• Hybrid Clinical Review…

    Actalent (Sunrise, FL)
    …organizations. + Prepare and present reports on department activities. Essential Skills + Clinical review + Utilization review + Utilization management + ... Actalent is hiring UM nurses!Job Description The Utilization Management Nurse (UMN) plays a crucial role in optimizing the utilization of healthcare services.… more
    Actalent (06/06/25)
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  • Clinical Business Operations Representative…

    University of Miami (Miami, FL)
    … review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Clinical Business Operations Representative 2 HYBRID ... patient demographic information, insurance information and referral numbers . + Review s clinical records for completeness including authorization, signatures,… more
    University of Miami (06/03/25)
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  • Physician Assistant, Nurse Practitioner…

    Cleveland Clinic (Vero Beach, FL)
    …and the Governing Body of the applicable hospitals. **CNS** + Currently licensed as a Clinical Nurse Specialist in applicable state(s). + Must be licensed as an ... RN in applicable state(s). + National certification as a Clinical Nurse Specialist by nationally accredited organization recognized by state Board of Nursing. +… more
    Cleveland Clinic (05/28/25)
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  • Behavioral Health Nurse

    Actalent (Sunrise, FL)
    …risk stratification, to determine health, psychological, educational, and social needs. + Review the daily census for enrollees admitted to the hospital, assess the ... Participate in team huddles and multidisciplinary team conferences to review strategies and develop action plans for quality care....+ Bachelor's Degree in social work and/or Nursing. + Clinical Experience: 3-5 years of clinical experience.… more
    Actalent (05/29/25)
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  • Clinical Content Specialist - Nursing…

    Wolters Kluwer (Tampa, FL)
    **LOCATION:** Hybrid - 8 day a month in the...listed on the posting) **OVERVIEW** We are seeking a Clinical Content Specialist leader to advance our mission of ... are an analytical thinker with a passion for developing nurse educators, we want to hear from you! You...You will collaborate closely with the Associate Director of Clinical Content to plan and deliver high-quality consultation services.… more
    Wolters Kluwer (05/31/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (FL)
    **Diagnosis Related Group Clinical Validation Auditor-RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... face-to-face onboarding and skill development. The **Diagnosis Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records… more
    Elevance Health (06/04/25)
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  • Clinical Business Operations Representative…

    University of Miami (Miami, FL)
    …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Clinical ... of Miami/UHealth department of Neurology has an exciting opportunity for a Full Time Clinical Business Operations Representative 3 to work Hybrid at the UHealth… more
    University of Miami (04/13/25)
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  • Clinical Documentation Liaison

    HCA Healthcare (Tampa, FL)
    …education and training resources for providers as defined by CDI standards. + Review documentation data and identify clinical documentation root causes and ... join an organization that invests in you as a Clinical Documentation Liaison? At HCA Healthcare, you come first....and Qualifications** The CDI Liaison will work in a hybrid capacity and will provide onsite support as needed… more
    HCA Healthcare (06/05/25)
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  • Clinical Quality Consultant NP 100%…

    Elevance Health (FL)
    …and quality of life through home-care and community based services. ** Clinical Quality Consultant, Nurse Practitioner** Location: **Virtual** - This ... - Friday, 8 am to 5 pm** . The ** Clinical Quality Consultant, Nurse Practitioner** is responsible...accurate and appropriate diagnosis, documentation, coding and care. will review all provider visit medical encounters and apply most… more
    Elevance Health (06/06/25)
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  • Clinical Regulatory Specialist Emergency…

    AdventHealth (Riverview, FL)
    …you'll need to succeed** **:** . Graduate of a RN program . 2 recent ED clinical nursing experience . RN - Registered Nurse - State Licensure and/or Compact ... **:** Full Time **Shift** :Monday-Friday 8am-5pm onsite position (not a remote or hybrid position) **Location** **:** 9208 S. US HWY 301, Riverview, FL 33578 **The… more
    AdventHealth (05/30/25)
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