Direct-Hire RN Case Manager - Utilization Review (Miami)
AppleOne Employment Services
AppleOne Employment Services seeks an experienced RN Case Management professional for a direct hire opportunity in Miami, FL within the insurance industry. This role is ideal for a Florida-licensed Registered Nurse who enjoys clinical review, utilization management, patient and provider communication, and careful interpretation of medical guidelines and policy terms. The successful candidate will conduct pre-certification reviews, assess cases per MCG guidelines, and maintain clear documentation #J-18808-Ljbffr AppleOne Employment Services
- ...employee at the University of Miami, please click here to log... ...Career worklet, please review this tip sheet. Case Manager RN The UHealth System at... ...and performs duties as directed and under the supervision... ...care to assure appropriate utilization of resources while...SuggestedFull timeTemporary workWork at officeRemote workWorldwide
- ...Temporary employee at the University of Miami, please click here to log in to... ...a faculty or staff position, please review this tip sheet . The University... ...exciting opportunity for a full time Utilization Review Case Manager to work to work remote. The incumbent...SuggestedFull timeTemporary workWork experience placementRemote workWorldwide
$24 - $43 per hour
...Field based travel in Miami-Dade and Monroe Counties... ...individualized by patient and directed toward the most... ...supportive services Manage the care plan throughout... ...relevant social service or case management experience... ...transportation, utility assistance, housing/rapid...SuggestedHourly payMinimum wageFull timeWork experience placementLocal areaRemote workMonday to FridayFlexible hours- ...Case Manager (PRN)Critical Illness Recovery HospitalRequires a current... ...Manager is responsible for utilization reviews and resource management, discharge... .... You will report directly to the Director of Case Management... ...either as a Nurse (RN /LPN/ LVN) or a Respiratory...SuggestedReliefShift workWeekday work
- University of Miami is seeking an Oncology Prior Authorization Case Manager, Non-RN, to work remotely with a focus on efficient utilization review and patient care coordination. The role involves chart reviews, payer policy application, and seamless communication with...SuggestedRemote job
$47 per hour
...Registered Nurse Utilization Review, Case Management The purpose of this position is to... ...Additional Qualifications: RNs hired prior to 2/2012 (10/1/2017... ...non-leadership role as an RN; however, required to... ...Management/Home Health Miami West Kendall Baptist Hospital...Daily paidLocal areaShift workWeekend work$26.41 - $61.79 per hour
Uloop Inc. is looking for a Clinical Reviewer in Miami, Florida, to provide support for clinical member services review assessment processes. Responsibilities include assessing services, analyzing clinical requests, and ensuring compliance with guidelines. The ideal candidate...Hourly pay- ...Case Manager The University of Miami's College of Arts and Sciences has an exciting opportunity... ...client and family direct assistance and support;... ...progress through interviews and review of patient records.... ...client/family access and utilization of related services and supports...Full timeWork experience placementLocal areaWork from homeNight shift
- ...at the University of Miami, please click here to... ...staff position, please review this tip sheet. The... ...opportunity for a full time Case Manager to work in Coral... ...individual client and family direct assistance and support... .../family access and utilization of related services...Full timeTemporary workWork experience placementLocal areaWork from homeNight shift
- ...every role contributes directly to life-changing... .... Headquartered in Miami Lakes, with offices in... ...Overview The Intake Case Manager plays a critical role... ...escalation, attorney review, demand preparation, or... ...event the candidate is hired by The Ward Law Group...Full timeTemporary workWork at officeImmediate startMonday to Friday
- ...Memorial Hospital - In-Patient Case Management Address : 1611 NW 12th Ave, Miami, Florida, 33136 Shift... ...Case Manager RN is a professional member... ...nursing practice standards utilizing the nursing process, current... ...is required. Employees hired prior to June 1, 2022...Full timeShift work
- Uloop Inc. is seeking a Utilization Management professional to review medical necessity for home care and elective services, ensuring alignment with plan... ...have 2+ years in pre-authorization, utilization review, case management, and discharge planning, with strong...
