Utilization Review Nurse jobs in Fort Lauderdale, FL

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Manager of Case Management (Must be a Registered Nurse)***$5...
Case Management Certification or equivalent in Case Management, American Board of Quality Assurance and Utilization Review Physicians, Inc....
Assistant Nurse Manager (11AB)
Assistant Nurse Manager. The Assistant Nurse Manager has an integral role in supporting and facilitating student nurse clinical experiences....
Clinical Care Manager
Conducts initial review of member’s data provided by health plan, compare against member’s self-reported data obtained through the Health Risk Assessment (HRA)...
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UM Nurse Consultant

Aetna - 2,078 reviews - City of Sunrise, FL
Concurrent Review nursing experience preferred. Click here to review the benefits associated with this position....

Concurrent Review Nurse I (Field-Based)

Sunshine State Health Plan - 12 reviews - City of Sunrise, FL
Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case...

Utilization Review Nurse

Catapult Consultants - 5 reviews - Miami, FL
2 years utilization/quality assurance review. Active license as a Registered Nurse (RN). 5 years clinical experience or equivalent experience in the medical...

Care Management Associate

Aetna - 2,078 reviews - City of Sunrise, FL
Responsible for initial review and triage of Care Team tasks. Support comprehensive coordination of medical services including Care Team intake, screening and...

Clinical Quality Assurance Nurse Auditor

IME Resources - Boca Raton, FL 33487
Performs quality assurance review of peer review reports, correspondences, addendums or supplemental reviews....

Utilization Management Nurse

Community Care Plan - City of Sunrise, FL 33323
Knowledge of case management and utilization review concepts, InterQual Criteria, Florida Medicaid Program, CMS Guidelines....

Utilization Review Specialist

White Sands Treatment Center - Deerfield Beach, FL
Utilization Review – 5 years. Utilization Review Specialist – Deerfield Beach, FL*. Registered Nurse (RN)....
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Utilization Manager - Remote Work From Home

New Directions Behavioral Health - 11 reviews - Miami, FL
Previous experience in Utilization Review. This includes utilization review activities, care management activities (which may include on-site reviews) and...

Concurrent Review Nurse LPN/RN (Miami-Dade & Broward County)

Anthem, Inc. - 2,001 reviews - Miami, FL
Concurrent Review Nurse (Licensed Utilization Review Sr). 2 years of clinical or utilization review experience....

Utilization Review Nurse

Aston Carter - 14 reviews - City of Sunrise, FL
$34 an hour
Growing company in the Sunrise, Florida area is seeking 2 *Utilization Review Nurses*. Registered Nurse in the State of Florida....
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Utilization Management Technician
The Utilization Management Tech functions under the direction of the Supervisor to coordinate, generate and track both incoming and outgoing correspondence,...
Population Health Nurse
Holy Cross Hospital - 174 reviews - Fort Lauderdale, FL 33336
Review medical records for patients identified by health plans, providers or HCPP as needing review. Conduct targeted reviews of medical documentation....

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