Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Nurse (Health Care)

$73.86k - $96.02k

Baptist Health Bethesda Hospital

Baptist Health Bethesda Hospital is looking for a Registered Nurse to conduct clinical financial resource utilization reviews. In this role, you will coordinate with healthcare teams to decrease length of stay and avoid denied days while managing a designated patient caseload.
Applicants must have an Associates degree in Nursing and required RN certifications. Strong analytical and communication skills are essential. Competitive salary range is $73,860.80 - $96,019.04 based on experience.

#J-18808-Ljbffr Baptist Health Bethesda Hospital

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Nurse (Health Care) in Florida, NY vacancy
  • $73.86k - $96.02k

     ...reflect our commitment to caring for our people, so they...  ...concurrent, retrospective chart review for clinical financial resource utilization. Coordinates with...  ...decrease avoidable delays, denial of reimbursement. Specific...  ...-leadership role as an RN. However, they are required... 
    Suggested
    Local area

    Baptist Health Bethesda Hospital

    Florida, NY
    2 days ago
  • $68.13k - $119.52k

     ...stay medical necessity reviews. Maintain thorough...  ...concurrent and pre-bill denials to prevent loss of reimbursement....  ...the multidisciplinary care team regarding patient...  ...for in-house patients, utilizing daily commercial...  ...Certifications: Registered Nurse (RN) [Required] Basic... 
    Suggested
    Full time
    Work experience placement
    Local area
    Shift work

    Direct Jobs

    Florida, NY
    2 days ago
  • Itlearn360 is seeking a dedicated Utilization Management professional based...  ...licensure as either an LPN or RN and a minimum of 2 years of...  ...Management. Responsibilities include reviewing patient clinical information,...  ...focused on teamwork and patient care. #J-18808-Ljbffr Itlearn360
    Suggested
    Full time

    Itlearn360

    Florida, NY
    3 days ago
  • $26.41 - $51.49 per hour

     ...California, MO is seeking a Clinical Member Services Reviewer. The role includes assessing clinical service...  ...delivery. The ideal candidate has an active RN license and at least 2 years of experience in hospital or managed care settings. Competitive pay is offered, ranging... 
    Suggested
    Hourly pay

    Molina Healthcare

    Florida, NY
    3 days ago
  • TurningPoint Healthcare Solutions is seeking a Utilization Review Nurse to join their team in a fully...  ...Practitioner (LPN) or Registered Nurse (RN) with strong critical thinking skills...  ...quality improvement, and resolving patient care issues with providers. Candidates should... 
    Suggested
    Remote job

    Alumni Ventures

    Florida, NY
    2 days ago
  •  ...healthcare services company is seeking a Clinical Care Reviewer based in Doral, FL. The role requires a current FL RN licensure and a minimum of 3 years of nursing...  ...or ICU. Candidates should have experience with Utilization Review, familiarity with Interqual Criterion,... 

    Fabergent

    Florida, NY
    3 days ago
  • $80k - $90k

     ...Responsibilities*** Performs clinical reviews on medical records to...  ...-time intervention, preventing an accumulation of...  ....* Experience with utilization management systems or...  ...tools such as Millimen Care Guidelines (MCG) or InterQual...  ...** Active unrestricted RN license #J-18808-Ljbffr... 
    Remote work
    Flexible hours

    Performant Corp

    Florida, NY
    1 day ago
  • $26.41 - $51.49 per hour

     ...for clinical member services review assessment processes. Responsible...  ...integrated delivery of care across the continuum. Contributes...  ...Molina care model. Adheres to utilization management (UM) policies and procedures...  ...experience. Registered Nurse (RN). License must be active and... 
    Hourly pay
    Work experience placement
    Work at office
    Remote work

    Molina Healthcare

    Florida, NY
    3 days ago
  •  ...staffing firm is seeking a Registered Nurse for Concurrent Review in Florida. The role involves telephonic review of...  ...to ensure appropriate medical necessity and care levels. Candidates must have an active RN license in Florida and 2+ years of clinical experience... 
    Full time
    Work at office
    Monday to Friday

