- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- Position Purpose: Works in partnership with physicians, nurse case managers, and other disciplines to ensure the appropriateness for the corresponding level of care ... for improvement through departmental committee assignments. Qualifications: + Registered Nurse , Licensed Practical Nurse or Foreign Medical Graduate.… more
- University of Miami (Miami, FL)
- …this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Registered Nurse 2 - Specialty delivers patient-family centered ... complete the BSN degree. Certification and Licensing: + Valid Florida Registered Nurse License, ACLS, BLS certification from the American Heart Association required.… more
- University of Miami (Miami, FL)
- … this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Associate Nurse Manager, Inpatient plans, oversees, and ... per entity standard. Assumes 24/7 responsibility, when needed. Collaborates with the Nurse Leaders in formulating and implementing short- and long-term goals that… more
- Molina Healthcare (Miami, FL)
- …* At least 2 years experience, including experience in hospital acute care, inpatient review , prior authorization, managed care, or equivalent combination of ... JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary… more
- University of Miami (Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Advanced ... Practice Registered Nurse (APRN) or Physician Assistant delivers medical care to...This position is Not remote and involves experience with Inpatient Hepatology and outpatient GI and hepatology. CORE JOB… more
- Select Medical (Miami, FL)
- …documentation related to the hospital's CQI program. + Performs basic chart review activities with appropriate staff for outcome utilization, infection control and ... medical CQI indicators. Analyzes results of chart review activities with appropriate staff and confers with department staff on any case requiring special attention.… more
- University of Miami (Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Transforming ... assets. G raduate from an accredited School of Nursing, valid Florida Registered Nurse License; Basic Life Support Certification (BLS), ACLS. Minimum of one year… more
- Molina Healthcare (Miami, FL)
- JOB DESCRIPTION **Job Summary** The Medical Claim Review Nurse provides support for medical claim review activities. Responsible for ensuring timely claims ... claim review including diagnosis-related group (DRG) validation, itemized bill review , appropriate level of care, inpatient readmission, and any opportunity… more
- University of Miami (Miami, FL)
- …or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Under the ... direction of the Administrative Director the Nurse Manager will assist in the operation of the...with other departments to ensure efficiency and coordination. The Nurse Manager is responsible for the 24 hour clinical… more
- University of Miami (Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Manager, ... standards of care, enforcing adherence to state board of nursing and state nurse practice act requirements, and to other governing agency regulations, and measuring… more
- Molina Healthcare (Miami, FL)
- …Assists with Complex Claim review including DRG Validation, Itemized Bill Review , Appropriate Level of Care, Inpatient Readmission, and any opportunity ... set schedule) Looking for a RN with experience with appeals, claims review , and medical coding. **Job Summary** Utilizing clinical knowledge and experience,… more
- Cleveland Clinic (Weston, FL)
- **Experienced Endocrinology - Nurse Practitioner (Family and/or Adult APRN Certification), Physician Assistant** The Cleveland Clinic **Weston** Endocrinology ... in-office and virtual duties. No after-hour calls. Occasional diabetes-related inpatient duties with protected time. Endocrinology Experience preferred, although… more
- University of Miami (Hollywood, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Advanced ... Practice Registered Nurse - Medicine, Medical Oncology - Full Time Northern...treatment in the CTU and in all setting including Inpatient . 4. Assures appropriate medical documentation. 5. Respond to… more
- Cleveland Clinic (Weston, FL)
- ** ** ** Nurse Practitioner / Physician Assistant - Outpatient Dementia Neurology** Weston, FL Full-Time | Monday-Friday | No Weekends | No Call Are you a Nurse ... studies. + Assists in data analysis. + Participates in quality monitoring thru the review of records and treatment plans for patient outcomes on a periodic basis to… more
- University of Miami (Miami, FL)
- …or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . CORE JOB ... treatment in the CTU and in all setting including Inpatient . + Assures appropriate medical documentation. + Respond to...related to oncologic treatment. + *Communicates daily with triage nurse regarding patients who need to be added to… more
- Cleveland Clinic (Weston, FL)
- …and Women's Health!** Cleveland Clinic Florida is seeking a **Physician Assistant or Nurse Practitioner** to join our dynamic **Gynecology team** . This is an ... with other specialty areas as necessary. + Participates in quality monitoring thru the review of records and treatment plans for patient outcomes on a periodic basis… more
- Cleveland Clinic (Weston, FL)
- …of Emergency Services is seeking a highly qualified Physician Assistant or Nurse Practitioner to join our dynamic team.** **The Advanced Practice Provider will ... with other specialty areas as necessary. + Participates in quality monitoring thru the review of records and treatment plans for patient outcomes on a periodic basis… more
- University of Miami (Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Advanced ... Practice Registered Nurse - Neurology, Neuro-Oncology - Full Time Primary location:...work with three-four Neuro Oncologists and work in the Inpatient Neuro-Oncology Consult Service . JOB FUNCTIONS + Performs… more
- Elevance Health (Miami, FL)
- **Telephonic Nurse Case Manager II** **Location** : This role enables associates to work virtually full-time, with the exception of required in-person training ... different states; therefore Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for performing care management within… more
- University of Miami (Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Observes and ... and orders as they may relate to a Registered Nurse .Preceptor: Demonstrates ability to serve as a preceptor when...transfer of patients to and from the recovery to inpatient , PACU, ICU and or other facility. Evaluation: Evaluates… more