- BayCare Health System (Clearwater, FL)
- …working remotely?** Hybrid Equal Opportunity Employer Veterans/Disabled **Position** Utilization Review Nurse - Health Plan **Location** Clearwater:Park ... 2 years - Case Management + 2 years - Utilization Review + Directly working for Medicare...working for Medicare Advantage Plan - preferred **Facility:** BayCare Health System, Utilization Management-BHS **Location:** **Park Place**… more
- BayCare Health System (Clearwater, FL)
- …and clinical excellence. **BayCare Health System** is currently seeking a ** Utilization Review Specialist Senior** to join our outstanding and compassionate ... team. **The Utilization Review Specialist Senior responsibilities include:** +... in Critical Care or Emergency Service **Facility:** BayCare Health System, Utilization and Denials Mgmt-MPH **Location:**… more
- Elevance Health (Tampa, FL)
- …Finder and follows up with provider on referrals given. + Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty care. + ... ** Utilization Management Representative II** **Location:** Must live within...Processes incoming requests, collection of information needed for review from providers, utilizing scripts to screen basic and… more
- ChenMed (Tampa, FL)
- …work experience required. + A minimum of 1 year of utilization review and/or case management, home health , hospital discharge planning experience required. + ... great people to join our team. The Acute Care Nurse is responsible for achieving positive patient outcomes, managing...patients' progress and adjust and plan accordingly. + Understanding utilization review and how to leverage with… more
- HCA Healthcare (Clearwater, FL)
- …personal growth, we encourage you to apply for our Operating Room Registered Nurse opening. We promptly review all applications. Highly qualified candidates will ... like family! Jump-start your career as a(an) Operating Room Registered Nurse today with Countryside Surgery Center. **Benefits** Countryside Surgery Center, offers… more
- AdventHealth (Wesley Chapel, FL)
- …Repayment Program . Career Development . Whole Person Wellbeing Resources . Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about ... 100 Hospital in Modern Healthcare Magazine by IBM Watson Health . 50,000 sq ft community Health ...physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge… more
- AdventHealth (Tarpon Springs, FL)
- …your family:** . Career Development . Whole Person Wellbeing Resources . Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about ... to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care… more
- AdventHealth (Tampa, FL)
- …Loan Repayment Program .Career Development .Whole Person Wellbeing Resources .Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is ... to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care… more
- CenterWell (Clearwater, FL)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... part of our caring community and help us put health first** + Develops, plans, implements, analyzes, and organizes...requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking… more
- BayCare Health System (Dunedin, FL)
- …bodies within the area of responsibility. + Ensure quality assurance program and utilization review is followed in accordance with Home Care protocol. + ... takes a special kind of person to become a nurse . And we're hoping that you're one of those...Participates with Case Manager on initial Plan of Care review with a focus on quality, utilization … more
- BayCare Health System (Largo, FL)
- …bodies within the area of responsibility. + Ensure quality assurance program and utilization review is followed in accordance with Home Care protocol. + ... 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With...Participates with Case Manager on initial Plan of Care review with a focus on quality, utilization … more
- BayCare Health System (Largo, FL)
- …regulatory bodies within the area of responsibility + Ensure quality assurance program and utilization review is followed in accordance with Home Care protocol + ... 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With...Participates with Case Manager on initial Plan of Care review with a focus on quality, utilization … more
- BayCare Health System (Bradenton, FL)
- …bodies within the area of responsibility. + Ensure quality assurance program and utilization review is followed in accordance with Home Care protocol. + ... Participates with Case Manager on initial Plan of Care review with a focus on quality, utilization ...care goals. + Prior experience in adult skilled home health and OASIS is preferred **Requirements:** + RN (Registered… more
- HCA Healthcare (Trinity, FL)
- …HCA Florida Trinity Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and ... a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and...**Job Summary and Qualifications** We are seeking a Registered Nurse Sepsis Coordinator for our facility to ensure that… more
- HCA Healthcare (Bradenton, FL)
- …HCA Florida Blake Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and programs ... a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and...to ensure continuity of care and optimal clinical resource utilization . The Director has oversight for all aspects of… more
- HCA Healthcare (Brandon, FL)
- …You will promote cost effectiveness through the integration of case management, utilization review management and discharge planning. **What qualifications you ... Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...**Job Summary and Qualifications** We are seeking a Registered Nurse Case Manager. You will provide clinical expertise to… more
- HCA Healthcare (Largo, FL)
- …You will promote cost effectiveness through the integration of case management, utilization review management and discharge planning. **What qualifications you ... Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...**Job Summary and Qualifications** We are seeking a Registered Nurse Case Manager. You will provide clinical expertise to… more
- HCA Healthcare (Sun City Center, FL)
- …You will promote cost effectiveness through the integration of case management, utilization review management and discharge planning. **What qualifications you ... Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...**Job Summary and Qualifications** We are seeking a Registered Nurse Case Manager. You will provide clinical expertise to… more
- HCA Healthcare (Brandon, FL)
- …**Benefits** Brandon Surgery Center, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and ... a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and...Summary and Qualifications** We are seeking an Operating Room Nurse for our ambulatory surgery center who demonstrates the… more
- HCA Healthcare (Bradenton, FL)
- …You will promote cost effectiveness through the integration of case management, utilization review management and discharge planning. **What qualifications you ... Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...**Job Summary and Qualifications** We are seeking a Registered Nurse Case Manager. You will provide clinical expertise to… more