- ...Case Manager RN Jackson North Medical Center Department: Case Management... ...: 160 NW 170th Street, North Miami Beach, Florida, 33169 Shift... ...nursing practice standards utilizing the nursing process, current... ...is required. Employees hired prior to June 1, 2022 are grandfathered...Daily paidWork at officeShift workWeekend work
- Healthcare Consultant I /Case Manager job at US Tech Solutions. Miami, FL. Case Management Coordinator The Case Management... ...coordination Conduct medication reviews Provide condition management... ...-assisted tools may be used during hiring. US Tech Solutions #J-18808-Ljbffr...Work at office
$2,572 per week
...Registered Nurse (RN) | Cardiac Catheterization... ...Lab Location: Miami, FL Agency:... ...30 pm or until all cases are completed o... ...major Holidays Typical Hiring Profile Must have:... ...candidates. Prime Staffing utilizes a unique... ...temp-to-perm, and direct hire placements. Our...Permanent employmentFull timeContract workTemporary workFlexible hoursShift workNight shiftWeekend workDay shift$2,120 per week
...Registered Nurse (RN) | Operating Room Location: Miami, FL Agency: Magnet Medical... ...surgical team, providing direct patient care before, during... ...Verify surgical consent, review medications, and prepare patients... ..., apply dressings, and manage drainage devices while ensuring...Full timeContract workImmediate startShift work- ...employee at the University of Miami, please click here to... ...staff position, please review this tip sheet .... ...competent manner utilizing evidence-based standards... ...healthcare environment, and a direct patient care role.... ...and physician orders. Manages refills and referrals...Full timeTemporary workWorldwide
$2,120 per week
...Registered Nurse (RN) | Operating Room Location: Miami, FL Agency: Magnet Medical... ...surgical team, providing direct patient care before, during... ...Verify surgical consent, review medications, and prepare patients... ..., apply dressings, and manage drainage devices while ensuring...Full timeContract workImmediate startFlexible hoursShift work- Baptist Health in Miami is seeking a Direct Patient Care Registered Nurse (DPC RN) to deliver patient-centered care utilizing evidence-based practices. This role requires strong assessment, technical, and interpersonal skills, as well as the ability to demonstrate leadership...
- ...Registered Nurse (RN) | Operating Room Location: Miami, FL Agency: Concentric Healthcare Staffing... ...coordinators within a 29-bed OR unit Utilize EMR system (Meditech) for accurate... ...of the temporary, temp-to-hire, and direct placement services of our fully screened...Weekly payFull timeContract workTemporary workImmediate startShift work
$75k - $85k
...Miami Family Law Group is a fast moving, technology forward legal... ...a driven, detail obsessed Case Manager who keeps cases moving, catches... ...management and production team reviews Flag at risk cases and... ...independently and does not need constant direction You Will Stand Out If...Temporary workWork at officeFlexible hours- ...the University of Miami, please click here... ...staff position, please review this tip sheet ( . The Case Manager Manager acts as a... ...through effective utilization of available resources... ...State of Florida RN license required... ...correspondence; provide clear direction to others; manage...Full timeTemporary workWork experience placementLocal areaWorldwideWeekend work
$50 - $60 per hour
...Registered Nurse (RN) | Long-Term Care Location: Miami, FL Agency: 22nd Century Healthcare, Inc. Pay: $50 to $60 per hour Shift Information... ...health care workers. RNs provide a high level of direct care to patients. Education: Graduate of a school...Hourly payFull timeImmediate startShift work$50 - $60 per hour
...Registered Nurse (RN) | Long-Term Care Location: Miami, FL Agency: 22nd Century Healthcare, Inc. Pay: $50 to $60 per hour Shift Information... ...health care workers. RNs provide a high level of direct care to patients. Education: Graduate of a school...Hourly payFull timeImmediate startShift work- ...the University of Miami, please click here... ...position, please review this tip sheet .... ...purposeful, goal-directed fashion. Works... ...effectiveness of resource utilization. Anticipates,... ...within the care-managed patient populations... ...Core_Utilization Case Manager - SCT -...Full timeTemporary workWorldwide
- ...looking for a talented SNAP® Case Manager who wants to make an impact... ...Case Manager will be working directly with youth ages 12-17 who are... ...weekly group delivery; Utilize a strength-based perspective... ...further information, please review the Know Your Rights notice from...Work at officeLocal areaRemote workAfternoon shift
- Sedgwick is seeking a Field Case Manager in Miami, FL to work directly with injured workers and medical providers. The role involves advocating for patients... ...timely return-to-work initiatives. Candidates must be RN licensed with a minimum of 1.5 years of workers compensation...Flexible hours
$60k - $73k
...Our Pre-Litigation Operations team drives case progress from intake to resolution with... ...stages. This includes initiating claims, managing and organizing medical records, obtaining... ...who take pride in meticulous casework that directly impacts client outcomes. This is a...Full timeTemporary workLocal areaRemote workHome officeFlexible hours- Telephonic Nurse Case Manager Lead Sign on Bonus:... ...with development of utilization/care management... ...corrective action plans at direction of the manager.... ..., unrestricted RN license in... ...primarily virtual by the hiring manager,... ...Florida law should review the education and...Full timeTemporary workWork at officeLocal areaRelocation packageMonday to Friday1 day per week
- ...Level II Registered Nurse (RN) - OR - Operating Room - University of Miami, Miami, FL. University... ...competent manner utilizing evidence‑based standards... ...and physician orders. Reviews, evaluates, and reports... ...healthcare environment, and a direct patient care role. Adheres...Shift work
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