Utilization Review Nurse
$28.85 - $31.25/hr
Provide outpatient or pharmacy services utilization review Qualifications * Current Florida RN License * 3+ years in recent medical/surgical or critical care experience * 3+ years of Utilization ...
Utilization Review Nurse
$28.85 - $31.25/hr
Provide outpatient or pharmacy services utilization review Qualifications * Current Florida RN License * 3+ years in recent medical/surgical or critical care experience * 3+ years of Utilization ...
Under the direction and oversight of the Nurse Supervisor Utilization Review, the Intermediate Care Utilization Review Nurse is responsible for coordination of services for members of Florida Health ...
Under the direction and oversight of the Nurse Supervisor Utilization Review, the Intermediate Care Utilization Review Nurse is responsible for coordination of services for members of Florida Health ...
Under the direction and oversight of the Nurse Supervisor Utilization Review, the Intermediate Care Utilization Review Nurse is responsible for coordination of services for members of Florida Health ...
Under the direction and oversight of the Nurse Supervisor Utilization Review, the Intermediate Care Utilization Review Nurse is responsible for coordination of services for members of Florida Health ...
Under the direction and oversight of the Nurse Supervisor Utilization Review, the Intermediate Care Utilization Review Nurse is responsible for coordination of services for members of Florida Health ...
Under the direction and oversight of the Nurse Supervisor Utilization Review, the Intermediate Care Utilization Review Nurse is responsible for coordination of services for members of Florida Health ...
Utilization Review Nurse
Tampa, FL · On-site
$29 - $30/hr
You, as the Nurse Reviewer will be held responsible for the comprehensive review of the medical ... Utilization Review/Management, HEDIS, Chart Auditing, Medical Record Reviews] Additional ...
Utilization Review Nurse
Tampa, FL · On-site
$29 - $30/hr
You, as the Nurse Reviewer will be held responsible for the comprehensive review of the medical ... Utilization Review/Management, HEDIS, Chart Auditing, Medical Record Reviews] Additional ...
HEDIS Utilization Review Nurse
Winter Haven, FL · On-site
$26.50 - $35/hr
Director of Managed Care FLSA Status: Exempt Personnel Supervised: None POSITION SUMMARY: The HEDIS Utilization Review Specialist is responsible for performing comprehensive reviews of medical ...
HEDIS Utilization Review Nurse
Winter Haven, FL · On-site
$26.50 - $35/hr
Director of Managed Care FLSA Status: Exempt Personnel Supervised: None POSITION SUMMARY: The HEDIS Utilization Review Specialist is responsible for performing comprehensive reviews of medical ...
HEDIS Utilization Review Nurse
Winter Haven, FL · On-site
$26.50 - $35/hr
Director of Managed Care FLSA Status: Exempt Personnel Supervised: None POSITION SUMMARY: The HEDIS Utilization Review Specialist is responsible for performing comprehensive reviews of medical ...
HEDIS Utilization Review Nurse
Winter Haven, FL · On-site
$26.50 - $35/hr
Director of Managed Care FLSA Status: Exempt Personnel Supervised: None POSITION SUMMARY: The HEDIS Utilization Review Specialist is responsible for performing comprehensive reviews of medical ...
... minimum nursing experience *Must have 2 years minimum experience in at least one of the following: utilization review from another managed care company; experience in a medical setting handling ...
... minimum nursing experience *Must have 2 years minimum experience in at least one of the following: utilization review from another managed care company; experience in a medical setting handling ...
Nurse Utilization Review Supervisor
Miami, FL · On-site +1
The supervisor will assume the oversight of the direct reports assigned; this position will provide ... and/or Utilization Review Nurse as well with a decreased patient load based on census and ...
Nurse Utilization Review Supervisor
Miami, FL · On-site +1
The supervisor will assume the oversight of the direct reports assigned; this position will provide ... and/or Utilization Review Nurse as well with a decreased patient load based on census and ...
The supervisor will assume the oversight of the direct reports assigned; this position will provide ... and/or Utilization Review Nurse as well with a decreased patient load based on census and ...
The supervisor will assume the oversight of the direct reports assigned; this position will provide ... and/or Utilization Review Nurse as well with a decreased patient load based on census and ...
Utilization Review Specialist
Boynton Beach, FL · Hybrid
$65K - $80K/yr
Bachelor's degree from an accredited college or university in social work, mental health, nursing, or a related degree required. Utilization Review Specialist Responsibilities: * Manage and perform ...
Utilization Review Specialist
Boynton Beach, FL · Hybrid
$65K - $80K/yr
Bachelor's degree from an accredited college or university in social work, mental health, nursing, or a related degree required. Utilization Review Specialist Responsibilities: * Manage and perform ...
