- Monte Nido (Miami, FL)
- …providing the opportunity for people to realize their healthy selves. **Utilization Review Clinician ** **Monte Nido** **Remote - MST/PST hours** **Monte Nido ... an intimate home setting. We are seeking a Utilization Review Clinician to join our team based...team member providing payor feedback and needs for next review , guidance on level of care recommendations,… more
- Molina Healthcare (Miami, FL)
- JOB DESCRIPTION **Job Summary** The Care Review Clinician ( RN ) provides support for clinical member services review assessment processes. Responsible ... experience. Candidates with MCO experience are highly preferred. The Care Review Clinician must be...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- Molina Healthcare (Miami, FL)
- For this position we are seeking a ( RN ) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity ... least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed ...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- Molina Healthcare (Miami, FL)
- …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... unit (ICU) or emergency room. Previous experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG… more
- Molina Healthcare (Miami, FL)
- …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Molina Healthcare (Miami, FL)
- …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred… more
- HCA Healthcare (Aventura, FL)
- … care team members. The DT&I Clinical Manager is a licensed professional registered nurse who possesses a strong understanding of clinical workflow and both ... clinical processes that include Care Delivery standards and models of care , clinician and technology user interface, and clinical nuances. Their primary… more
- University of Miami (Miami, FL)
- …and manage adverse reactions or trial-related events, escalating to investigators and modifying care as directed by protocol and clinician input. + Coordinate ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Diabetes Research… more
- Elevance Health (Miami, FL)
- …be Monday-Friday 8a - 5p EST for at least three weeks. The **Medical Management Nurse ** will be responsible for review of the most complex or challenging cases ... **Medical Management Nurse ** **Location:** Virtual: This role enables associates to...and requires a minimum of 2 years clinical, utilization review , or managed care experience; or any… more
