- Actalent (Sunrise, FL)
- …+ Prepare and present reports on department activities as assigned. Essential Skills + Clinical review + Utilization review + Utilization management + ... Actalent is hiring a Utilization Management Nurse ! Job Description The Utilization Management Nurse...Patient care + Medical record + Case management + Concurrent review + Discharge planning + Medical… more
- Community Health Systems (Naples, FL)
- **Job Summary** Under the direction of the UR Director/Manager the UR Nurse reviews all admissions for medical necessity, correct orders based on medical condition ... (inpt vs OBS). Facilitates concurrent reviews and authorizations for admissions. This position will...programs + Addresses facility and departmental communication through daily review of all correspondence, including incoming email messages. +… more
- AdventHealth (Riverview, FL)
- …appropriate leaders for analysis and corrective action to improve quality outcomes. Assures concurrent review is performed on those patients that may trigger ... styles. Assess organizational status in relation to assigned core measure(s) Performs concurrent data review and rounding for assigned patients within designated… more
- CVS Health (Tallahassee, FL)
- …+ 1 year of varied UM (utilization management) experience within an **outpatient** setting, concurrent review or prior authorization. + 5 years of a variety ... + 1 year of varied UM (utilization management) experience within an inpatient, concurrent review or prior authorization. + Remote work experience. **Education**… more
- ChenMed (North Miami Beach, FL)
- …+ Participates in surveys, studies and special projects as assigned. + Conducts concurrent medical record review using specific indicators and criteria as ... resources and mobilizes resources to assist in achieving desired clinical outcomes within specific timeframe. + Conducts review...clinical field preferred. + A valid, active Registered Nurse (RN) license in State of employment required. +… more
- AdventHealth (Palm Coast, FL)
- …to assist for improved performance and outcomes as needed. Provide guidance and review implementation and concurrent documentation by the nursing staff for ... role you'll contribute: Performs the following duties of a Clinical Leader in the assigned Nursing Services Department: Assists...the following shift. Perform the duties of a Registered Nurse in the delivery of safe, therapeutic and cost… more
- AdventHealth (Tampa, FL)
- …you'll contribute:** The role of the Emergency Department Utilization Management (UM) Registered Nurse (RN) is to use clinical expertise by analyzing patient ... also located at AdventHealth Tampa, leads the way in clinical and academic research in the areas of neuroscience,...order or a status conflict is indicated, the UM nurse is responsible for escalation to the Physician Advisor… more
- AdventHealth (Altamonte Springs, FL)
- …and management of the enterprise CDI software platform(s), oversight of the concurrent and retrospective review process, oversight of provider communication, ... and monitor system and market performance on the CDI Concurrent and Retrospective review process. Work with...succeed:** . Bachelors or higher educational degree . Registered Nurse or equivalent clinical degree . Minimum… more
- AdventHealth (Altamonte Springs, FL)
- …for inpatients, sending/presenting opportunities for improved documentation compliance to physicians, nurse practitioners and other clinical team members. . ... **The role you will contribute:** Under general supervision of the Director of Clinical Documentation Integrity and in some situations the supervision of the … more
- AdventHealth (Orlando, FL)
- …inpatients, sending/presenting opportunities for improved documentation compliance to physicians, nurse practitioners and other clinical team members. ... year **The role you'll contribute:** Under general supervision of the Director of Clinical Documentation Integrity and in some situations the supervision of the … more