Florida RN - Inpatient Concurrent Review Specialist
$26 - $33 per hourHealthcare Support Staffing
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
- ...Description Daily Responsibilities of Registered Nurse Concurrent Review; Telephonically review inpatient admissions to assure appropriate level of care... ...Nurse Concurrent Review; Current, active RN in the state of Florida 2+ years of clinical nursing experience Hours for...SuggestedPrivate practiceWork at officeMonday to Friday
- ...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
- MedWatch is seeking a Medical Review Specialist (RN) to conduct utilization review for hospital admissions and procedures. You will verify medical necessity, coordinate with facilities and payers, and document findings in the case record. Ideal candidates have an Associate...Suggested
$71.2k - $89k
...responsible for performing medical reviews using established criteria to... ...Nursing Facility, LTAC, Acute Inpatient Rehab for benefit... ...experience Nursing Registered Nurse - Florida State Licensure and/or Compact... ...or Business Unrestricted US RN license Case Management Certifications...SuggestedTemporary workPart timeWork experience placementInternshipSeasonal workWork at office- ...Assistance - Reservist ON CALL positions in Florida . ( Preference given to those who have "... ...assignments. Individuals may work on concurrent projects outside of their ICF... ...disaster recovery operations. Develop, review, and analyze FEMA Project Worksheets and...SuggestedSeasonal workLocal area
$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...Remote jobFull timeMonday to Friday$50.36k - $85.62k
...Assistance - Reservist ON CALL positions in Florida. Preference given to those who have "... ...assignments. Individuals may work on concurrent projects outside of their ICF assignments... ...and disaster recovery operations.Develop, review, and analyze FEMA Project Worksheets and...Full timeContract workSeasonal workWork at officeLocal areaRemote workAfternoon shift- ...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...
- Registered Nurse (RN) - IV Therapy, Wellness & Longevity Full-Time | Stuart, Florida A Different Kind of Nursing Role iCRYO Stuart is seeking an experienced, personable... ...history and required clinical information. Review contraindications, medical clearances, consents...Full timeWork at officeFlexible hoursAfternoon shift
- ...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...Local area
- ...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
- ...children and adults annually through inpatient crisis services, 24-hour help... ...of life in our community. RN's GENERAL SUMMARY We are... ...interprets change of shift report. Reviews each client, evaluating plan... ...qualifications: Active State of Florida Registered Nursing License...ReliefShift work
- ...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...Shift work
$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- 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
- In over 50 years of service, Northwest Florida State College has earned a reputation for... ...effectively carry out its mission. The Office Specialist, Facilities & Physical Plant position is... ...Deadline: Open until filled. Review ofapplications will begin immediately If...Work experience placementWork at officeImmediate startRelocation
- ...protect life. The ASSURE Patient Specialist (APS) conducts patient fitting... ...opening in Fort Lauderdale, Florida. This is a paid per fitting... ...determine the correct garment size Review and transmit essential... ...cardiac patient care experience - RN, RT, CVIS, Paramedic, CRM...Daily paidFor contractorsLocal areaAfternoon shift
- 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
- 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
- MedWatch is seeking a Medical Review Coordinator in Florida to perform clinical review duties in line with URAC standards and state requirements... ...document findings, and coordinate with the Medical Review Specialist and Physician Advisor to ensure accurate and timely...
- ...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...
- 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,...
- ...), 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
$15 per hour
...Patient Registration Specialist Tallahassee, FL 32308 Salary Range... ...and families of North Florida succeed in recovering from emotional... ...appointment and utilization review activities. Provides shared... ...transferring from Apalachee Inpatient to outpatient clinics. # Competes...Full timeWork at office- ...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...
- Memorial Healthcare System in Hollywood, Florida, seeks a Registered Nurse - Transport to coordinate safe and efficient patient movement across departments and facilities. You will ensure continuity of care, monitor patient status, and communicate with caregivers to support...
- Memorial Healthcare System in Pembroke Pines, Florida, seeks an experienced RN to provide direct patient care in a designated specialty unit. The role requires coordinating care across disciplines, monitoring patient status, and educating patients and families. Responsibilities...
- ...-time temporary coverage in a patient-centered environment. The RN will deliver care that respects cultural needs, adheres to evidence... .... The role requires a Bachelor's degree in nursing and a valid Florida RN license. The nurse will assess patients, coordinate with...Daily paidTemporary workPart time
- Florida Department of Health seeks a Registered Nurse Specialist to screen and determine clinical eligibility for children's health programs. The role involves processing... .... The candidate must hold an active Florida RN license, be able to manage multiple tasks in a fast...
- Palmetto General Hospital in Florida is seeking a Registered Nurse to deliver quality care through the nursing process across Medical/Surgical, Telemetry or Step Down Units. You will assess, plan, implement and evaluate patient care, communicating changes in condition to...
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