- Highmark Health (Tallahassee, FL)
- …**Job Description :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides ... to appropriate resources for additional support. + Implement care management review processes that are consistent with established industry, corporate, state, and… more
- Elevance Health (Miami, FL)
- …fraud and over- utilization by performing medical reviews via prepayment claims review and post payment auditing. + Correlates review findings with ... ** Nurse Audit Senior (Operating Room)** **Virtual:** This role...responsible for identifying, monitoring, and analyzing aberrant patterns of utilization and/or fraudulent activities by health care providers through… more
- Elevance Health (FL)
- **Appeals Nurse Reviewer I** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... of clinical domains, including radiology, cardiology and oncology. The **Appeals Nurse Reviewer I** is responsible for conducting preauthorization, out of network… more
- HCA Healthcare (Kissimmee, FL)
- …experienced traumatic injuries which includes discharge planning and psychosocial needs. + Review of patient notes to help identify psychosocial needs and possible ... to appropriateness of level of care, length of stay and resource utilization issues. + Identifying barriers to discharge and contacting relevant personnel to… more
- MyFlorida (Land O' Lakes, FL)
- SENIOR LICENSED PRACTICAL NURSE - 50000083 Date: Sep 26, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 853668 Agency: Veterans Affairs Working Title: SENIOR LICENSED PRACTICAL NURSE - 50000083 Pay Plan: Career Service Position Number: 50000083 Salary:… more
- HCA Healthcare (Tallahassee, FL)
- …and personal growth, we encourage you to apply for our Operating Room Nurse PRN-Surgery Center opening. We review all applications. Qualified candidates will ... have the PRN career opportunities as an Operating Room Nurse PRN-Surgery Center you want with your current employer?...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
- University of Miami (North Miami, FL)
- …position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Accountabilities ... and applicable certifications and professional practice standards. Responsible for the utilization and maintenance of appropriate nursing care plans and assessment… more
- HCA Healthcare (Tallahassee, FL)
- …we support our colleagues in their positions. Join our Team as an Operating Room Nurse - Surgery Center and access programs to assist with every stage of your ... and job skills. Apply today for our Operating Room Nurse - Surgery Center opening and continue to learn!...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
- Elevance Health (Tampa, FL)
- **Telephonic Nurse Case Manager II** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... the assessment within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of… more
- HCA Healthcare (Tallahassee, FL)
- …passionate about delivering patient-centered care?** Submit your application for Operating Room Nurse - Surgery Center position and spend more time at the bedside ... Summary and Qualifications** We are seeking an Operating Room Nurse for our ambulatory surgery center who demonstrates the...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more