- Trinity Health (Fort Lauderdale, FL)
- **Employment Type:** Part time **Shift:** **Description:** The Utilization Review (UR) Nurse has well-developed knowledge and skills in areas of ... requirements of various commercial and government payers. On-Site Position** **_Position Purpose:_** Utilization Review (UR) Nurses play a vital role in… more
- MyFlorida (Pembroke Pines, FL)
- OPS REGISTERED NURSE - 50507055 Date: Oct 22, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 839767 Agency: Veterans Affairs Working Title: OPS REGISTERED NURSE - 50507055 Pay Plan: Health...requested by the attending physician on an assigned shift per established policies and procedures. Works under the direct… more
- 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) . Work ... : UHealth Tower The University of Miami/UHealth has an exciting opportunity for an RN Case Manager in the Case Management department at the UTower location. This… more
- Palmetto Subacute Care Center (Miami, FL)
- …policy. + Responsible for preparing and updating Medicare and HMO information for weekly Utilization Review as per policy. + Organizing and coordinating ... admission/payer change report + Submit weekly MDS report + Review billing documents as per the triple...Director of Nursing Qualifications/Requirements: + Must hold a current Registered Nurse License in good standing within… more
- Elevance Health (Miami, FL)
- RN Utilization Management Nurse Sr. (Medicaid-InPatient) JR130851 **Location:** Must be within 50 miles / 1 hour commute of Tampa or Miami, FL offices. This ... Hours:** 8am - 5pm, Monday - Friday. **2 Holidays** per year and **occasional** weekends. The ** Nurse ...strongly preferred. + 2 years of experience in In-Patient, utilization review / management, evaluating medical necessity… more
- HCA Healthcare (Plantation, FL)
- …+ 2 years of case management experience + Certification in case management or utilization review preferred + InterQual experience preferred Schedule: + Per ... those shifts must be a Weekend shift, OR; the Per Diem Colleague may agree to only work Weekends...opportunity compelling, we encourage you to apply for our RN Case Manager PRN opening. We promptly review… more
- HCA Healthcare (Tamarac, FL)
- …+ 2 years of case management experience + Certification in case management or utilization review preferred + InterQual experience preferred **Schedule** + Per ... those shifts must be a Weekend shift, OR; the Per Diem Colleague may agree to only work Weekends...personal growth, we encourage you to apply for our RN Case Manager PRN opening. We promptly review… more
- HCA Healthcare (Margate, FL)
- …critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred **Schedule** Per Diem Colleagues ... over 156,000 hours volunteering in our communities. As a(an) RN Case Manager PRN with HCA Florida Northwest Hospital...those shifts must be a Weekend shift, OR; the Per Diem Colleague may agree to only work Weekends… more
- Cleveland Clinic (Weston, FL)
- …of surgical procedure. + Assists RN Circulator to ensure proper room utilization through decreased turnover time per CPT and scheduled procedural time ... following the guidelines set by the Association of periOperative Registered Nurses (AORN). The hours of this per...directed by surgeon, identifies origin of each specimen to RN Circulator. + Follows standard policy and procedure for… more
- University of Miami (Miami, FL)
- …Providers supervises advance d practice providers (APPs) ( ie, Advanced Registered Nurse Practitioners, Physician Assistants etc.). Key responsibilities of ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . APP, Supervisor -… more
- Elevance Health (Miami, FL)
- **Telephonic Transplant Nurse Case Manager II** **Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point ... different states; therefore, Multi-State Licensure will be required.** The **Telephonic Transplant Nurse Case Manager II** is responsible for care management and … more
- Elevance Health (Miami, FL)
- …make an impact:** + Claim reviews for appropriate coding, data mining, entity review , law enforcement referral, and use of proprietary data and claim systems for ... review of facility, professional and pharmacy claims. + Responsible...experience and skills strongly preferred. + Proficient in the utilization of Microsoft Excel and its functionality strongly preferred.… more
- Elevance Health (Miami, FL)
- …community, and connection. This includes remote work and 1-2 days in office per week. Candidates must reside within a 50-mile or 1-hour commute each way ... of a relevant Elevance Health location. The ** Nurse Medical Management II** is responsible to collaborate with healthcare providers and members to promote quality… more
- Elevance Health (Hialeah, FL)
- ** Nurse Medical Management II** **Location: multiple states: Texas, Florida,** or **Maryland.** The ideal candidate will live within 50 miles of one of our ... locations. **Hours: Monday - Friday, Includes weekends and Holidays.** The ** Nurse Medical Management II** is responsible to collaborate with healthcare providers… more
- HCA Healthcare (Plantation, FL)
- …are responsible for the safe, effective, evidence-based, and cost-effective selection and utilization of medications for the patients you serve. You will utilize ... knowledgeable and professional manner. + Prepares and dispenses medication orders per physician request according to established policies, procedures, and protocols… more