Utilization Review Nurse jobs in Florida

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Utilization Review Specialist
NORTH - MAIN MEDICAL CENTER - Martin Health System - Stuart, FL
The Utilization Review Specialist is responsible for concurrent and retrospective medical record review... the position as Utilization Review Specialist.
Sponsored by Martin Health System - 4 days ago
Medical Review Nurse (Telephonic)
Kelly Services 2,399 reviews - Jacksonville, FL
FL! As the Medical Review Nurse (Telephonic) with a... review officer, MRO, medical review nurse, medical records review nurse, medical claim review, medical...
Sponsored by Kelly Services - 10 days ago
Associate Medical Director - JSA Florida
HealthCare Partners Medical Group 20 reviews - Saint Petersburg, FL
or health plan. Utilization Management experience... that affect care outcomes; Participates in peer review and risk management activities; Other duties as...
Sponsored by CareerBuilder - 8 days ago

RN Utilization Review

Tampa Community Hospital - Tampa, FL
accordance with Utilization Plan using ISD criteria, and performs concurrent stay reviews at least every... and decrease resource utilization. Identifies and...
HCA Inc - 6 days ago - save job - block - email - more...

Inpatient Review Nurse-Miami

Cigna 636 reviews - Miami, FL
providing concurrent review of hospitalized members... of 1-2 years managed care experience in utilization review or case management. Excellent oral and written...
11 hours ago - save job - block - email - more...

Utilization Review Nurse 1

McKesson 685 reviews - Pensacola, FL
providers in areas including but not necessarily limited to: Authorization/Utilization Review; Case Mgt; Quality Improvement processes. Responsibilities may...
7 days ago - save job - block - email - more...

Utilization Review Specialist

NORTH - MAIN MEDICAL CENTER - Martin Health System - Stuart, FL
The Utilization Review Specialist is responsible for concurrent and retrospective medical record review... the position as Utilization Review Specialist.
Martin Health System - 4 days ago - save job - block - email - more...

Registered Nurse (RN) - Utilization Management Nurse Consult...

Aetna 318 reviews - Lutz, FL - +1 location
utilization management; Concurrent Review and... Nursing/Concurrent Review/discharge planning/Utilization Review/1-3 Years Functional - Nursing/Managed...
16 days ago - save job - block - email - more...

Registered Nurse - Medical Review

ARC 106 reviews - Jacksonville, FL
FL needs a Registered Nurse with medical claims review experience for a 6 month + contract. Job Description: Grievance and Appeals Registered Nurse Clinical...
Easily apply
2 days ago - save job - block - email - more...

Clinical Reviewer

CareCentrix 62 reviews - Tampa, FL
The core function is to review utilization information... contract terms/stipulations, prior utilization management/review experience, and governmental home health...
Easily apply
1 day ago - save job - block - email - more...

Prior Authorization Nurse

IASIS Integrated Care Solutions - Tampa, FL
The Prior Authorization Nurse reviews, authorizes... experience preferred Prior authorization/utilization review experience preferred Job Nursing Primary...
IASIS Healthcare - 9 days ago - save job - block - email - more...

Quality Improvement Nurse - Miami-Dade, FL

Humana 605 reviews - Doral, FL - +1 location
to providing support Review medical records and... in multiple states without restrictions Previous utilization management, hospital or physician office...
3 days ago - save job - block - email - more...

Lead Case Manager Job

Cleveland Clinic 455 reviews - Weston, FL
Preferred - Registered Nurse (RN) Works within a... Six years experience in Case Management, Utilization Review or Discharge Planning in a Healthcare setting...
2 days ago - save job - block - email - more...
Psychiatric Registered Nurse (SIGN-ON BONUS AVAILABLE) - Sen...
Kindred at Home 2 reviews - Sebring, FL
evaluation and therapy, in accordance with the Nurse Practice Act, federal, state and local laws and... by a trained psychiatric nurse. These services should...
Sponsored by Kindred at Home - 9 days ago
Utilization Manager
Centene Corporation 135 reviews - Tampa, FL
review timeliness, Outpatient Treatment Report review... care settings including utilization review. Knowledge of utilization review procedures, mental health and...
Sponsored by Centene Corporation - 30+ days ago
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