- Actalent (Tampa, FL)
- Job Title: Utilization Review - Post Acute Care Job Description Our PAC Nurse is a telephonic role responsible for recommending discharge plans, assisting ... for their assigned and non-assigned post-acute care (PAC) facilities. The PAC Nurse will collaborate with key facility personnel and internal Medical Directors,… more
- Elevance Health (Tampa, FL)
- …medical decisions to members and providers. **Job Summary:** + Perform physician-level case review , following initial nurse review , of Medical Oncology ... regimens and supportive care. + Perform physician-level case review , following initial nurse review ,...maintain knowledge of relevant policies and regulations pertaining to utilization review of oncology care. + Participate… more
- Elevance Health (Tampa, FL)
- …prior authorization, and post service requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for the identification ... and insightful analytics to improve the delivery of care. The Utilization Management Representative I is responsible for coordinating cases for precertification… more
- MyFlorida (Land O' Lakes, FL)
- SENIOR LICENSED PRACTICAL NURSE - 50000086 1 Date: Jun 19, 2024 Location: LAND O' LAKES, FL, US, 34639 The State Personnel System is an E-Verify employer. For more ... Requisition No: 819687 Agency: Veterans Affairs Working Title: SENIOR LICENSED PRACTICAL NURSE - 50000086 1 Pay Plan: Career Service Position Number: 50000086… more
- HCA Healthcare (Tampa, FL)
- …care. + You will collaborate medical treatment with third party payers and utilization review department to qualify patients for current or continued care ... a real impact. As a(an) Behavioral Health Intake Registered Nurse you can be a part of change. **Benefits**...location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential… more
- HCA Healthcare (Brandon, FL)
- …and personal growth, we encourage you to apply for our OR Registered Nurse PRN opening. We promptly review all applications. Highly qualified candidates ... We care like family! Jump-start your career as a(an) OR Registered Nurse PRN today with Brandon Surgery Center. **Benefits** Brandon Surgery Center, offers… more
- YesCare Corp (Palmetto, FL)
- …measures including sentinel event review . + Actively participant of the Utilization Review process and follow proper procedures. + Provides appropriate ... Below is a list of your responsibilities as a ** Nurse Practitioner (NP/ARNP)** withYesCare: + Provides typical community standard...in-service education of staff as requested. Participates in monthly review of quality of care and chart reviews as… more
- AdventHealth (Tampa, FL)
- …to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care ... (as permitted by the patient) as well as a review of the current and past inpatient and outpatient...Associates Degree Nursing or RN Diploma degree. . Registered Nurse (RN). . Two (2) years of medical/hospital nursing… more
- AdventHealth (Riverview, FL)
- …in the IP Wound care. This includes, but is not limited to, utilization of skills in organization, planning, implementing, evaluating, and providing care through the ... use of hospital and nursing standards. **The value you'll bring to the team:** + Review lab results for needed provider action and follow up. + Accurately set up… more
- VIP Care (Tampa, FL)
- …meet with Primary Care Providers to develop action plans to help improve utilization and provide better health for patients. The Senior Medical Director would also ... ongoing improvements in MHT to lead to improvements in utilization + Direct the integration of the Pharmacy team...on CCM patients + Directing clinical aspects of MyHealth Nurse (MHN) on coordination of care + Overseeing clinical… more
- BayCare Health System (New Port Richey, FL)
- …regulatory bodies within the area of responsibility. Ensure quality assurance program and utilization review is followed in accordance with Home Care protocol. ... office and agency staff. Participates with Case Manager on initial Plan of Care review with a focus on quality, utilization and individual patient care goals.… more
- BayCare Health System (Dunedin, FL)
- …bodies within the area of responsibility. + Ensure quality assurance program and utilization review is followed in accordance with Home Care protocol. + ... Participates with Case Manager on initial Plan of Care review with a focus on quality, utilization ...health** **and** **OASIS is preferred** **Requirements:** + RN (Registered Nurse ) License + Driver's License, State of Florida required… more
- BayCare Health System (Largo, FL)
- …regulatory bodies within the area of responsibility + Ensure quality assurance program and utilization review is followed in accordance with Home Care protocol + ... a great place to work!** **Requirements:** + RN (Registered Nurse ) License + Driver's License, State of Florida required...Participates with Case Manager on initial Plan of Care review with a focus on quality, utilization … more
- BayCare Health System (Largo, FL)
- …bodies within the area of responsibility. + Ensure quality assurance program and utilization review is followed in accordance with Home Care protocol. + ... Participates with Case Manager on initial Plan of Care review with a focus on quality, utilization ...and individual patient care goals. **Requirements:** + RN (Registered Nurse ) License + Driver's License, State of Florida required… more
- BayCare Health System (New Port Richey, FL)
- …bodies within the area of responsibility. + Ensure quality assurance program and utilization review is followed in accordance with Home Care protocol. + ... Participates with Case Manager on initial Plan of Care review with a focus on quality, utilization ...health** **and** **OASIS is preferred** **Requirements:** + RN (Registered Nurse ) License + Driver's License, State of Florida required… more
- HCA Healthcare (Brandon, FL)
- …step in your career path, we encourage you to apply for our RN Clinical Nurse Coordinator Med OR opening. We review all applications. Qualified candidates will ... you have the career opportunities as a(an) RN Clinical Nurse Coordinator OR you want in your current role?...and manage the surgical schedule, ensuring timely and efficient utilization of operating rooms. + Liaise with surgeons, anesthesiologists,… more
- YesCare Corp (Palmetto, FL)
- …measures including sentinel event review + Actively participant of the Utilization Review process and follow proper procedures. + Follows standard ... and paraprofessional staff. + Ensure and provide on-call services. + Annually review and approve clinical protocols, policies and procedures, and medical disaster… more
- HCA Healthcare (Tampa, FL)
- …administration and management of ED department + Assess skill mix opportunities, agency nurse usage, and staffing for ED + Identifies facility wide staffing and ... that impact ED throughput + Supply, medication, and resource utilization + Appropriate assignment of patients being admitted to...and analysis of variances. + Perform data mining and review of financial and clinical data to assess the… more
- HCA Healthcare (St. Petersburg, FL)
- …You will promote cost effectiveness through the integration of case management, utilization review management and discharge planning. Requirements: + Current ... within the Rehabilitation team. We are seeking a Registered Nurse Case Manager. You will provide clinical expertise to...apply for our Case Manager RN PRN opening. We review all applications. Qualified candidates will be contacted for… more
- HCA Healthcare (Hudson, FL)
- …opening and continue to learn! **We are seeking an experienced and professional Registered Nurse to become our Coordinator of OR Service Line. You will assist in ... of service and satisfaction for your patients.** **. You will ensure effective utilization of resources, standards of care, and operating procedures.** **. You will… more