Search Results: 100,193 vacancies

 ...Registered Nurse RN - Utilization Review Details * Department: Utilization Mgt * Schedule: M-F 8 hr days, ONSITE, exempt * Hospital: Ascension...  .... Credentialed from State Board of Nursing or current home state license for multi-state license recognition "Compact... 
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Sacred Heart Hospital

Pensacola, FL
3 days ago
 ...UR Nurse Registered Nurse A Case Manager facilities a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual's and family's comprehensive health needs through communication... 
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The Tampa General Hospital

Brooksville, Hernando County, FL
4 days ago
 ...Job Description Job Description Hiring full-time Utilization Review Specialists that are experienced in SA, MH and Eating disorder UR. The...  ...offered. Must be familiar and functional with google and multiple EMRs and able to work on your own and with a team.... 
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Full time

Goat Solutions Llc

Davie, FL
16 days ago
 ...Description Position Purpose : Works in partnership with physicians, nurse case managers, and other disciplines...  ...the corresponding level of care utilizing evidence-based criteria. Responsibilities...  ...Planning, and Case Management. Reviews the appropriateness of Severity... 
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DOCTORS HEALTHCARE PLANS, INC.

Miami, FL
2 days ago
 ...Description Job Description The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems...  ...May provide oversight to the work of the team members. Continuously...  ...sitting and computer work. WORK FROM HOME TECHNICAL REQUIREMENTS: Supply and... 
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Dane Street, LLC

West Palm Beach, FL
6 days ago
About the job Utilization Review Specialist About Us Congress Billing is a sophisticated...  ...and provide a positive and fulfilling work environment. Requirements To be...  ...university in social work, mental health, nursing, or related degree Required.... 
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Full time
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Staffosaurus

Delray Beach, FL
23 hours ago
 ...Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Port Charlotte, Florida. Job Description...  ...At Medical Solutions, you’ll find a great place to work and a career home. We’ve received Best Places to Work awards, landed... 
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Medical Solutions

Port Charlotte, FL
3 days ago
 ...seeking an experienced Director of Utilization Management. Wekiva offers:...  ...care organization, external reviewers, and other payers....  ...planning assigning, and directing work; appraising performance; rewarding...  .... Must be a Registered Nurse, and/or have a Bachelor’s... 
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UHS

Jacksonville, FL
23 hours ago
 ...THE STATE OF FLORIDA, AND THE WORK SCHEDULE IS MONDAY-FRIDAY, 8...  ...SUPPORTING BEHAVIORAL HEALTH UTILIZATION MANAGEMENT FOR MEDICAID. **...  ...Purpose:** Performs a clinical review and assesses care related to...  ...of an Accredited School Nursing or Bachelor's degree and 2 4... 
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Centene Corporation

Tallahassee, FL
3 days ago
 ...It's inspiring to work with a company where people truly BELIEVE...  ...: Bachelor's degree in Nursing or related field, or an equivalent...  ..., concurrent and focused reviews applying approved criteria....  ...current health status, resource utilization, past and present treatment plan... 
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CareNu

Orlando, FL
23 hours ago
 ...responsibility of this position is to implement the organization’s Utilization Review(UR) process to ensure appropriate usage of available...  ...procedures (incident reporting) # Exemplary Customer Service # Work with a diverse population of clients/staff Desired... 
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Day shift

Arista Recovery

Miami, FL
19 days ago
 ...how to apply for a faculty or staff position using the Career worklet, please review this tip sheet. The University of Miami is currently seeking Utilization Review Case Manager to work at Sylvester Support Service Building in Miami. The incumbent conducts initial,... 
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The University of Miami

Miami, FL
3 days ago
 ...fax numbers to send clinical reviews; b) Follow up on each account...  ...staff, Insurance companies and Home Health Agency representatives...  ...Associates or bachelor's degree; Nursing background Experience...  ...skills of 35 wpm Demonstrated working knowledge of software/system/equipment... 
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Tenet Health

Delray Beach, FL
4 days ago
 ...Halifax Health is seeking a Utilization Review (UR) Case Manager for the Child...  ...needs are key, as the nurse must integrate clinical knowledge...  ...The utilization review nurse works with the multidisciplinary team...  ...pediatric medical practices, a home health care agency and an... 
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Flexible hours

Halifax Health

Daytona Beach, FL
23 hours ago
Join our team as a Utilization Management Nurse Reviewer, where you'll play a pivotal role in healthcare delivery...  ...to meet evolving requirements. Working Conditions/Physical Demands: May...  ...sitting and computer work. Work from Home Technical Requirements: Own... 
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Full time
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Get It Recruit - Healthcare

West Palm Beach, FL
8 hours agonew
 ...BayMark Health Services Residential - Utilization Review Coordinator Role and...  ...representatives or billing company when admission nursing assessment is complete. Occasionally...  ...Bereavement Leave ~ Sick Time is based off of home location ~ Employee Referral Program... 
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BayMark Health Services

Deerfield Beach, FL
3 days ago
 ...Job Description Job Description The Utilization Review Specialist proactively monitors and assesses clinical documentation and medical records to ensure that medical necessity criteria are met for each level of care. The UR Specialist coordinates with the medical... 
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Aftermath Billing

Port Saint Lucie, FL
9 days ago
 ...in the fields of psychiatry, medicine, nursing, social services, education and activity...  ...following available position: PRN Utilization Review Coordinator This position is responsible...  ...written) skills are essential. Able to work independently and collegially with all... 
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Shift Day

Jacksonville, FL
21 days ago
Role: Utilization Management Nurse Location: Remote/ Work from Home Term: Contract Ideal candidates will have a few years of Major payor experience, experience working...  ...consultants and employees. We invite you to review the position requirements and apply today if your... 
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ReqRoute,Inc

Tampa, FL
4 days ago
 ...on all patients presenting for admission/observation, while utilizing nursing skills for clinical appropriateness, and communicates in a timely...  ...: - Require a minimum of two (2) years of experience working in a medical/hospital environment. Preferred Qualifications... 
Permanent employment
Flexible hours

Sarasota Memorial Health Care System

Sarasota, FL
10 days ago