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 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 By clicking the link above or any third-party link within this posting, you are leaving this site and going to a third-party website where the third-party website's terms and privacy policy apply #J-18808-Ljbffr
- ...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
- ...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...SuggestedWork at officeMonday to Friday
$71.2k - $115.7k
...This position serves as Florida Blue Medicare's clinical expert in working with providers,... ...Job duties include but are not limited to: Review and resolve complex processing issues and... ...case management, home health and clinical RN - Registered Nurse - State Licensure and/or...SuggestedTemporary workPart timeWork experience placementInternshipSeasonal workWork at office- 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
- ...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$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...Temporary workPart timeWork experience placementInternshipSeasonal workWork at office- ...Mount Sinai takes pride in being South Florida's largest private independent not-for... ...REQUIRED (REMOTE) Experienced Inpatient Coding Specialist responsible for accurately coding and... ...PCS with a minimum 95% accuracy rate. Reviews clinical documentation, assigns codes...Hourly payWork experience placementRemote work
$48.96k
...Operations Review SpecialistThis is highly responsible administrative and consulting work... ...works across the state to support Florida's economy, robust and talented workforce... ...Difference You Will Make: The Operations Review Specialist helps to protect the integrity of the...Contract workWork at officeLocal areaFlexible hours- ...Inpatient Coding Specialist – Remote (Must Reside FL) We are seeking a detail-oriented and experienced Inpatient Coding Specialist to join our... ...Coding Specialist, you will be responsible for accurately reviewing and coding inpatient medical records using ICD-10-CM, ICD-...Remote workShift work
- ...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
$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- ...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
- 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
- ...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
- 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
- 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
- The City of Hollywood, Florida is hiring for an Administrative position within the Department of Public Utilities to manage the building permit application process and related utilities reviews. You will assist the public and business community, ensuring compliance with...
- ...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
- 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
- ...Cape Canaveral Hospital Position Summary The CV Invasive Specialist Registered Nurse (RN) delivers direct and indirect patient care in compliance... ...Licensure: Registered Nurse (RN) licensure in the State of Florida or endorsement. Certification: American Heart Association...Full timeWork experience placementRelocation packageShift work
- 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...
$36 - $39 per hour
...Responsibilities We are actively hiring for an Registered Nurse (RN) PreOp PACU. Promote the mission, vision, and values of SCA . Assess... ...with other disciplines as needed. Participate in quality review and performance improvement projects. Participate in the performance...Live outLocal areaImmediate start- ...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...
- ...Hearing Aid Dispensers/Specialists Sounds for Seniors, doing business as eMerge, is seeking compassionate and dependable Hearing Aid Dispensers/Specialists to meet growing demand throughout Florida, including: Panhandle Tampa Fort Myers Ideal candidates...
- 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,...
- ...The University of Miami seeks a Clinical Documentation Specialist I to perform concurrent and retrospective reviews of inpatient records, ensuring accurate documentation of severity of illness and quality of care. You will collaborate with physicians, HIM professionals...
$75k
...Small Animal Internist - Southwest Florida Veterinary Specialists At PetVet Care Centers, our mission is to improve the lives of animals and people — providing exceptional and compassionate care at every stage — for all the moments that matter. Position Overview We are...InternshipLocal areaRelocation
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