• Manager , Nursing - Inpatient

    University of Miami (Miami, FL)
    …review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . 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 developing staff, collaborating with physicians and multi-disciplinary professional staffs, and providing physical and psychological support for patients… more
    University of Miami (12/06/24)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Miami, FL)
    …coding and documentation patterns such as inappropriate billing for readmissions, inpatient admission status, and Hospital-Acquired Conditions (HACs). + Suggests ... **Diagnosis Related Group Clinical Validation Auditor-** **Registered Nurse ** **Location:** This position will work a hybrid model (remote and office). Ideal… more
    Elevance Health (11/08/24)
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  • Utilization Management Representative I

    Elevance Health (Miami, FL)
    …work. + Determines contract and benefit eligibility; provides authorization for inpatient admission , outpatient precertification, prior authorization, and post ... requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for the identification and data...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (12/18/24)
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  • Utilization Management Representative II

    Elevance Health (Miami, FL)
    …work. + Determines contract and benefit eligibility; provides authorization for inpatient admission , outpatient precertification, prior authorization, and post ... given. + Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty care. +...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (12/18/24)
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