- Trinity Health (Fort Lauderdale, FL)
- …Care Plans to ensure authorization for hospital stay. Hybrid Position **_Position Purpose:_** ** Utilization Review (UR) Nurses play a vital role in healthcare by ... hospital clinical experience is required.** Recent experience in case management, utilization review , discharge planning, ongoing monitoring and evaluation of… more
- AdventHealth (Tampa, FL)
- …for escalation to the Physician Advisor or designated leader for additional review as determined by department standards. The Utilization Management Nurse is ... **le you'll contribute:** The role of the Emergency Department Utilization Management (UM) Registered Nurse (RN) is to use...standards. When screening criteria does not align with the physician order or a status conflict is indicated, the… more
- AdventHealth (Tampa, FL)
- …reviews within 24 hours of admission; and when warranted by length of stay, utilization review plan, and/or best practice guidelines, on a continuing basis. ... diseases. **The role you'll contribute:** The role of the Utilization Management (UM) Registered Nurse (RN) is to use...the UM nurse is responsible for escalation to the Physician Advisor or designated leader for additional review… more
- AdventHealth (Tampa, FL)
- …for escalation to the Physician Advisor or designated leader for additional review as determined by department standards. The Utilization Management Nurse is ... role you'll contribute:** The role of the Emergency Department Utilization Management (UM) Registered Nurse (RN) is to use...standards. When screening criteria does not align with the physician order or a status conflict is indicated, the… more
- AdventHealth (Altamonte Springs, FL)
- …and quality outcomes. Through primary support of Utilization Management, the Physician Advisor is responsible for providing clinical review of utilization ... **Job Location** : Altamonte Springs, FL **The role you will contribute:** The Physician Advisor provides primary support for Utilization Management (UM) and… more
- AdventHealth (Orlando, FL)
- …services and appeals for denials. Provides guidance to clinical questions from Utilization Management staff involved in authorizations, concurrent review , and ... serves as a resource to Medical Staff colleagues regarding best practices, Utilization Management and Care Management structures, and functions and use of clinical… more
- Veterans Affairs, Veterans Health Administration (Miami, FL)
- …System's Mental Health/Behavioral Science Service is seeking an experienced and dynamic Physician (Mental Health) - Associate Chief of Staff. Ideal applicants are ... are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. VA… more
- ChenMed (Miami, FL)
- … Physician Reviewer is the primary physician reviewer for Utilization Management/Clinical Appropriateness review cases in our organization. Other duties ... include advising other physician reviewers and attending daily calls with health plan...medicine preferred + At least one (1) year of utilization review experience preferred We're ChenMed and… more
- HCA Healthcare (Palm Harbor, FL)
- …such as patient flow, patient satisfaction, practice volume, billing and collections, service utilization , coding, physician and staff training + You will have ... over 156,000 hours impacting our communities. As a Director Physician Services I with HCA Healthcare, you can be...medical records, nursing, and ancillary services to ensure maximum utilization of resources and the efficient delivery of services… more
- Ascension Health (Jacksonville, FL)
- …5 years of recent work experience in a hospital setting, preferably with some Physician Advisory/ Utilization Management work experience. If you are ready to ... the offer._ **Responsibilities** **Position Highlights** Ascension St. Vincent is looking for a Physician Advisor to join our team. We are looking for a Physician… more