- Molina Healthcare (Miami, FL)
- **Job Description** **Job Summary** The Medical Review Nurse provides support for medical claim and internal appeals review activities - ensuring ... nursing experience, including at least 1 year of utilization review , medical claims review , long-term...or equivalent combination of relevant education and experience. + Registered Nurse ( RN ). License must… more
- AccentCare, Inc. (Miami, FL)
- Overview Registered Nurse / RN Team Director, Hospice Location: Miami Position: Registered Nurse / RN Team Director MUST be Bilingual in English ... Find Your Passion and Purpose as a Full-Time Hospice Registered Nurse / RN Team...+ Three+ years' experience in hospice, home health, general medical surgery, oncology, or patient population-specific nursing (ie, geriatrics,… more
- AccentCare, Inc. (Miami, FL)
- Overview Clinical Manager Inpatient Hospice Center, Registered Nurse Location: North Shore Hospital, Miami, FL Position Type: Full-Time Remote/Virtual Position: ... No Find Your Passion and Purpose as a Clinical Manager Inpatient Hospice Center, Registered Nurse Salary: $85,000 - $93,000 / year Offer Based on Years of… more
- Molina Healthcare (Miami, FL)
- For this position we are seeking a ( RN ) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity ... a RN with experience with appeals, claims review , and medical coding. JOB DESCRIPTION Job...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- HCA Healthcare (Miami, FL)
- …Basic Cardiac Life Support must be obtained within 30 days of employment start date + ( RN ) Registered Nurse + Associate Degree + **1 year minimum experience ... your knowledge and expertise! **Job Summary and Qualifications** The Registered Nurse coordinates and delivers high quality,...personal growth, we encourage you to apply for our RN Free Standing ED Doral-PRN opening. We review… more
- Molina Healthcare (Miami, FL)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Molina Healthcare (Miami, FL)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- HCA Healthcare (Miami, FL)
- …learning, clinical application, and socialization, shepherding you through the transition from student nurse to registered nurse . Benefits We offer a total ... Other Certifications maybe required during employment + Associate or Bachelor's degree in Nursing + Registered Nurse License or Graduate Nurse in the State +… more
- HCA Healthcare (Miami, FL)
- …, and CancerCare. **What qualifications you will need:** + Associate Degree, Preferred + ( RN ) Registered Nurse , Required + Quality/PI, Acute Care Nursing, ... over 156,000 hours volunteering in our communities. As a(an) RN Quality Coordinator with HCA Florida Mercy Hospital you...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- HCA Healthcare (Miami, FL)
- …Basic Cardiac Life Support must be obtained within 30 days of employment start date + ( RN ) Registered Nurse + Associate Degree HCA Florida Mercy Hospital is ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...encourage you to apply for our PRN Operating Room RN opening. We review all applications. Qualified… more
- Elevance Health (Miami, FL)
- …by law._ **Must reside in the state of Florida** The ** Medical Management Nurse ** will be responsible for review of the most complex or challenging cases ... ** Medical Management Nurse ** **Location:** Virtual: This...and requires a minimum of 2 years clinical, utilization review , or managed care experience; or any combination of… more
- HCA Healthcare (Miami, FL)
- …Kendall Hospital have the opportunity to make a real impact. As a(an) Case Mgr RN PRN you can be a part of change. **Benefits** HCA Florida Kendall Hospital, offers ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential… more
- Elevance Health (Miami, FL)
- **Telephonic Nurse Case Manager II** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management...management plan and modifies as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of… more
- Fresenius Medical Center (Homestead, FL)
- …Report any significant information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine ... policy. Report any change or unusual findings to the registered nurse or supervisor. + Perform and...+ Monitors patients performing self-care under the supervision of RN . **Staff Related** + Assists in training of applicable… more
- Carnival Cruise Line (Miami, FL)
- …team to assess fitness for duty per International Maritime Health guidelines. + **Crew Medical Claims Management** + Review crew cases of high risk and escalate ... care coordination and utilization reviews. Operationally, the role supports shipboard medical teams, participates in the 24/7 duty rotation, and manages ship… more
- Deloitte (Miami, FL)
- …degree in nursing, medical degree, or physician assistant required + Current Registered Nurse ( RN ) license required + Certified Clinical Documentation ... (CRC, CCA, CCS-P, CCS, CPC, CDIP, CCM) + Experience as clinical registered nurse , physician, physician assistant, case manager, clinical documentation… more
- Elevance Health (Miami, FL)
- ** Medical Management Clinician Associate** **Locations:** Tampa, FL or...do not require the training or skill of a registered nurse . **How You Will Make an ... weekend (Saturday & Sunday) about once every 3 months. The ** Medical Management Clinician Associate** is responsible for ensuring appropriate, consistent… more
- Select Medical (Miami, FL)
- …of medical rehabilitation. They assess patients to determine individual care needs, review medical records and meet with hospital teams to coordinate safe ... and valid state licensure or eligibility for state licensure as a Registered Nurse , Physical Therapist, Occupational Therapist, or Speech Language Pathologist… more
- HCA Healthcare (Miami, FL)
- …tech during surgical and other invasive procedures under the direction of a registered nurse . Performs routine scrub as well as specifically delegated duties ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...room. F** + **Functions under the supervision of the Registered Nurse .** + **Complies with the objectives… more
- Select Medical (Miami, FL)
- …of acute transfers and other CQI indicators. **Qualifications** **Minimum Qualifications** + Registered Nurse with valid state license. Legacy employees may ... activities with appropriate staff for outcome utilization, infection control and medical CQI indicators. Analyzes results of chart review activities with… more