- HCA Healthcare (Lake City, FL)
- …established productivity guidelines. + Manages operating expenses, including the utilization of supplies and equipment. Identifies cost reduction opportunities and ... will need:** + Currently licensed as a registered professional nurse in the state(s) of practice and/or has an...apply for our Manager Emergency Services Suwannee opening. We review all applications. Qualified candidates will be contacted by… more
- Fresenius Medical Center (St. Augustine, FL)
- …auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic ... financials including efficient utilization of supplies or equipment and regular profits and...of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and… more
- MTC (Graceville, FL)
- …or other forms as appropriate. + Practice basic cost containment and utilization management for inmate care and facility operations. + Maintain absolute security ... observe applicable HIPAA rules. + Accurately and promptly chart medical care. Review medical files to determine all provided services are documented. + Closely… more
- Molina Healthcare (FL)
- …or emergency room. Preferred Experience Previous experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Molina Healthcare (Tampa, FL)
- …in preparation for national committee for quality assurance (NCQA) and utilization review accreditation commission (URAC) certifications. * Provides leadership ... the chief medical officer. * Evaluates authorization requests in timely support of nurse reviewers, reviews cases requiring concurrent review and manages the… more
- Molina Healthcare (Orlando, FL)
- For this position we are seeking a (RN) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity of high ... on set schedule) Looking for a RN with experience with appeals, claims review , and medical coding. JOB DESCRIPTION Job SummaryProvides support for clinical member… more
- Adecco US, Inc. (Tallahassee, FL)
- …license accepted if current and compliant + Case Management, Nursing, or Utilization Review certification preferred **Benefits** + Comprehensive Medical, Dental, ... **Position Overview** A large acute care hospital is seeking an experienced **Registered Nurse Case Manager** to join its Case Management team. This role focuses on… 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
- CenterWell (Tampa, 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 data tracking...of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's… more
- CenterWell (Lake City, 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 data tracking...of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's… more