwick (Tallahassee, FL)
- …and physician filings and decisions on appropriate treatments recommended by utilization review . + Maintains professional client relationships. **ADDITIONAL ... FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an accredited college or university preferred.… more
- HCA Healthcare (Port Charlotte, FL)
- …You will promote cost effectiveness through the integration of case management, utilization review management and discharge planning. **What qualifications you ... will need:** + Current Florida State RN License or appropriate compact license + Completion of RN Diploma program or related Healthcare program + Minimum of 3 years recent acute clinical practice or related healthcare experience + Critical thinking, service… more
- HCA Healthcare (Miami, FL)
- …2 years of critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred HCA Florida Kendall ... Hospital is located in west Miami-Dade County. Our acute care facility has 417-beds. Our services include trauma, burn, surgical, women's and children's services, behavioral health and diagnostic services. We have two full service free-standing ER facilities.… more
- HCA Healthcare (Sun City Center, FL)
- …Healthcare Quality) OR CHCQM (Diplomate in American Board of Quality Assurance and Utilization Review Physicians) _Individuals without CPHQ or ABQUARP will be ... granted a 12 month grace period to obtain CPHQ or ABQAURP , if all other qualifications are met_ . CPPS (Certified Professional in Patient Safety) preferred . Minimum 5 years of experience . Knowledge of State, Federal, and TJC regulations. . Previous… more
- HCA Healthcare (Brooksville, FL)
- …You will promote cost effectiveness through the integration of case management, utilization review management and discharge planning. **What qualifications you ... will need:** + Current Florida State RN License or appropriate compact license + Completion of RN Diploma program or related Healthcare program + Minimum of 3 years recent acute clinical practice or related healthcare experience + Critical thinking, service… more
- HCA Healthcare (Fort Walton Beach, FL)
- …guidelines. Participates in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with Process and Quality ... Improvement initiatives. **What qualifications you will need:** + Basic Cardiac Life Support must be obtained within 30 days of employment start date + Nonviolent Crisis Intervention must be obtained within 90 days of employment start date + Other-Fingerprint… more
- HCA Healthcare (Largo, FL)
- …You will promote cost effectiveness through the integration of case management, utilization review management and discharge planning. **What qualifications you ... will need:** + Current Florida State RN License or appropriate compact license + Completion of RN Diploma program or related Healthcare program + Minimum of 3 years recent acute clinical practice or related healthcare experience + Critical thinking, service… more
- HCA Healthcare (Trinity, FL)
- …You will promote cost effectiveness through the integration of case management, utilization review management and discharge planning. **What qualifications you ... will need:** + Current Florida State RN License or appropriate compact license + Completion of RN Diploma program or related Healthcare program + Minimum of 3 years recent acute clinical practice or related healthcare experience + Critical thinking, service… more
- HCA Healthcare (Fort Pierce, FL)
- …etc.) hospital nursing experience required + Certification in case management or utilization review preferred + InterQual experience preferred HCA Florida ... Lawnwood Hospital is a 380-bed acute-care hospital. Offering a full range of services. We are home to the most experienced Heart Institute on the Treasure Coast. Lawnwood Hospital provides interventional and therapeutic care, including open-heart surgery.… more