RN IP Concurrent Review
$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 Qualifications Current, active licensure to practice within the State of Florida 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 Additional Information Hours for this Position: Hours: 9-6 Advantages of this Opportunity: Competitive salary $26 - $33 per hr. Excellent Medical benefits Offered, Medical, Dental, Vision, 401k, and PTO #J-18808-Ljbffr Healthcare Support Staffing
- ...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
- ...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
- ...profile if interested Title: Clinical Care Reviewer Location : Doral, FL Duration : 3 months... ...Skills and Experience: • Current FL RN licensure • Registered Nurse graduated from... ...by specific UM role (Prior Authorization, Concurrent Review) • Submits appropriate documentation...Suggested
- CLINICAL REVIEWER RN Location: Hollywood, FL. Who we are IHCS provides an Integrated Delivery System in the home setting, which includes... ...treatment, or unnecessarily extensive home healthcare. Concurrent review of patient’s clinical information for efficiency Ongoing...SuggestedFull timeTemporary work
- ...Registered Nurse to support post-service claims through clinical review and decision-making. The role emphasizes independent coordination... ...benefits package and a competitive pay range. Candidates must hold RN licensure and a Bachelor's degree, with 2-3 years of RN...SuggestedFull time
$31.94 - $43.92 per hour
...planning discussions Utilization Management Review medical necessity & admission status Ensure correct level of care (IP vs Observation) Communicate with insurance/... ...(acute care) OR Option 2: 3+ years RN in: Med/Surg Telemetry ICU / PCU ED...Relocation packageShift workWeekend workAfternoon shift- ...an experienced Registered Nurse in Florida to perform utilization review, review medical records, and consult with care providers to... ...treatment based on current research. The ideal candidate holds US RN licensure (or compact state license), a nursing degree, 1+ year in...
$1,590 - $1,739 per week
...Registered Nurse (RN) | Emergency Room (ER) / Trauma Location: Tallahassee, FL Agency: Host Healthcare Pay: $1,590 to... ...that was rated #1 in Nursing Satisfaction by MIT Sloan Management Review. No matter if you want to explore the other side of the country...Full timeContract workLocal areaImmediate startShift workNight shift- ...Idaho, Texas, Minnesota or Illinois. We are searching for a new RN to join our team. Our Nurses enjoy the flexibility to work remotely... ...documentation skills in addition to clinical experience. Please review the roles and responsibilities of this position below. Please complete...Remote jobHome office
- American Traveler, LLC. is hiring an RN Case Manager for a hospital-based case management team in Florida. The role requires active FL... ...and at least two years of recent case management or utilization review experience. The position follows a daytime schedule, 8:00 AM to 5...
- American Traveler is hiring an RN Case Manager for a Case Management department requiring at least 2 years of recent case management... ...Minimum 2 years of recent experience in case management/utilization review required No employment gaps of 90 days or more within the past 1...Daily paidLocal areaDay shift
$24 - $26 per hour
...Utilization Review Specialist - Behavioral Health (Remote) PHP/IOP | Full-Time | Monday-Friday, 9 AM-5 PM ET | $24-$26/hour About the... ...requirements. Complete prior authorizations, pre-certifications, concurrent reviews, and continued-stay reviews. Support medical necessity...Full timeRemote workMonday to Friday- You will perform frequent case reviews, check medical records and speak with care providers... .... Required Skills Active, unrestricted RN licensure from the United States in [state... ...Skills BSN Previous experience conducting concurrent or inpatient reviews for a managed care...
