- BayCare Health System (Clearwater, FL)
- …that's built on a foundation of trust, dignity, respect, responsibility and clinical excellence. **Summary:** Perform inpatient encounter audits and evaluates ... etc. Perform special audits for specific issues within facility Inpatient claims. Act as the Liaison for...includes RHIA/RHIT in conjunction with CCS. Preferred Certifications include RN , CDIP, CCDS, or clinical degree. Additional… more
- Elevance Health (Tampa, FL)
- Senior RN Utilization Review/Management (Acute InPatient ) JR116937 **Location:** Must be within 50 miles / 1 hour commute of Tampa or Miami, FL offices. This is ... 5pm, Monday - Friday. **2 Holidays** per year and **occasional** weekends. The ** Nurse Medical Management Sr** serves as **team lead** for nursing staff who… more
- BayCare Health System (St. Petersburg, FL)
- …Requirement:** Every 3rd weekend + **On Call:** No **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred ACM (Case Management) + ... 2 years in Utilization Review OR 2 years in Case Management OR 3 years Registered Nurse + Preferred experience in Critical Care or Emergency Service Equal… more
- HCA Healthcare (Tampa, FL)
- …assigned education by established deadlines. Requirements: + Travel may be up to 25% + Registered Nurse - Currently licensed as a registered professional ... processes to accomplish daily tasks. Strategic Relationships + Collaborate with Clinical Documentation Improvement Liaison within the division team to… more
- Elevance Health (Tampa, FL)
- The Nurse Care Mgr Sr responsible for collaborating with healthcare providers and/or consumer to drive personalized health management and improve health outcomes for ... quality, cost effective care through assessing the medical necessity of inpatient admissions, outpatient services, out of network services, and appropriateness of… more