Nurse Reviewer I - Miami

The Utilization Nurse is responsible for conducting prospective concurrent and retrospective clinical reviews to determine medical necessity level of care and appropriateness of services across the continuum · This role collaborates closely with hospital UR/Case Management facili ...

Urgent Hiring for Remote Clinical Review Nurses. · ...

Urgent Hiring for Remote Clinical Review Nurses to review approximately 20 cases a day for medical necessity and advocate for and protect members from unnecessary hospital admissions. · ...

We welcome all healthcare professionals to join our thriving community and contribute to our pursuit for clinical excellence. · Responsible to initiate and monitor service utilization including hospital, · sub-acute, · and post acute care utilized by participants. · ...

Under the general supervision of the Inpatient Services Manager, the Concurrent Review Nurse is responsible for ensuring medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient admissions. · ...

This Utilization Review Registered Nurse position at Mount Sinai Medical Center involves coordinating participant care and ensuring timely discharges. Responsibilities include monitoring service utilization, working with providers to ensure appropriate medical care levels for par ...

The job involves identifying inpatient admissions by utilizing census data, hospital admission logs, inquiries with ER departments, direct notifications from PCPs or family members, and contacting hospitalist programs. The candidate will initiate concurrent reviews within one wor ...

The Medical Review Nurse II primarily performs medical claims audit reviews. As a MR Nurse, you will join a team of experienced medical auditors and coders performing retrospective and prepayment audits on claims for Government and Commercial Payers. ...

The Medical Review Nurse II primarily performs medical claims audit reviews. · ...

The Medical Review Nurse II primarily performs medical claims audit reviews in a fast-paced dynamic environment working remotely with a multi-location team. · ...

The Medical Review Nurse II performs medical claims audit reviews remotely in a fast-paced environment. · ...

Perform medical claims audit reviews as part of a team of experienced medical auditors and coders. · ...

+ Telephonically review inpatient admissions to assure appropriate level of care and medical necessity · + Act as clinical resources to referral staff and make appropriate referrals. · + Provide patient and provider education. · Requirements:Current, active RN in the state of Flo ...

Leads and provides consultation to Nicklaus Children Health System (NCHS) in the clinical review evaluation and procurement of products leads multi-disciplinary teams to decrease product variation utilization and costs through the development of consensus supply utilization progr ...

We aim to improve employability and inspire lifelong career growth thereby improving the lives of individuals in our community.The Practical Nursing Program Director will oversee ensure quality effectiveness of faculty-led instruction while delivering high-quality education to nu ...

+We are seeking an experienced Nurse to start up the Practical Nurse Program. · + · +Exciting opportunity for an entrepreneurial spirit · +FVI School of Nursing and Technology is a private, post-secondary institution providing associate and diploma career programs in nursing, all ...

The Dietary Manager is responsible for partnering with the Dietitian to plan, organize, develop and direct the overall operation of the Dietary Department in accordance with current, federal, state and local standards guidelines and regulations governing our facility. · ...

+The Department of Neurological Surgery is currently seeking a full time Nurse Specialist to work in Miami, FL. · +Performs medical tests in patients to diagnose their health condition. · Interprets laboratory test results of patients. · +CORE QUALIFICATIONS>+Bachelor's degree in ...

The Registered Nurse will be responsible for the planning and delivery of care utilizing nursing processes, assessment, implementation, and evaluation.Practices under the supervision of the Nursing Manager/Director and has passion for learning. · ...

The Nurse Manager- Hematology/ Oncology provides clinical leadership in a fast-paced environment. · Ensures achievement of target quality indicators. · Monitors medication discrepancies. · Reviews incident reports. · ...