- Centers Plan for Healthy Living (Margate, FL)
- Clinical Review RN 5297 W Copans Rd, Margate, FL 33063, USA Req #460 Monday, September 9, 2024 Centers Plan for Healthy Living's goal is to create the ... plans they need for healthy living. Job Summary: We are currently looking for Clinical Review RN 's to join our team. These positions are responsible for the… more
- Centers Plan for Healthy Living (Margate, FL)
- …federal regulatory requirements including timelines. + Presents recommendations based on clinical review , criteria, and organizational policies + Communicates ... RN - Grievance and Appeals Clinical ... RN - Grievance and Appeals Clinical Reviewer 5297 W Copans Rd, Margate, FL...in writing. + Analyze and complete written summaries on clinical cases. EDUCATION AND EXPERIENCE: Education: RN … more
- AdventHealth (Tampa, FL)
- …Resource Manager provides leadership and consultation to company facilities in the clinical review , evaluation and procurement of products and leads ... **The value you'll bring to the team:** + Facilitates clinical teams to review utilization and options...to succeed** **:** **EDUCATION AND EXPERIENCE REQUIRED** **:** + RN with Bachelor's Degree in Nursing, Management or related… more
- HealthEdge Software Inc (Tallahassee, FL)
- …for clinical risk or clinical improvement opportunities. + Lead the clinical review of existing clinical program content and references in order ... **Overview** **Overview:** This role supports clinical program creation, maintenance, and client implementations by...outcomes and the member experience. **What you bring:** + ** RN /NP/MSN** with **10+ years of health care experience** **required**… more
- CenterWell (Bradenton, FL)
- …organizations. **Required Experience & Skills:** + Two years of recent experience as a Registered Nurse in home care or hospice environment. + Minimum one year ... enhance performance and ensure quality home care services. + Review and ensure appropriateness of clinical documentation....School of Nursing. + Current state license as a Registered Nurse . + Minimum one year hands… more
- Sedgwick (Orlando, FL)
- …need for absence from work. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs clinical review of referred claims; documents decision rationale; and ... to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Disability Clinical Specialist **PRIMARY PURPOSE** : To perform clinical...completes medical review of all claims to ensure information substantiates disability.… more
- Elevance Health (Tampa, FL)
- …requirements:** + Requires a HS diploma or equivalent and a minimum of 2 years of clinical or utilization review experience and minimum of 1 year of managed care ... Monday through Friday, 10:30 - 7:00 Eastern time** The **Licensed Utilization Review II** responsible for working primarily with healthcare providers to help ensure… more
- AdventHealth (Orlando, FL)
- …wellness and exceptional health and benefits offerings **The role you'll contribute:** The Clinical Manager is a Registered Nurse or Physical Therapist ... in home care or related healthcare field. + Clear/active Registered Nurse or Physical Therapy license issued...+ At least one (1) year of experience in clinical supervisor or quality review activities. +… more
- AdventHealth (Tavares, FL)
- …**Location:** 9909 US Hwy 441, Leesburg, FL 34788 **The role you'll contribute:** _The Clinical Manager is a Registered Nurse who coordinates and supervises ... + At least one (1) year of experience in clinical supervisor or quality review activities. +...related field. LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED: + Clear/active Registered Nurse or Physical Therapy license issued… more
- CenterWell (Kissimmee, FL)
- …community and help us put Patients at the Center of All We Do! The RN Clinical Manager coordinates and oversees all direct care patient services provided by ... + Assesses staff education needs based on own the review of clinical documentation in addition to...School of Nursing. + Current state license as a Registered Nurse . + Valid driver's license, auto… more