Florida RN - Inpatient Concurrent Review Specialist
$26 - $33 per hourHealthCare Support
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career! Job Description • Identifying inpatient, observation, acute rehabilitation, skilled nursing facility and custodial admissions and discharges by utilizing the following processes:
- The Plan’s daily census
- The hospital’s individual Plan admission log (if available)
- Inquiring Plan admissions/discharges through the admission/ER department offices
- Direct notification by the member’s PCP or family member
- Contacting the Plan’s hospitalist program, if available
- Concurrent review experience – 2 year minimum experience
- Managed Care experience – 1-2 year minimum experience
- Experience with Medicaid and Medicare
- Practice experience in the areas of ambulatory and hospital care
- Competitive salary $26 - $33 per hr.
- Excellent Medical benefits Offered, Medical, Dental, Vision, 401k, and PTO
- ...highly motivated and experienced Utilization Review Nurse to join our team. The Utilization... ...Collaborate with insurance companies on concurrently denied and high risk for denial cases.... ...reimbursement. Qualifications Registered Nurse (RN) licensure required; must hold a USRN...SuggestedWork experience placement
$24 - $26 per hour
...Utilization Review Specialist – Behavioral Health (Remote) PHP/IOP | Full-Time | Monday–Friday... ...prior authorizations, pre-certifications, concurrent reviews, and continued-stay reviews .... ...health PHP/IOP treatment across South Florida. Your work helps clients and families...SuggestedFull timeRemote workMonday to Friday- ...of policies and guidelines to emergent/urgent and continued stay reviews. Perform onsite review of emergent/urgent and continued stay... ...projects related to utilization management as needed Qualifications RN, BSN preferred. 2+ years of clinical nursing experience in an...SuggestedShift work
- UF Health in Florida is seeking an experienced RN to support utilization review and case management. You will assess patient records for medical necessity, coordinate with clinicians, and ensure compliant documentation to optimize care and discharge planning. The role...Suggested
- ...Experience / Qualifications Current RN licensure in the state of Florida BLS certification through the... ...Position Summary The Breast Health Specialist nurse is responsible for the physical... ...when circumstances change. I have reviewed these job requirements and verify that...SuggestedLocal area
$31.2 - $40.56 per hour
...healthcare system in South Florida, earning 63 high‑performing... ...work volume and distribution, reviewing and reconciling reports, providing... ...: AHIMA Certified Coding Specialist. Additional Qualifications... .... At least five years Inpatient or Outpatient Surgery, Ancillary...Remote job- ...located in Stuart, FL, and provides inpatient treatment for children,... ...working as a Registered Nurse (RN) is providing excellent care,... ...routinely exchange ideas and review current topics within the industry... ...to practice nursing in Florida. Current CPR/First Aid certification...Local areaNight shift
$37.04k
The Florida Department of Children & Families - Office of Economic Self-Sufficiency in Riviera Beach, FL, is seeking an Eligibility Specialist II. This Career Service role performs case reviews, maintains eligibility determinations, and provides training to staff to improve...Work at office- The HR Superheroes seeks an Accounts Payable Specialist for a full-time, remote role based in Florida. You will manage end-to-end AP for client organizations... ...approvals, and timely payments. Responsibilities include reviewing documents, preparing journal entries, reconciling...Remote jobFull time
- Florida Department of Children & Families - Office of Economic Self-Sufficiency is seeking an Eligibility Specialist II in Fort Pierce. The role supports unit supervisors, reviews cases, and conducts quality controls to strengthen accuracy and training across the team....Work at office
- Inpatient Coding Specialist - Remote (Must Reside FL) We are seeking a detail-oriented and experienced Inpatient Coding Specialist to join our dynamic... ...Coding Specialist, you will be responsible for accurately reviewing and coding inpatient medical records using ICD-10-CM, ICD-...Remote jobShift work
- CVS Health in Florida is seeking a Utilization Management Nurse Consultant who will review and coordinate care for members, applying medical necessity criteria... ...The position requires an active Florida RN license, 3 years of inpatient nursing experience, and a willingness to...Remote jobFull timeWeekend workAfternoon shift
- BayCare is seeking an Advanced Inpatient Coding Specialist for a remote, full-time role. Must reside in Florida, Georgia, North Carolina, or South Carolina. CCS certification required; RHIT preferred. Five years in acute care inpatient coding (three years inpatient coding...Remote jobFull timeRelocation package
- ...APPs preferred; New Grads encouraged to apply Hematology/Oncology experience as RN or APP preferred APP to support with inpatient rounding About the Role Cancer Specialists of North Florida is seeking an Advanced Practice Provider to join its hematology and oncology team...Full timeLocal area
- BayCare is seeking an Advanced Inpatient Coder Specialist (PRN, remote in FL) to ensure accurate inpatient records across multiple service lines. You will review complex encounters, collaborate with physicians, and support MS-DRG assignment and quality reviews. The role...Remote jobReliefFlexible hoursShift work
- Mount Sinai Medical Center in Florida seeks a skilled Medical Coder to accurately code inpatient and outpatient encounters using ICD-10-CM, CPT and HCPCS, ensuring compliance with AMA and CMS guidelines. The role requires Florida residency, CPC or CCS-P certification,...