    Healthcare Support Staffing

    Florida, NY
    4 days ago
  • $29.1 - $62.32 per hour

     ...Aetna Resources, LLC is seeking a Utilization Management Nurse Consultant Clinical Precertification RN (Medicare) to support healthcare quality and care coordination. This full-time remote...  ...experience, with responsibilities including reviewing clinical cases and collaborating on... 
    Remote job
    Hourly pay
    Full time

    4062 Aetna Resources, LLC

    Florida, NY
    4 days ago
  • $25k

    Become a part of our caring community. The Clinical Care Nurse (RN) is a clinic-based nursing...  ...TOC), reduce avoidable ED utilization, and drive Medicare...  ...and avoidable readmission prevention for discharged inpatient...  ...adherence. Identify and elevate barriers, collaborating... 
    Temporary work
    Apprenticeship
    Work at office
    Monday to Friday

    Conviva Senior Primary Care

    Florida, NY
    21 hours ago
  •  ...providing the highest quality in‑home care services that improve and...  ...Will You Be Doing Concurrent review of patient’s clinical...  ...Provide updates to Manager of Utilization Management for review What Will...  ...State licensure as a LPN or RN Minimum 2 years of prior experience... 
    Full time
    Temporary work

    Itlearn360

    Florida, NY
    1 day ago
  • $71.1k - $97.8k

     ...Job Summary The Utilization Management Nurse 2 uses clinical nursing skills...  ...parties to facilitate optimal care.• Make decisions regarding...  ...Qualifications Licensed Registered Nurse (RN) with at least 3 years of...  ...in utilization management/review or prior authorizations.... 
    Local area
    Remote work
    Monday to Friday
    Shift work
    Weekday work

    Humana

    Florida, NY
    3 days ago
  • Broughton Group is looking for a motivated Utilization Review Nurse to join their team in New York, supporting national health plans. The role involves performing clinical reviews to determine medical necessity, working independently, and meeting deadlines. The ideal candidate... 

    Broughton Group

    Florida, NY
    4 days ago
  • $31.53 - $52.24 per hour

     ...community resource needs. Reviews patient history,...  ...physician. Implements care plans through direct patient...  ...skilled nursing care, preventative rehabilitative...  ...and best practice visit utilization. Other duties as assigned...  ...Registered Nurse (RN) [Required] Driver's License... 
    Full time
    Work experience placement
    Local area
    Shift work

    Home Health Altamonte Springs FL

    Florida, NY
    11 hours ago
  •  ...Healthcare Solutions is hiring a Supervisor, Clinical Review Nurse in New York. This full-time role involves overseeing Utilization Management activities and leading a clinical team. Candidates should possess an active RN license, a minimum of five years of clinical... 
    Full time

    TurningPoint Healthcare Solutions

    Florida, NY
    4 days ago
  • UF Health in New York, Town of Florida, is seeking a qualified Registered Nurse to provide outstanding patient care. The role involves utilizing the nursing process to assess and implement care plans for patients under the direction of the unit director. Candidates must... 

    UF Health

    Florida, NY
    4 days ago
  • Wound Care Registered Nurse (RN) - $5,000 Sign on Bonus Valencia Hills Health and Rehabilitation Center...  ...operation of the facility Infection Prevention/Control Program and supports...  ..., genitourinary, and dermal systems. Utilizes current wound management theory when... 
    Daily paid
    Relocation package
    Shift work
    Night shift
    Weekend work

    Valenciahillshr

    Florida, NY
    1 day ago
  • Gulf Shore Care Center is looking for a Wound Care Nurse in the Town of Florida, NY. The...  .... Candidates should have a current RN or LPN License in Florida and wound care...  ...certification or experience. Understanding infection prevention protocols is essential. This position... 
    Weekend work

    Gulf Shore Care Center

    Florida, NY
    21 hours ago
  • $40 per hour

     ...Nurse Reviewer PT (20‐30 hours week) – Remote Work Environment Non‐Exempt...  ...and regulations. The RN will work closely with the Team...  ...with established standards of care and applicable policies Manage...  ...claims against industry standards, utilizing research of relevant ICD‐10,... 
    Contract work
    Work at office
    Local area
    Immediate start
    Remote work

