Clinical Care Reviewer - Doral, FL

Provides support for clinical member services review assessment processes. · ...

The Care Review Clinician works with the Utilization Management team to review and evaluate members requiring hospitalization or procedures, providing prior authorizations and/or concurrent review. · Provides concurrent review and prior authorizations according to policy for memb ...

Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integra ...

This position supports clinical staff in an area of specialization for the advancement of clinical practice and professional development. · Earned time off. · ...

Baptist Health is the region's largest not-for-profit healthcare organization. We create personal connections with our colleagues that go beyond the workplace. · Ensure accurate patient and sample identification throughout all phases of the testing process. · Demonstrate independ ...

Provides entry level support for claims activities including reviewing and resolving member and provider complaints. · ...

Provides entry level support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized representatives in accordance with the standards and requirements established by the Centers for Medicare and ...

This faculty position will have clinical research and administrative responsibilities within the Department of Medicine Division of Medical Oncology and the Sylvester Comprehensive Cancer Center.This individual will serve as an attending physician in the Division of Medical Oncol ...

Coordinates case management activities for Medicaid Long Term Care/Comprehensive Program enrollees. Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care ...

We are seeking a dedicated medical general expert to join our team in Doral Florida. · Provide comprehensive medical assessments · Support clinical decisions · E nsure compliance with healthcare regulations · ...

Assesses assigned patients and evaluates plans to include documentation of nursing care. Reports symptoms and changes in patients' condition and vital signs. · ...

Provides assistance with patient care. Supports access to care operations and operational duties for rehab department. · ...

Assesses assigned patients and evaluates plans to include documentation of nursing care. · ...

+Job summary · The Registered Nurse 2 – Specialty delivers patient-family centered care in a culturally competent manner utilizing evidence-based standards of quality, safety, and service while ensuring population-specific patient care. · +ResponsibilitiesAssesses assigned patien ...

This is a Registered Nurse position at the University of Miami. · Bachelor of Science in nursing · Registered Nurse License; Basic Life Support Certification (BLS) · Minimum 2 Years Of Nursing Experience · ...

This Registered Nurse position at the University of Miami involves assessing patients, evaluating treatment plans, and collaborating with healthcare professionals. The ideal candidate will have a Bachelor's degree in nursing and relevant experience. · ...

The Registered Nurse delivers patient-family centered care in a culturally competent manner utilizing evidence-based standards of quality, · safety,and service while ensuring population-specific patient care.Assesses assigned patients and evaluates plans to include documentation ...

Lensa promotes jobs on behalf of its direct clients, recruitment ad agencies, and marketing partners. · Assesses assigned patients and evaluates plans to include documentation of nursing care. · Reports symptoms and changes in patients' condition and vital signs. · ...

The UMMG Staff Physician provides medical care to patients based on proper documentation in the medical record as outlined by the medical staff rules and regulations. · ...

This is a full-time role for a Staff Pharmacist at Ascend Rx. The Staff Pharmacist will prepare, dispense and verify medications, ensuring compliance with regulatory requirements. ...