- 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
- 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 ... 4/10 hour shifts to include a weekend day. The ** Nurse Medical Management Sr** serves as T **eam Lead**...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
- 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 Nurse Case Manager II** **Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.** ... in different states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the… 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
- 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