- ...interested Title: Clinical Care Reviewer Location : Doral, FL Duration... ...and Experience: • Current FL RN licensure • Registered Nurse... ...and procedures, reviewing inpatient and outpatient elective procedures... ...role (Prior Authorization, Concurrent Review) • Submits appropriate...
- ...and coordinates with the surgical team to ensure safe, high-quality post-operative care. Ideal candidates have an ADN/BSN, RN license in Florida, and 2-3 years PACU experience with 1-2 years in a surgical setting; BLS; ACLS/CPAN may be required. #J-18808-Ljbffr Ascend...Full time
- AMN Healthcare in Florida is seeking a registered nurse for a 6-month CDI assignment starting ASAP. The role focuses on clinical documentation... ...hours, Monday through Friday, 6:00 AM to 6:30 PM. The selected RN will work with EPIC and Iodine systems and receive comprehensive...Immediate startMonday to FridayFlexible hoursDay shift
- AdventHealth in Florida is seeking a cardiovascular imaging specialist to support interventional radiology and cardiac cath procedures. You will verify orders, assist... ...safety and regulatory compliance. The role requires RN and related certifications, experience in...
- Memorial Healthcare System in Pembroke Pines, Florida, invites qualified nursing professionals to explore night shift opportunities across Memorial Hospital West, Memorial Cancer Institute, and Memorial Regional Hospital. A virtual hiring event is available to discuss roles...Night shift
- ...Nurse for the Cardiovascular Operating Room at Cleveland Clinic Florida - Weston in Weston, FL. You will provide perioperative nursing care... ...through post-op recovery. The ideal candidate brings acute care RN experience in OR settings, strong teamwork, and adherence to...
- ...Partners International is looking for a Registered Nurse Preop/Pacu in Florida. This role focuses on providing quality nursing care, assisting... ...and PACU settings. The ideal candidate will have an accredited RN degree, an active RN license, and 2 years of relevant experience...
- ...emphasizes applying the nursing process, patient safety, and compassionate care. Requirements include an Associate degree in nursing, Florida RN license, and BLS/CPR certification. A Bachelor's degree is preferred, and 2+ years of RN experience is preferred. This on-site...
- Orlando Health, Inc. in Florida seeks a Registered Nurse to administer care in hospital and home-based settings as part of a multidisciplinary... ...diverse patient populations. Qualifications include a Florida RN license, BLS, ACLS as required for specific units, and travel to...
- ...across disciplines ensures optimal outcomes for critically ill children. Required qualifications include an accredited nursing program, Florida RN license, BLS, and pediatric-specific certifications (PALS/ACLS as applicable). #J-18808-Ljbffr Memorial Healthcare System
- Jupiter Medical Center in Florida seeks a Breast Health Specialist RN to manage the physical, emotional, and educational needs of patients undergoing breast procedures with stereotactic, US, or MRI guidance. The role requires collaboration with radiologists, knowledge of...
- ...), Certified Diabetes Care and Education Specialist (CDCES) - National Certification Board for... ...), Registered Nurse Compact License (RN LICENSE COMPACT) - Compact RN Multistate,... ...Registered Nurse License (RN LICENSE) - State of Florida (FL)Additional Job Information:Complexity...Work experience placementWork at officeShift work
- SCA Health is hiring a Registered Nurse (RN) for the PreOp PACU in Florida. The role focuses on preoperative and postoperative assessment, maintaining patient safety, and implementing perianesthesia plans across the perioperative continuum. You will interpret monitors,...
- ...multidisciplinary team to ensure patient safety and quality outcomes. You must have 1 year of Stepdown experience, an active RN license for Florida, and BLS/ACLS certifications. Travel benefits, competitive pay, and comprehensive support are provided by Fusion Medical...
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