- CVS Health (Plantation, FL)
- …10:00 AM- 6:30 PM EST No nights, no weekends, and no holidays. The UM Nurse Consultant job duties include (not all encompassing): -Reviews services to assure ... to coordinate, document and communicate all aspects of the utilization /benefit management program. -Utilizes clinical experience and...RN License or license in multiple states + UM Nurse Consultant experience + Experience with overseas… more
- CVS Health (Plantation, FL)
- …resident + Emergency/critical care experience + Experience working Grievance cases + Case Management or Utilization Management experience + Managed care ... surrounding areas. This position reports to the Potential Quality of Care (PQOC) nurse investigator team manager. This position is responsible for the review and… more
- HCA Healthcare (Miami, FL)
- …assurance review of the care of cardiac patients. + Collaborate with nursing management and staff nurses to define, guide, and evaluate nursing practices in the ... care and clinical research. + Serve as a nursing consultant to other members of the multidisciplinary team. +...and optimal documentation, including but not limited to the utilization of risk assessment tools, proper time out … more
- Trinity Health (Fort Lauderdale, FL)
- …with members of the interprofessional acute care, ambulatory and post-acute care management teams to improve communication across the continuum of care. * ... that have been documented in the medical record. * Serves as a consultant and educator with medical staff regarding status, placement, payer requirements, and … more