Utilization Review RN
$30 - $32/hr
Are you an experienced Registered Nurse with Utilization Review or Concurrent Review experience looking for a new opportunity with a prestigious Managed Care Company? Do you want the chance to ...
Utilization Review RN
$30 - $32/hr
Are you an experienced Registered Nurse with Utilization Review or Concurrent Review experience looking for a new opportunity with a prestigious Managed Care Company? Do you want the chance to ...
Utilization Review/Outpatient Care RN
$28 - $32/hr
Utilization Review/Outpatient Care RN Are you an experienced Registered Nurse with Utilization ... Initiates and continues direct communication with health care providers involved with the care of ...
Utilization Review/Outpatient Care RN
$28 - $32/hr
Utilization Review/Outpatient Care RN Are you an experienced Registered Nurse with Utilization ... Initiates and continues direct communication with health care providers involved with the care of ...
The Utilization Review Specialist Senior responsibilities include: * Functions as the primary ... Preferred experience includes Critical Care or Emergency Nursing RN. Position details: * Location:
The Utilization Review Specialist Senior responsibilities include: * Functions as the primary ... Preferred experience includes Critical Care or Emergency Nursing RN. Position details: * Location:
The Utilization Review Specialist Senior responsibilities include: * Functions as the primary ... Preferred experience includes Critical Care or Emergency Nursing RN. Position details: * Location:
The Utilization Review Specialist Senior responsibilities include: * Functions as the primary ... Preferred experience includes Critical Care or Emergency Nursing RN. Position details: * Location:
Three (3) years of utilization review, case management, or third-party payer experience. Qualifications * Active Registered Nurse (RN) license with 3+ years of experience in utilization review or ...
Three (3) years of utilization review, case management, or third-party payer experience. Qualifications * Active Registered Nurse (RN) license with 3+ years of experience in utilization review or ...
Three (3) years of utilization review, case management, or third-party payer experience. Qualifications * Active Registered Nurse (RN) license with 3+ years of experience in utilization review or ...
Three (3) years of utilization review, case management, or third-party payer experience. Qualifications * Active Registered Nurse (RN) license with 3+ years of experience in utilization review or ...
... systems Direct care to participating network providers Participate in utilization management ... , BSN preferred. -2+ years of clinical nursing experience in an acute care setting -1+ years of ...
... systems Direct care to participating network providers Participate in utilization management ... , BSN preferred. -2+ years of clinical nursing experience in an acute care setting -1+ years of ...
Reviews health care services to determine consistency with contract requirements, coverage policies ... License and Educational requirement: LPN - Licensed Practical Nurse. * An Associate's Degree is ...
Reviews health care services to determine consistency with contract requirements, coverage policies ... License and Educational requirement: LPN - Licensed Practical Nurse. * An Associate's Degree is ...
Physician Reviewer - Utilization Management
Orlando, FL · Remote
$211.20K/yr
... Medical Director, Utilization Management. Work Location: This is a remote position, open to ... Receive and review escalated reviews. * Conduct timely peer-to-peer discussions with treating ...
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Physician Reviewer - Utilization Management
Orlando, FL · Remote
$211.20K/yr
... Medical Director, Utilization Management. Work Location: This is a remote position, open to ... Receive and review escalated reviews. * Conduct timely peer-to-peer discussions with treating ...
Director Anthem Utilization Review Nurse information
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$28.85 - $31.25/hr
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 23 days ago
Job description
Company Description
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Job Description
- Conducts pre-admission, concurrent and retrospective acute care, sub-acute, hospice, qualification of transitional care and long-term care needs for medical necessity
- Perform case reviews and complete all required documentation in appropriate database
- Collaborate with primary or attending physician, case managers, patient and/or family to provide continuity and quality of care in the most cost-effective manner.
- Timely completion of admission reviews (within 48-hours for weekday, 72-hours for weekend)
- Provide outpatient or pharmacy services utilization review
Qualifications
- Current Florida RN License
- 3+ years in recent medical/surgical or critical care experience
- 3+ years of Utilization Review / Case Management experience
- Strong reasoning ability: define problems, collect data, establish facts, and draw conclusions
Additional Information
 Hours for this Position:
- M-F 8-5
Advantages of this Opportunity:
Competitive salaryÂ
- $28.85/hr - $31.25/hr pending experience
- Excellent Medical benefits Offered, Medical, Dental, Vision, 401k, and PTO
- Growth potential
- Fun and positive work environment
About Healthcare Support
Sourced by ZipRecruiter
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Industry
Recruiting and staffing services
Company size
201 - 500 Employees
Headquarters location
Maitland, FL, US
Year founded
2003