Utilization Review Nurse Jobs in Florida

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50 Florida Utilization Review Nurse jobs found on Monster.

Jobs 1 to 20 of 50
Our expanding managed care company is seeking an experienced Registered Nurse for a position in prior authorizations for our Doral office. This position is specific telephonic pre certs. This is a M-F daytime (no holidays/no weekends) in-office permanent position and an excellent opportunity to begin a career with one of the state's leading managed care companies. Salary dependent upon experience...
Position Summary: Are you an experienced Registered Nurse (RN) in the Greater Clearwater, FL area looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a Fortune 500 company that provides on-going training and development? Are you interested in working for a company that offers benefits for full-time permanent employees, flex...
Tracking Code 1161 Job Description Responsible for coordinating and conducting medical necessity reviews for all Medicare, Medicaid, self pay and all other payers, upon admission and concurrently throughout the inpatient admission. Responsible for the accurate and timely entry of information related to coordination of reviews into AS400, MIDAS, and all other appropriate systems. This position is a...
Tracking Code 1160 Job Description Responsible for coordinating and conducting medical necessity reviews for all Medicare, Medicaid, self pay and all other payers, upon admission and concurrently throughout the inpatient admission. Responsible for the accurate and timely entry of information related to coordination of reviews into AS400, MIDAS, and all other appropriate systems. This position is a...
The Utilization Review RN is responsible for prospective, retrospective and concurrent Utilization Review activities. He/She is a member of the Multidisciplinary Team, and monitors the documentation for accuracy and clinical compliance. He/She is also responsible for organizing, directing and coordinating Utilization Review activities within the facility in accordance with standards of State and F...
Tracking Code 1299 Job Description Responsible for coordinating and conducting medical necessity reviews for all Medicare, Medicaid, self pay and all other payers, upon admission and concurrently throughout the inpatient admission. Responsible for the accurate and timely entry of information related to coordination of reviews into AS400, MIDAS, and all other appropriate systems. This position is a...
Description: There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Start doing your life's best work. (sm) Primary Responsibilities: Perform utilization and concurrent review using Milliman cr...
JOB DESCRIPTION: · Work as clinical support for the Provider Appeal process. · Assist with the clinical aspects surrounding Provider Appeals processes involving medical necessity decision making. · Be comfortable working closely with the Medical Directors in evaluating cases for external physician consultant reviews. · Assist in the preparation of files for the HMO, Medicare Advantage, and PPO App...
Universal Health Services, Inc. (UHS) is one of the nation's largest and most respected health care management companies, operating through its subsidiaries acute care hospitals, behavioral health facilities and ambulatory centers nationwide. Founded in 1978, UHS subsidiaries now have more than 65,000 employees. The UHS business strategy is to build or purchase health care properties in rapidly gr...
Job Title: Care Coordinator (Utilization Review RN) Position Summary: Are you an experienced Registered Nurse in the Clear Water area looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a Fortune 500 company that provides on-going training and development? Are you interested in working for a company that offers benefits for...
Job Title: RN/ LPN -Utilization Review Team- Position Summary: Are you an experienced Registered Nurse or LPN with a strong background in Inpatient or Outpatient Care, Case Management, Care Coordination or Discharge Planning looking for a new full time opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company that focuses...
The Utilization Review RN is responsible for prospective, retrospective and concurrent Utilization Review activities. He/She is a member of the Multidisciplinary Team, and monitors the documentation for accuracy and clinical compliance. He/She is also responsible for organizing, directing and coordinating Utilization Review activities within the facility in accordance with standards of State and F...
Universal Health Services, Inc. (UHS) is one of the nation's largest and most respected health care management companies, operating through its subsidiaries acute care hospitals, behavioral health facilities and ambulatory centers nationwide. Founded in 1978, UHS subsidiaries now have more than 65,000 employees. The UHS business strategy is to build or purchase health care properties in rapidly gr...
Position Overview INETICARE Utilization Management (UM) First Level Reviewer is responsible for timely prospective, concurrent and retrospective review activities. The position shall work collaboratively to promote quality care and cost effective outcomes that will enhance the physical, psychosocial and vacation health of the plan participants. Essential Job Functions · Maintenance of Confidential...
SUMMARY Provides comprehensive healthcare management to facilitate delivery of appropriate quality healthcare. Promotes cost effective outcomes and improves program/operational efficiency involving clinical issues. Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. Applies critical thinking and knowledge in clinically appropr...
Full time The Classic at West Palm Beach - 6100 Common Circle West Palm Beach, FL 33417 http://www.brookdaleliving.com/the-classic-at-west-palm-beach.aspx A career with Brookdale has never been more rewarding. As a senior living solutions company, Brookdale is committed to providing the best options for the residents that we serve, for all of the places life can go. The services that we offer ensu...
Job Description: Oversees utilization management activities by assessing the necessity and efficiency of services through systematic monitoring of medical necessity and quality, while maximizing the appropriate level of care that correlates to the member's benefit plan. Essential Functions: Telephonically reviews medical information in order to determine the medical necessity of continued stay acc...
Job Description: Oversees the utilization management activities by evaluating the necessity and efficiency of services through systematic monitoring of medical necessity and quality, while maximizing the appropriate level of care that correlates to the member's benefit plan. Essential Functions: Reviews and collects medical information in order to determine the medical necessity of services reques...
Description Conifer Patient Communications At Conifer Patient Communications, we offer the strength and stability of Tenet Healthcare, a Fortune 500 company, with the ingenuity and energy of a healthcare independent. We are a healthcare solutions company born from the healthcare industry. We take care of hospital business, so hospitals can focus on caring for patients. Ready to be part of our solu...
Job Description Registered Nurse, Case Manager PRN(Job Number: 00102-4395) Work Location: United States-Florida-Fort Pierce-Lawnwood Regional Medical Cntr-St. Lucie County Schedule: PRN/Per Diem Description Registered Nurse - Case Management, Lawnwood Regional Medical Center Fort Pierce, FL Facility Description: Located in Fort Pierce, situated on the east coast of Florida, Lawnwood Regional Medic...
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Healthcare Career Tools

Nurse Manager

Salaries

$53,040.00 - $103,400.00
Typical Salary for Nurse Manager in Florida
(311 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

Bachelor's
40.9%
Master's
30.7%
Associates
22.8%
(215 Respondents)
Source: Monster.com Careerbenchmarking Tool

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