- Centene Corporation (Tallahassee, FL)
- …benefits including a fresh perspective on workplace flexibility. **Centene is Hiring - Remote Clinical Review Nurse ( Prior Authorization)!** **Ready to ... or LPN with a compact license** + **Experience in prior authorization (managed care or clinical setting)**...with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive… more
- University of Miami (Doral, FL)
- …Staff. 25. Performs second chemotherapy order check prior to administration by another clinical trials nurse . Clinical Research Nurse 2 Clinical ... SCCC has an exciting opportunity for a Full Time Clinical Research Nurse 2 to work at...prior to beginning research related activities. 3. Provides clinical trial support in the hospital and/or clinic setting… more
- University of Miami (Plantation, FL)
- …Staff. 25. Performs second chemotherapy order check prior to administration by another clinical trials nurse . Clinical Research Nurse 2 Clinical ... SCCC has an exciting opportunity for a Full Time Clinical Research Nurse 2 to work at...prior to beginning research related activities. 3. Provides clinical trial support in the hospital and/or clinic setting… more
- Elevance Health (Tampa, FL)
- ** Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Fraud Investigator II** is responsible for identifying issues and/or… more
- Actalent (Sunrise, FL)
- …of care, maintaining high provider and patient satisfaction. Responsibilities + Review prior authorization requests for medical necessity and appropriateness, ... Job Title: Behavioral Health Utilization Review NurseJob Description The Utilization Management Nurse...management, behavioral health, and mental health. + Proficiency in clinical and utilization review processes. + Current… more
- Molina Healthcare (St. Petersburg, FL)
- …or master's degree in a healthcare field, such as social work or clinical counselor (for Behavioral Health Care Review Clinicians only). **Required Experience** ... Nurse (LPN) license in good standing OR a clinical license in good standing, such as LCSW, LPCC...Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management… more
- Cleveland Clinic (Vero Beach, FL)
- … Nurse will support the critical response and resuscitation committee (CRRC) with review of clinical cases, and presentation at regular reviews. They will ... of Nursing or designee, the Medical Emergency Team (MET) Nurse will implement and evaluate processes for providing a...a CRRC member, enter cases into the quality data review tool, complete nursing reviews of events prior… more
- Cleveland Clinic (Weston, FL)
- …other operational issues. + Review major operational patient care issues with Nurse Managers. + Provide ongoing clinical evaluations of nurses and other ... healthcare organizations in the world. As an OR Assistant Nurse Manager (ANM), you will provide clinical ...Preferred qualifications for the ideal future caregiver include: + Prior experience as a charge nurse +… more
- AdventHealth (Port Charlotte, FL)
- …of a busy patient care workload in a timely manner. + Notifies the Department Nurse Manager or shift Clinical Leader and the appropriate Registered Nurse ... deviation from routine or assigned tasks for assistance and review . + Acts as a communication liaison for the...related miscellaneous duties and tasks as assigned by the NURSE MANAGER and/or shift CLINICAL LEADER. Qualifications… more
- MyFlorida (Port Charlotte, FL)
- SENIOR REGISTERED NURSE SUPV - 50009026 Date: Sep 15, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 860828 Agency: Veterans Affairs Working Title: SENIOR REGISTERED NURSE SUPV - 50009026 Pay Plan: Career Service Position...leaving employment with the agency or moving to OPS prior to that timeframe will forfeit any additional bonus… more
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