Clinical Review Nurse - Florida

You could be the one who changes everything for our members as a clinical professional on our Medical Management/Health Services team. · ...

We are seeking a talented individual for a DRG Nurse Reviewer Appeals and Hearings to coordinate and perform all appeal related duties including analyzing and responding appropriately to appeals from providers; reviewing documentation to ensure all aspects of the appeal have been ...

We're Hiring: Utilization Nurse Reviewer. Join our amazing team as a Utilization Nurse Reviewer and help us ensure our members receive the best care possible. · ...

The Health Services Supervisor is responsible for overseeing the Health Services Utilization and Case Management nursing teams. · This supervisor will manage inventory support staff mentoring and training and drive workflow efficiencies within the teams. · Will work closely with ...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. · ...

Join Cleveland Clinic Weston Hospital's team of caregivers that remain on the leading edge of technology and education, all while consistently providing patient-centered healthcare. · Weston Hospital's Intermediate Intensive Care Unit (IMCU) provides care to patients who require ...

Infinite Medical P.C. seeks a Collaborating Physician for Infectious Disease to oversee Nurse Practitioners in geriatric facilities. · ...

Baptist Health is the region's largest not-for-profit healthcare organization with 12 hospitals and over 28,000 employees. · ...

Clinical Operations Medical Director responsible for supporting medical management staff ensuring timely and consistent medical decisions to members and providers. · ...

Job summaryA startup healthcare client in the San Francisco area is looking to hire an RN Case Manager. · NLC multistate License (or FL) · ...

This position involves developing and evaluating educational programs for healthcare professionals. The successful candidate will have clinical expertise and strong communication skills. · ...

Come lead with us at Corporate At Houston Methodist this position combines clinical business regulatory knowledge skill to reduce significant financial risk exposure caused by concurrent retrospective denial payments services provided reviewing denials level care medical necessit ...

We are seeking a Level 2 Service Desk Specialist to join our dynamic IT team, supporting a multi-site senior living community environment. · This role serves as a key point of contact for internal technical support and will work closely with staff, caregivers, and administrative ...

The Initial Clinical Reviewer will apply and provide technical knowledge and experience to the field of utilization management to assess the medical necessity of provider requests for services. · ...

Cleveland Clinic Martin North Hospital is a fully integrated medical campus that includes Diagnostic Centers Outpatient Surgery and Emergency Department. · Responsibilities: · Conduct construction readiness rounds project startup inspections evaluates construction permits reviews ...

+We are seeking board-certified or board-eligible Medical Directors in Dermatology or Plastic Surgery, licensed to practice in Florida. · +Approve all medical hires · Approve treatment menus (botox, fillers, lasers, etc.) · Review and sign protocols, SOPs, and consent forms · +,+ ...

The Registered Nurse Field plans and delivers care to patients in their place of residence utilizing the nursing process of assessment, planning, interventions, implementation, and evaluation; and effectively interacts with patients,families,and other team members while maintaini ...

IHCS provides in-home care services and is looking for a Quality Assurance & Training Specialist to drive documentation excellence across Care Management and Utilization Management. The role requires auditing case records, identifying knowledge gaps, and delivering targeted educa ...

The Director of Nursing (DON) is responsible for all nursing services and ensuring compliance with AHCA licensure standards. · Provide oversight of clinical operations and nursing care delivery across the Florida home health program · Ensure compliance with federal, state, and lo ...

You will increase laboratory sales revenue through market penetration · and promotion of Ambry's portfolio of genetic diagnostic testing services. · ...