    Healthcare Quality Strategies

    Florida, NY
    4 days ago
  • * Active RN license* CPR certification* Clinical...  ...love for patient-centered care, especially in a home...  ...Initiates appropriate preventive and rehabilitative nursing...  ...and procedures utilizing community resources as...  ...clinical record/utilization review of medical records and... 
    Weekly pay
    Daily paid
    Immediate start
    Flexible hours
    Night shift
    Weekend work
    Weekday work

    Team Select Home Care

    Florida, NY
    21 hours ago
  • $36.89 - $61.49 per hour

     ...of your career. Option Care Health, Inc. is the...  ...work compassionately to elevate standards of care for patients...  ...and educates on prevention of line infection and routine...  ..., performance reviews, discipline, etc.) No...  ...Active and unrestricted RN license in the state of... 
    Part time
    Local area
    Flexible hours

    Option Care Health

    Florida, NY
    3 days ago
  • Job Description - RN- NICU, Coral Springs (Full Time...  ...professional nursing care in accordance with...  ...bathing, and repositioning. Reviews patient admission...  ...hospital policies, conducts prevention rounding, & follows up...  ...and interpret data and utilize the information to make... 
    Full time
    Flexible hours
    Shift work
    Night shift

    Miami Children’s Hospital

    Florida, NY
    21 hours ago
  • A caring home healthcare agency is seeking an experienced Registered Nurse (RN) to join their team in Florida. The RN will be pivotal in conducting in-home assessments and...  ...both office and fieldwork, contributing to elevated quality of life for seniors. This position offers... 
    Full time
    Part time
    Work at office
    Flexible hours

    Comfort Keepers group

    Florida, NY
    2 days ago
  •  ...renders professional nursing care in accordance with...  ..., and repositioning. Reviews patient admission history...  ...policies, conducts prevention rounding, & follows up...  ...school (AD in Nursing, RN Diploma, or BSN); or if...  ...and interpret data and utilize the information to make... 
    Daily paid
    Flexible hours
    Shift work
    Night shift

    Miami Children’s Hospital

    Florida, NY
    1 day ago
  •  ...Responsibilities of Registered Nurse Concurrent Review; Telephonically review inpatient admissions to assure appropriate level of care and medical necessity Review admissions...  ...Registered Nurse Concurrent Review; Current, active RN in the state of Florida 2+ years of... 
    Work at office
    Monday to Friday

    Healthcare Support Staffing

    Florida, NY
    3 days ago
  • $71.1k - $97.8k

    A leading health insurance company is seeking a Utilization Management Registered Nurse to utilize clinical nursing...  ...position requires clinical experience and a Compact RN license. Responsibilities include making care determinations, excellent communication with providers... 
    Remote job

    Humana

    Florida, NY
    21 hours ago
  • $71.1k - $97.8k

    Job Summary The Utilization Management Registered Nurse uses clinical nursing...  ...This team manages post-acute care services, including Skilled...  ...a Compact Registered Nurse (RN) license in your state of residence...  ...management/utilization review for a health plan or acute care... 
    Bi-weekly pay
    Temporary work
    Remote work

    Humana

    Florida, NY
    21 hours ago
  • RN - Hialeah Urgent Care Center (Full Time, Days) - 301442 Job Summary Responsible...  ...and delivery of care utilizing nursing processes: assessment...  ...with patients and families to review plan of care and solicits...  ...utilizing SBAR) and infection prevention measures. Ensures safe/... 
    Full time

    Miami Children’s Hospital

    Florida, NY
    4 days ago
  • Infusion RN - Part Time - Volusia County page is...  ...your career.** Option Care Health, Inc. is the largest...  ...compassionately to elevate standards of care for patients...  ...and educates on prevention of line infection and routine...  ..., performance reviews, discipline, etc.)No -... 
    Part time
    Local area

    Option Care

    Florida, NY
    21 hours ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Nurse (Health Care). Be the first to apply!