RN Utilization Review Specialist
baptisthlth
baptisthlth is seeking an experienced Registered Nurse in Miami to join our team. The role requires strong clinical skills, excellent communication, and the ability to manage multiple tasks in a high-volume setting. Minimum 3 years of nursing experience is preferred; BSN may be required within 3 years for non-leadership RN roles. Licensure as an RN and MCG Care Guidelines Specialist certification are essential, with ISC/HRC certification due within 12 months of entry. #J-18808-Ljbffr
- ...admissions and appropriateness of continued stay utilizing the Interqual Criteria guidelines.... ...utilization of resources of all patients reviewed. Working with clients, family and friend... ...Licenses/Certifications Current Florida RN Licensure BLS Certification. Must...SuggestedFull timeWork experience placementDay shift
- ...Licenses & Certifications: MCG Care Guidelines Specialist. Registered Nurse. Additional... ...continue their non-leadership role as an RN. however, they are required to complete the... ...and the ability to perform clinical/chart review abstract information efficiently. Strong...SuggestedLocal area
$26.41 - $61.79 per hour
...Provides support for clinical member services review assessment processes. Responsible for... ...the Molina care model. Adheres to utilization management (UM) policies and procedures.... ...education and experience. Registered Nurse (RN) with an active and unrestricted license...SuggestedHourly payWork experience placementWork at office- ...values budget line). Oversee recurring project payments (leases, utilities, and services) Reconciling monthly statements Manage and... ...pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor....SuggestedFor subcontractorFlexible hours
- ...Description: Position Summary: The Legal Practice Specialist is an integral member of McDermott’s... ...hand‑outs and catering requests Input, review, edit, and update attorney time entries... ...compliance with current Firm policies utilizing the Firm’s Document Management System...SuggestedWork experience placementWork at officeLocal area
- ...increases, rent reasonableness, HAP contracts, portability, informal review and hearing preparation, and terminations. DUTIES AND... ...for regular HCV and special program participation and assists in utilizing all regular and special program vouchers within scheduled timeframes...Interim roleImmediate start
$29.1 - $62.32 per hour
...Utilization Management Nurse Consultant Clinical Precertification RN (Medicare Home Care) We're building a world of health around every individual - shaping a more... ...Florida Medicare members. What You'll Do Review clinical cases and make coverage determinations...Hourly payFull timeTemporary workWork at officeLocal areaRemote workMonday to FridayAfternoon shiftWeekday work$21.76 - $45.96 per hour
...C.H. Robinson is looking for a Customs Specialist who will play a critical role in protecting... ...teamwork and autonomy. Responsibilities Review and validate customs entry data to... ...customer service skills and follow up to be utilized with customers and the network Proven track...Hourly payFull timeContract workTemporary workWork at officeLocal areaRemote workWorldwideFlexible hours2 days per week3 days per week$21 - $23 per hour
Infusion Prior Authorization Specialist - Remote Position - Full Time Position Summary We’re looking for an EXPERIENCED U.S. based... ...healthcare preferred. Experience in prior authorization, utilization review, insurance verification, and EMR systems. [ preferred] Work...Hourly payFull timeRemote workShift work- ...The Role Supports Clinical Manager to ensure data integrity during study set up and data collection Timely reviews source data collected for data integrity and compliance with Good Documentation Practices and relevant SOPs Reconciles source data collected on paper with...Work at office
$55k - $65k
...time per customer's request. Coordinate full-cycle of ocean import shipments from origin country to final destinations Prepare and review import documentation for Import customs clearance Ensure compliance with U.S. Customs and Border Protection (CBP), FMC, and other regulatory...Temporary workLocal areaWorldwideOverseasFlexible hours- ...Responsible for the planning and delivery of care utilizing nursing processes, assessment,... ...Communicates with patients and families to review plan of care and solicits input and communicate... ...Qualifications Minimum Job Requirements RN - Registered Nurse RN Licensure within...Full timeShift workNight shift
$90k - $112k
...Description Overview AtkinsRéalis is seeking a Senior Public Information Specialist to join our Public Outreach Group in Miami, FL. In this role... ..., employee assistance program, and voluntary benefits. You can review our comprehensive benefits page here. About AtkinsRéalis We're...Contract workTemporary workWork at officeFlexible hours- ...Position Purpose: The Asset Protection Specialist is primarily responsible for preventing... ...assigned store/multiple stores. They utilize tools to minimize loss to the Company, including... ...incidents of theft and fraud, reviewing CCTV and exception reports, monitoring the...Local area
