- AdventHealth (Altamonte Springs, FL)
- …2 years utilizing InterQual and/or MCG . Minimum of three (3) years' experience as Registered Nurse ( RN ) in an acute clinical setting . Clinical experience ... cause and bring about the best opportunity for fair reimbursement. The Clinical Denial Management Specialist will adhere to the AHS Compliance Plan and to all… more
- Cleveland Clinic (Vero Beach, FL)
- …from an accredited school of professional nursing. + Current state licensure as a Registered Nurse ( RN ). + Basic Life Support (BLS) certification through ... design and initiate special projects as supervised by the Team Manager. Utilization Management Specialist Join our team at Cleveland Clinic Indian River… more
- BayCare Health System (Clearwater, FL)
- …RN . **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred ACM (Case Management ) + Preferred CCM (Case Manager) ... **BayCare Health System** is currently seeking a **Utilization Review Specialist Senior** to join our outstanding and compassionate team....in Case Management + Preferred 3 years Registered Nurse in Critical Care or Emergency… more
- AdventHealth (Daytona Beach, FL)
- …or RN Diploma degree + State of Florida license as a Registered Nurse + Two (2) years of medical/hospital nursing experience **Preferred qualifications:** ... transitions, patient satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily with the… more
- Health First (Rockledge, FL)
- …* **Organization:** **HF Administrative Plan Inc* **Title:** *Prior Authorization Nurse Specialist HFHP - Clinical Operations* **Location:** *Florida ... Systems and approves or refers to Medical Director potential denials and documents in the Medical Management ...is preferred. * Prior Authorization Experience is preferred. * RN or LPN with current unrestricted Florida Licensure. *PHYSICAL… more
- AdventHealth (Orlando, FL)
- …and improved outcomes. Works jointly with the Crew, Supervisor and Communication Specialist to ensure timely acceptance of patient transfer and placement through the ... Teamwork + Age Specific Competencies + AMRM (annual Air Medical Resource Management program) + Infection Prevention + Hazardous Materials Recognition and Response +… more