Utilization Review Nurse Jobs in Florida

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11 Florida Utilization Review Nurse jobs found on Monster.

Jobs 1 to 11 of 11
Are you looking to expand your clinical knowledge, while being a part of a great company that focuses on superior quality care? If so, check out this opportunity as a Utilization Review Nurse! The Utilization Review Nurse will be responsible for reviewing provider requests to ensure medical necessity for services such as surgeries, pain management, home health care, etc. You will utilize criteria ...
LPN / LVN / Utilization Review Nurse Tampa, FL
Apply Now ? Apply to this Job Attach your resume By providing us with your information, you agree to become a Bullhorn Reach User, and to our use and disclosure of your information as described by our Privacy Policy. Job Description LPN / LVN / UTILIZATION REVIEW NURSE Kelly Healthcare Resources has an exciting LPN / LVN / Utilization Review Nurse opportunity available with our client locat...
Kelly Services Tampa, FL
Description LPN / LVN / UTILIZATION REVIEW NURSE Kelly Healthcare Resources has an exciting LPN / LVN / Utilization Review Nurse opportunity available with our client located in Tampa, FL! As an LPN / LVN / Utilization Review Nurse with one of the largest health insurance benefits company in the nation, you will be responsible for working with various healthcare providers in order to help ensure...
AIDS Healthcare Foundation Fort Lauderdale, FL
Responsibilities: Summary: Utilization Review is the process in which medical review determinations are made based on clinical guidelines and structured processes. This position reviews the utilization of the organization/plan's resources against established criteria, monitors and evaluates the medical necessity, appropriateness and efficient use of health care services. The position also provid...
Humana Inc. Tampa, FL, 33602
Role: Utilization Review RN Assignment: Medicare Location: Tampa, FL Humana’s dream is to help our members and our own associates achieve lifelong well-being. Use your clinical experience to work with patients and providers in a nontraditional environment where your knowledge will make a difference. Our associates know their work is vitally important; we strive to ensure we provide perfect serv...
Humana Inc. Tampa, FL
Utilization Review RN - Telephonic - Tampa, FL Requisition ID 132155 Business Overview Humana Inc., headquartered in Louisville, Ky., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explor...
St. Joseph Medical Center Tampa, FL
Description In the performance of their respective tasks and duties all employees are expected to adhere to all IASIS Integrated Care Solutions policies and procedures, URAC standards, department specific rules, annual educational requirements, IASIS Standards of Conduct, federal and state contract requirements, and all other federal and state laws. • Read, abide by, and demonstrate an understan...
St. Joseph Medical Center Tampa, FL
Description In the performance of their respective tasks and duties all employees are expected to adhere to all IASIS Integrated Care Solutions policies and procedures, URAC standards, department specific rules, annual educational requirements, IASIS Standards of Conduct, federal and state contract requirements, and all other federal and state laws. • Read, abide by, and demonstrate an understan...
St. Joseph Medical Center Tampa, FL
Description In the performance of their respective tasks and duties all employees are expected to adhere to all IASIS and Health Choice policies and procedures, URAC standards, department specific rules, annual educational requirements, IASIS Standards of Conduct, federal and state contract requirements, and all other federal and state laws. • Read, abide by, and demonstrate an understanding of ...
IASIS Healthcare Tampa, FL, 33602
In the performance of their respective tasks and duties all employees are expected to adhere to all IASIS and Health Choice policies and procedures, URAC standards, department specific rules, annual educational requirements, IASIS Standards of Conduct, federal and state contract requirements, and all other federal and state laws. • Read, abide by, and demonstrate an understanding of all policies,...
Genesis Healthcare LLC Palm Harbor, FL
POSITION SUMMARY: The Admission Director is responsible for managing the customer flow, admissions process and marketing program for the center. Responsibilities include guiding marketing program for healthcare services which assures: strong customer, referrer, and payor satisfaction; appropriate market penetration; positive public image; maximization of center profitability and census goals. RESP...

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Nurse Manager

Salaries

$53,040.00 - $103,400.00
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Bachelor's
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