Utilization Review Nurse jobs in Florida

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Utilization Review Nurse RN
Utilization Review (UR) Case Manager RN. Entities, ( ie. physicians, health plans, review nurses, clerical personnel). And Utilization Director....
Nurse Navigator
1 year utilization review experience preferred. Florida registered nurse certification. Nurse Navigator – Care Assure....
Utilization Management Nurse – Nursing Department - Maitland
Florida Hospital - 792 reviews - Orlando, FL 32885
Utilization Management Nurse, Utilization of Services, Case Management, Maitland. Utilization Management Nurse – Nursing Department - Maitland....

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

Aetna - 2,152 reviews - City of Sunrise, FL
Prior Authorization Utilization Review experience; The Utilization Management Nurse Consultant will utilizes clinical skills to coordinate, document and...

UM Nurse Consultant

Aetna - 2,152 reviews - Tampa, FL  +1 location
Nursing/Registered Nurse is desired. UM Nurse who utilizes clinical skills to coordinate, document and communicate all aspects of the utilization management...

UTILIZATION REVIEW NURSE - FT

Windmoor Healthcare - 8 reviews - Clearwater, FL
Registered Nurse or License Practical Nurse Utilization. Utilization Review Specialist to join our team. Reviews inpatient medical records Inputs data and....

Clinical Reviewer, ASO FL- Orlando Area

Georgia Medical Care Foundation, Inc. - Orlando, FL
Performs desk reviews through claims analysis and develops the appropriate approach for the review. Previous Utilization, Case Management, Quality Assurance and...

Coord Utilization Review-Case Management

Shands Healthcare - 60 reviews - Jacksonville, FL
Knowledge of InterQual criteria, certification in Utilization Review or Utilization Mgmt. Pre-certification requests, admission review, concurrent review,...

RN Utilization Review Coordinator (PRN + Weekends)

Suncoast Behavioral Health - Bradenton, FL
Utilization Review Coordinator, Registered Nurse preferred. Utilization Review Coordinator performs admission and concurrent....

RN UR/Clinical Resource Coordinator - Utilization Review

Lakeland Regional Health - 70 reviews - Lakeland, FL
Responsible for utilization review, pro-active utilization management, and basic concurrent monitoring of physician documentation....

Clinical Care Review UM RN

AmeriHealth Caritas - 208 reviews - Doral, FL
Managed care or utilization review experience preferred. Using clinical knowledge and nursing experience, the nurse reviews provider requests for inpatient and...

Nurse Navigator - Care Assure

Capital Regional Medical Center - 60 reviews - Tallahassee, FL
Care Assure Nurse Navigator. Reviews medications /educates patient as needed, Initiates communication regarding dashboard triggers with care team....

Utilization Management Nurse

DaVita Medical Group - 4 reviews - Saint Petersburg, FL
The Affiliate UM (Utilization Management) nurse will focus mostly on hospital/SNF inpatient review and discharge planning....
Utilization Management Nurse – Case Management - Maitland
Florida Hospital - 792 reviews - Orlando, FL 32885
Utilization Management Nurse, Utilization of Services, Case Management, Maitland. Utilization Management Nurse – Nursing Department - Maitland....
Case Manager (Registered Nurse), Utilization Review, FT, 8:3...
Current working knowledge of discharge planning, utilization management, case management and performance improvement preferred....

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