- Veterans Affairs, Veterans Health Administration (Miami, FL)
- Summary The Miami VA medical Center is looking for recruit for Registered Nurse - Utilization Management / Float who is responsible and accountable for ... a comprehensive total rewards package: VA Nurse Total Rewards The Utilization Management /Float Registered Nurse is located at the Nursing,… more
- Centers Plan for Healthy Living (Margate, FL)
- …Healthy Living is currently accepting applications for Full Time Registered Nurse without experience. The Utilization Management Clinical Reviewer works ... or support in their home to improve their quality of life. Utilization Management Clinical Reviewer will assess and process all authorization requests to… more
- HCA Healthcare (Aventura, FL)
- …Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Registered Nurse Case Mgr RN PRN with HCA Florida Aventura Hospital ... in our organization. We are looking for an enthusiastic Registered Nurse Case Mgr RN PRN to...years of critical care experience + Certification in case management or utilization review preferred + InterQual… more
- HCA Healthcare (Tamarac, FL)
- …**Introduction** Do you want to join an organization that invests in you as a(an) Registered Nurse RN Case Mgr PRN? At HCA Florida Woodmont Hospital, you come ... make a difference. We are looking for a dedicated Registered Nurse RN Case Mgr PRN like...2 years of critical care experience Certification in case management or utilization review preferred + InterQual… more
- HCA Healthcare (Margate, FL)
- **Description** **Introduction** Do you have the career opportunities as a(an) Registered Nurse RN case Mgr you want with your current employer? We have an ... of colleagues. Do you want to work as a(an) Registered Nurse RN case Mgr where your...years of critical care experience + Certification in case management or utilization review preferred + InterQual… more
- ChenMed (Miami, FL)
- …We're rapidly expanding and we need great people to join our team. The Registered Nurse , Care Line, is responsible for providing telephonic triage directional ... and assessments within license and as possible given technology and medium. The registered nurse collaborates with primary caregivers and others on the… more
- Fresenius Medical Center (Miami, FL)
- …under the direction of the Facility Manager, Director of Nursing and/or Charge Registered Nurse , utilizing standard nursing techniques to assist the physician in ... on adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other organization administrative… more
- Molina Healthcare (Miami, FL)
- …will be supporting our Appeals and Grievances department. We are seeking a Registered Nurse with previous Appeals experience. The candidate must have strong ... ensure appropriate reimbursement to providers. + Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS)… more
- Surgery Care Affiliates (Fort Lauderdale, FL)
- …specializes in Cardiac Electrophysiology, Cath Lab and Interventional Pain Management . Under general supervision, the Cardiovascular Invasive Technologist is ... the needs of the physician and keeping the circulating nurse informed of any needs throughout a procedure. +...all new equipment requests are appropriately analyzed based on utilization and data from the provider. + Maintain radiation… more
- Select Medical (Miami, FL)
- …of acute transfers and other CQI indicators. **Qualifications** **Minimum Qualifications** + Registered Nurse with valid state license. Legacy employees may ... **Location: Miami, FL** **$20,000 Sign-on Bonus** **Director of Quality Management ** **(DQM)** **Responsibilities** **Position Summary** Coordinates the Medical Quality… more
- Molina Healthcare (Miami, FL)
- …services professionals in some or all of the following functions: care management , utilization management , behavioral health, care transitions, long-term ... * Assists in implementing health management , care management , utilization management , behavioral health...r equivalent combination of relevant education and experience. * Registered Nurse (RN), Licensed Vocational Nurse… more
- Molina Healthcare (Miami, FL)
- …with multidisciplinary teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required Qualifications * At ... or equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active...emergency room. Previous experience in managed care Prior Auth, Utilization Review / Utilization Management … more
- Cleveland Clinic (Weston, FL)
- …Preferred qualifications for the ideal future caregiver include: + Master's degree + Registered Nurse (RN) + Certified Professional in Healthcare Quality (CPHQ) ... to ensure compliance and strong performance across safety, quality, utilization and patient experience metrics and support implementation of requirements… more
- Trinity Health (Fort Lauderdale, FL)
- …adherence to established timelines; and professionalism. **Licensure/Certifications** + Must be a Registered Nurse (RN) licensed in the state of Florida. + ... Director as part of the Board report** **Working knowledge of quality management and resource utilization methodologies** **Computer skills in Microsoft office… more
- Deloitte (Miami, FL)
- …degree in nursing, medical degree, or physician assistant required + Current Registered Nurse (RN) license required + Certified Clinical Documentation Specialist ... (CRC, CCA, CCS-P, CCS, CPC, CDIP, CCM) + Experience as clinical registered nurse , physician, physician assistant, case manager, clinical documentation… more
- University of Miami (Miami, FL)
- …responsibilities as necessary. CORE QUALIFICATIONS + Bachelor's degree in relevant field + Registered Nurse Licensure (RN), BLS, and ACLS Provider Card. + ... The Manager, Nursing promotes and restores patients' health by developing day-to-day management and long-term planning of the patient care area, directing and… more
- Molina Healthcare (Miami, FL)
- For this position we are seeking a (RN) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity of ... to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required...or equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active… more
- Trinity Health (Fort Lauderdale, FL)
- …Physician Assistant or Nurse Practitioner Program + National Advanced Practice Registered Nurse Certification (APRN) OR national board certification as a ... Lead APP is responsible for the supervision of the Physician Assistants and Nurse Practitioners of the designated service line. Duties include guidance and coverage… more
- University of Miami (Miami, FL)
- …health field, ie, EMT/P or Respiratory Therapist. Certification and Licensing: + FL Registered Nurse license or certification as a Physician Assistant, or allied ... of onsite staff for organ donors and referral activity. Conducts initial risk management assessment. + Provides effective feedback to staff during the course of a… more
- University of Miami (North Miami, FL)
- …CORE QUALIFICATIONS Education: Bachelor of Science in nursing Certification and Licensing: Registered nurse license Experience: Minimum 5 years of relevant ... FUNCTIONS Creates and assesses the daily schedule to plan optimal staff utilization and functioning of the operative schedule. Maintains effective lines of… more