- ...want to be part of our mission and join our team! As a Utilization Review Nurse, you will utilize your critical thinking skills, clinical... ...Requirements Licensed Nurse Practitioner (LPN) or Registered Nurse (RN) required Comprehensive knowledge of general nursing theory and...Local area
- ...Paid Time Off and Paid Sick Leave Summary Statement The Clinical Review Nurse is responsible for reviewing and making medical... ...Certifications, Licenses, Registrations Valid unrestricted Registered Nurse (RN) license Preferred Qualifications Bachelor of Science in...Remote jobPermanent employmentTemporary workWork at officeLocal areaImmediate start
- ...Nursing job in Tallahassee, FL. Shift: 4x12 hr nights Start Date: ASAP Duration: 13 weeks TOP RATED BY TRAVEL NURSES AND INDEPENDENT REVIEW SITES Description Ready for your next adventure? Axis Medical Staffing, one of the leading Travel Nursing Companies in the nation,...Weekly payContract workImmediate startShift workNight shift
- Description The UR Nurse Appeal Specialist is responsible for reviewing payer denials and authoring appeal letters, with a primary focus on... ...Experience, Education And Certifications Registered Nurse (RN) with at least 3 years of acute care hospital experience Minimum...Work experience placementWork at office
$26.01 - $68.55 per hour
...to exercise clinical judgment and perform the following duties: Review and interpret clinical documentation obtained from medical records... ...Nurse licensure in state of residence Nursing degree (RN) A minimum of 2-3 years of professional experience as a licensed...Hourly payFull timeTemporary workLocal area- Managed Medical Review Organization is seeking a Registered Nurse to join the team in a remote, home-office setting. The role emphasizes... ...clinical review experience, with no face-to-face patient contact. The RN will verify credentialing, coordinate with Physician Reviewers,...Remote jobHome office
- Integra is looking for a LPN/LVN experienced in the managed care payor environment to perform pre-service and post-service utilization reviews and appeals for DMEPOS. This role collaborates with our Medical Director to perform benefit and medical necessity reviews within an...Remote job
- Novitas Solutions, Inc. seeks a Clinical Review Nurse to review and substantiate medical determinations for health claims. You will assess medical necessity, service levels, and appropriateness of care under national and local policies, including cases requiring prior...Remote jobLocal area
$2,170 per week
...Talent4Health is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Tallahassee, Florida. Job Description... ...ED - Emergency Department Salary information and unbiased reviews from leading Travel Nurse Agencies across the United States,...Shift workNight shift- ...or certification Interviews donors and performs medical history reviews to obtain necessary information to determine suitability to... ...technician For NY: current state licensure or certification as an RN, MD or DO in the state you are applying for work or in a reciprocal...Local area
- ...examination, educating donor on donor testing, HIV/AIDS virus, donation risks, informed consent, confidential self-exclusion, and reviewing Serological Protein Electrophoresis (SPE) testing as necessary Provide counseling to Donors regarding unacceptable test results Initiate...All shifts
$2,178 per week
...HealthTrust Workforce Solutions HCA is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Tallahassee... ...Travel ED - Emergency Department Salary information and unbiased reviews from leading Travel Nurse Agencies across the United States,...Shift workNight shiftAfternoon shift- ...would be a wonderful addition to our PAMily! Please take a moment to review the job opportunity. We look forward to meeting you soon! Under... ...from acute or chronic kidney failure as ordered by physicians. RN License in the state you are applying Current BLS certification...Full timeCurrently hiring
- ...Career Opportunities: LPN/LVN or RN (5009) KEDPLASMA is a subsidiary of Kedrion Biopharma Inc. KEDPLASMA specializes in the collection... ...donor eligibility for plasmapheresis and immunization programs. Review donor health history and lab results to determine suitability, consulting...Work at officeLocal area
$31.85 - $52.76 per hour
...these requirements. Licenses and Certifications: Registered Nurse (RN) [Required] Basic Life Support - CPR Cert (BLS) [Required]... ...including fingerprinting, as required by state law. Applicants may review general information about Florida’s background screening requirements...Full timeWork experience placementWork at officeLocal areaShift workNight shift$33.08 - $58.04 per hour
...Neonatal Resuscitation Program (NRP). [Required] Registered Nurse (RN). [Preferred] Pediatric Advanced Life Support Cert (PALS). [... ...including fingerprinting, as required by state law. Applicants may review general information about Florida’s background screening requirements...Full timeWork experience placementWork at officeLocal areaImmediate startShift work$31.53 - $52.24 per hour
...positions are subject to Florida Level 2 background screening, including fingerprinting, as required by state law. Applicants may review general information about Florida’s background screening requirements at the Florida Care Provider Background Screening Clearinghouse...Full timeLocal areaRelocationRelocation packageShift work
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