- Elevance Health (Miami, FL)
- Senior RN Utilization Review /Management (Acute InPatient) JR116937 **Location:** Must be within 50 miles / 1 hour commute of Tampa or Miami, FL offices. ... Friday. **2 Holidays** per year and **occasional** weekends. The ** Nurse Medical Management Sr** serves as **team lead** for...preferred** . + 2 years of experience in In-Patient, utilization review / management, evaluating medical necessity… more
- HCA Healthcare (Miami, FL)
- …+ Case Management experience a plus + Certification in Case Management or Utilization Review preferred + InterQual experience preferred HCA Florida Mercy ... to give people a healthier tomorrow."- Jane Englebright, PhD, RN CENP, FAAN Senior Vice President and...opportunity compelling, we encourage you to apply for our RN Case Manager opening. We promptly review … more
- Elevance Health (Miami, FL)
- Nurse Auditor Senior - Carelon Payment Integrity **Location:** The ideal candidate will live within 50 miles of one of our pulse point locations and will work on ... is determined to recover, eliminate, and prevent unnecessary medical-expense spending. The Nurse Auditor Senior is responsible for identifying, monitoring, and… more
- Elevance Health (Miami, FL)
- ** Senior Investigator (Investigator Sr)** _Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one ... to recover, eliminate, and prevent unnecessary medical-expense spending. The ** Senior Investigator** is responsible for the independent identification, investigation… more
- HCA Healthcare (Davie, FL)
- …and elevate our purpose to give people a healthier tomorrow."- Jane Englebright, PhD, RN CENP, FAAN Senior Vice President and Chief Nursing Executive If you ... opportunities to increase market share. + Meets regularly with physicians to review market strategy, financial performance and key performance indicators. + Directs… more
- HCA Healthcare (Plantation, FL)
- …and elevate our purpose to give people a healthier tomorrow."- Jane Englebright, PhD, RN CENP, FAAN Senior Vice President and Chief Nursing Executive If you ... are responsible for the safe, effective, evidence-based, and cost-effective selection and utilization of medications for the patients you serve. You will utilize… more