- HCA Healthcare (Tallahassee, FL)
- …we encourage you to apply for our Clinical Nurse Coord Medical Surgical Oncology opening. We review all applications. Qualified candidates will be ... **Description** **Introduction** Do you have the career opportunities as a Clinical Nurse Coord Medical Surgical Oncology you want in your current role? We… more
- Evolent (Tallahassee, FL)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior ... policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as... medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all… more
- HCA Healthcare (Gainesville, FL)
- …your next step in your career path, we encourage you to apply for our Clinical Nurse Coordinator opening. We review all applications. Qualified candidates ... **Description** **Introduction** Do you have the career opportunities as a Clinical Nurse Coordinator you want in your current role? We invest in what matters… more
- HCA Healthcare (Fort Walton Beach, FL)
- …we encourage you to apply for our Clinical Nurse Coordinator- Medical Telemetry- Nig opening. We review all applications. Qualified candidates will be ... **Description** **Introduction** Do you have the career opportunities as a Clinical Nurse Coordinator- Medical Telemetry- Nig you want in your current role?… more
- HCA Healthcare (Fort Walton Beach, FL)
- …step in your career path, we encourage you to apply for our RN Med-Surg Clinical Nurse Coordinator opening. We review all applications. Qualified candidates ... **Description** **Introduction** Do you have the career opportunities as a RN Med-Surg Clinical Nurse Coordinator you want in your current role? We invest in… more
- Evolent (Tallahassee, FL)
- …for the mission. Stay for the culture. **What You'll Be Doing:** Job Description As a Clinical Reviewer , Nurse , you will be a key member of the utilization ... while providing better health outcomes. **Collaboration Opportunities:** As a Clinical Reviewer , Nurse , you will...**What You Will Be Doing:** + Functions in a clinical review capacity to evaluate all cases,… more
- Centers Plan for Healthy Living (Margate, FL)
- …for Full Time Registered Nurse without experience. The Utilization Management Clinical Reviewer works within a multidisciplinary team to help identify and ... home to improve their quality of life. Utilization Management Clinical Reviewer will assess and process all...will assess and process all authorization requests to determine medical necessity to ensure all care services, member education,… more
- Zelis (FL)
- …found and justifying the revised choices of new codes and DRG, based on the clinical evidence obtained during the review + Document all aspect of audits ... various healthcare programs + Understanding of hospital coding and billing rules + Clinical skills to evaluate appropriate Medical Record Coding + Experience… more
- Centene Corporation (Tallahassee, FL)
- …a fresh perspective on workplace flexibility. Centene is hiring a **Remote Concurrent Review Nurse ** to support our **Florida Medicaid** line of business. This ... changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services...license** (or compact license valid in FL). + **Concurrent review experience** in a managed care or hospital/facility setting.… more
- HCA Healthcare (Orlando, FL)
- …compliance data, and helps coordinate education and communication related to regulator updates. ** CLINICAL REVIEWER RESPONSIBILITIES** : + MBS clinical ... any other healthcare provider. We are seeking a(an) Registered Nurse Coordinator Bariatrics to join our healthcare family. **Benefits**...both the center and the physicians' offices. + The clinical reviewer must work closely with the… more