- ...Position Summary The Employment Specialist / Job Coach provides individualized employment services to individuals with disabilities referred... ..., transportation, availability, barriers, and support needs. Review the participant's Individualized Plan for Employment (IPE) and...Flexible hours
$69k - $91k
...We're growing, and we're currently looking for a Production Specialist to join us. About the role As a Production Specialist at... ...role presenting your ideas, driving projects to completion, and reviewing outcomes. The Benefits ~ Competitive salary with generous...Remote workFlexible hours$15 - $19 per hour
...procedures. • Maintains photo equipment and utilizes store systems and technology to support... ...continuity during times when the Photo Specialist is not scheduled. • Follows company... ...role will remain open until filled. To review benefits, please click here jobs.walgreens...Hourly payWork experience placementSeasonal workFlexible hoursAfternoon shift- ...The Fraud Prevention Specialist, as part of the 2nd line of defense, is responsible for the completion of the Fraud Monitoring and Investigation... .... Determine if a case requires escalation for compliance review and/or legal review. Ensure internal communications and case...Full timeWork experience placement
- ...Senior Docket Specialist Hinshaw & Culbertson LLP is a national law firm with over 500 attorneys across the United States. Founded in 19... ...federal, state, appellate, and bankruptcy rules, with the ability to review and interpret said rules. Experience with electronic filings in...Work at officeFlexible hours
- ...Responsible for the planning and delivery of care utilizing nursing processes: assessment,... ...Communicates with patients and families to review plan of care and solicits input and communicates... ...Job Requirements Registered Nurse RN Licensure within the State of Florida or...Daily paidShift workNight shift
$33 - $39 per hour
...Primary Function The Registered Nurse, RN, is a member of the interdisciplinary team... ...Registered Nurse, RN, appropriately identifies/utilizes resources, referrals such as PT, OT, Home... ...personally and per Team Manager reviews Registered Nurse, RN, responsible for attending...Shift workNight shiftRotating shiftWeekend workAfternoon shift- ...Payroll Processing Process weekly payroll accurately and on time. Review payroll data for accuracy, including hours worked, earnings,... .... Process off-cycle payrolls as needed. Workday Administration Utilize Workday Payroll and Workday HCM to process payroll transactions...Local area
- ...To learn how to apply for a faculty or staff position, please review this tip sheet. The University of Miami UHealth - department... ...Patient Access has an exciting opportunity for a Patient Access Specialist. Core Job Summary: The Patient Access Specialist (On-...Full timeTemporary workWorldwide
- ...Join to apply for the Asset Protection Specialist role at The Home Depot . Position Purpose: The Asset Protection Specialist is... ...Responsibilities include identifying theft and fraud incidents, reviewing CCTV and exception reports, monitoring physical security,...Full time
$75k - $90k
...are celebrated together. We are seeking an experienced Proposal Specialist with a proven track record supporting Architecture,... ...of response. ESSENTIAL FUNCTIONS and RESPONSIBILITIES ~ Reviews and vets RFP & RFQ opportunities in collaboration with regional...Full timeWork at officeLocal areaRemote workFlexible hours- ...Specialist, Human Resources Journeywith us! Combine your career goals and sense of adventure by joining our exciting team of employees... ...for these changes. Prepares materials for pulse survey, talent reviews and year-end appraisal processes. Acts as a cultural change agent...Full timeShift work
- ...Asset Protection Specialist | Home DepotPosition Purpose:The Asset Protection Specialist is... ...their assigned store/multiple stores. They utilize tools to minimize loss to the Company,... ...incidents of theft and fraud, reviewing CCTV and exception reports, monitoring the...
- ...following a project from start to finish. As Senior Valuation Specialist, you will be responsible for applying a proven understanding of... ...personal & telephone interviews with Brokers and Property Managers. Review industry surveys and benchmarks, economic and demographic...Full timeWork experience placementWork at officeLocal areaVisa sponsorshipWork visa
- ...home improvement retailer in Miami is seeking an Asset Protection Specialist responsible for preventing financial loss due to theft and fraud. This role includes monitoring physical security, reviewing CCTV, preparing case reports, and interacting with law enforcement....
- ...transportationMust have familiarity with Miami-Dade County.CPR Certification, First Aid Certification and an annual Tuberculosis test.Ability utilize Microsoft Office Software SuiteAbility to provide an Affidavit of Good Moral CharacterClearance in Pre-Employment Drug Testing and...Work at officeLocal areaImmediate start
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