- AdventHealth (Riverview, FL)
- …digestive, urology, orthopedic and women's care. **The role you'll contribute:** The Registered Nurse is responsible for the delivery of coordinated nursing ... caring for:** AdventHealth Riverview . AdventHealth is expanding our medical expertise, innovation, and state-of-the-art technology to southern Hillsborough County… more
- AdventHealth (Tampa, FL)
- …to support a well-balanced work life balance **The role you'll contribute:** The Registered Nurse provides self-directed, effective nursing care to groups of ... Current registration with Florida State Board of Nursing as a registered professional nurse or licensure from another state with verification of application and… more
- AdventHealth (Tampa, FL)
- …support a well-balanced work life balance **The role** **you'll** **contribute:** The Registered Nurse provides self-directed, effective nursing care to groups ... of patients and other duties as assigned in accordance with Division of Nursing standards and pursuant to Florida Department of Professional Regulation, Chapter 464.003 (3) (a): "Practice of professional nursing means the performance of those acts requiring… more
- AdventHealth (Riverview, FL)
- …caring for:** AdventHealth Riverview . AdventHealth is expanding our medical expertise, innovation, and state-of-the-art technology to southern Hillsborough County ... through a brand-new hospital in Riverview, which is scheduled to open in 2024. We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with… more
- AdventHealth (Tampa, FL)
- …a Primary Stroke Center. **The role** **you'll** **contribute:** The Venous Access Registered Nurse provides self-directed, effective nursing care to groups of ... care tower which will ensure state of the art medical and surgical car for generations to come .Awarded...and social sciences. The Venous Access RN is a registered professional nurse validated as a Vascular… more
- AdventHealth (Tampa, FL)
- …Stroke Association as a Primary Stroke Center. **The role you'll contribute:** The Registered Nurse provides self-directed, effective nursing care to groups of ... six story surgical and patient care tower which will ensure state of the art medical and surgical car for generations to come . Awarded the Get With The Guidelines… more
- AdventHealth (Tampa, FL)
- …Participates in conducting performance appraisals for personnel on assigned shift. The Registered Nurse provides self-directed, effective nursing care to groups ... six story surgical and patient care tower which will ensure state of the art medical and surgical car for generations to come .Awarded the Get With The Guidelines -… more
- AdventHealth (Tampa, FL)
- …Association as a Primary Stroke Center. **The role** **you'll** **contribute:** The Registered Nurse provides self-directed, effective nursing care to groups of ... six story surgical and patient care tower which will ensure state of the art medical and surgical car for generations to come . Awarded the Get With The Guidelines… more
- AdventHealth (Tampa, FL)
- …Stroke Association as a Primary Stroke Center. **The role you'll contribute:** The Registered Nurse provides self-directed, effective nursing care to groups of ... six story surgical and patient care tower which will ensure state of the art medical and surgical car for generations to come . Awarded the Get With The Guidelines… more
- Molina Healthcare (St. Petersburg, FL)
- …driver's license **PREFERRED EDUCATION:** **PREFERRED EXPERIENCE:** + 3-5-year experience as a Registered Nurse and/or Nurse Practitioner, ideally in a ... **JOB DESCRIPTION** **Job Summary** The Care Connections Nurse Practitioners focus on screening and preventive primary...required to work primarily in non-clinical settings and provide medical care to all levels of patients. Some programs… more
- Molina Healthcare (St. Petersburg, FL)
- … Nurse in good standing. **Preferred Education** Completion of an accredited Registered Nurse (RN) Program or a bachelor's degree in Nursing. **Preferred ... contained in the delegation agreement. **KNOWLEDGE/SKILLS/ABILITIES** The Delegation Oversight Nurse is responsible for ensuring that Molina Healthcare's UM… more
- Molina Healthcare (St. Petersburg, FL)
- …knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal ... guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding to ensure appropriate… more
- Molina Healthcare (St. Petersburg, FL)
- …outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/ medical reviews of previously denied ... likelihood of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, knowledge… more
- Molina Healthcare (St. Petersburg, FL)
- …identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... the following activities: care review/utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), case management, transition of care, health… more
- Molina Healthcare (St. Petersburg, FL)
- …identifying opportunities for improvement. **Job Qualifications** **REQUIRED EDUCATION** : Registered Nurse or equivalent combination of Licensed Vocational ... of the following activities: utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.). Makes recommendation for enterprise standardization and… more
- Molina Healthcare (St. Petersburg, FL)
- …on the job. Job Qualifications **REQUIRED EDUCATION** : Completion of an accredited Registered Nurse (RN) Program and an Associate's or Bachelor's Degree in ... all Molina clinical team members are positioned to improve quality, control medical costs, and ensure compliance with state and federal regulations and guidelines.… more
- Molina Healthcare (St. Petersburg, FL)
- …QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Improvement ( Registered Nurse ) contributes to one or more of ... + Registered Health Information Technician (RHIT), or + Certified Medical Record Technician with training in coding procedures (as required by state/location… more
- Molina Healthcare (St. Petersburg, FL)
- …internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN). **Required Experience** 1-3 years of hospital ... within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests additional information from members or providers in… more
- Molina Healthcare (St. Petersburg, FL)
- …internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN). **Required Experience** 1-3 years of hospital ... within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests additional information from members or providers in… more