Field IP Concurrent Review Nurse - Coral Gables, FL

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. · ...

The Nurse Reviewer I role enables associates to work virtually full-time except for required in-person training sessions providing maximum flexibility and autonomy.This approach promotes productivity supports work-life integration ensures essential face-to-face onboarding skill d ...

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. · ...

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. · ...

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. · ...

Care Management Business Operations Manager · As Mount Sinai grows, so does our legacy in high-quality health care. · We offer the latest in advanced medicine, technology and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counti ...

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 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. · ...

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

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

+ 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 ...

The University of Miami is seeking a Registered Nurse (RN) Oncology for a nursing job in Coral Gables, Florida. · Assesses assigned patients and evaluates plans to include documentation of nursing care. · Reports symptoms and changes in patients' condition and vital signs. · Mod ...

The University of Miami is seeking a Registered Nurse (RN) Oncology for a nursing job in Coral Gables, · Florida. The nurse will assess patients and evaluate plans to include documentation of nursing care. ...

+The Multispecialty Clinics at The Lennar Foundation Medical Center have an exciting opportunity for Registered Nurse 2 (RN 2). · +The RN 2 delivers patient-family centered care in a culturally competent manner utilizing evidence-based standards of quality, safety, and service wh ...

The Registered Nurse 2 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 documenta ...

Full time Chemotherapy/Infusion Registered Nurse 2 - Specialty for UMHC/SCCC at Lennar. · ...

This Registered Nurse 2 position at the University of Miami involves assessing patients, evaluating plans, reporting symptoms, modifying treatment plans as needed, reviewing diagnostic tests, consulting with physicians and other healthcare professionals. · Bachelor of Science in ...