Utilization review nurse jobs in Fort Lauderdale, FL

A company is looking for a Utilization Review Nurse for a fully remote position. Key Responsibilities.. Review electronic medical records of emergency department admissions and screen for medical necessity..

Visit nchjobs.org to learn more.JOB SUMMARYThe RN Utilization Review coordinates care for OPIS patients.. Collaborate with nurses, physicians, case managers and social workers when potential payer concerns will..

Description of BenefitsHumana, Inc. and its affiliated subsidiaries (collectively,. Humana ) offers competitive benefits that support whole person well being. Associate benefits ar..

Saturday(8am. 5pm) Training. Monday. Friday (8am 5pm) Equipment. Apple products (must be comfortable using) Summary objective As a Utilization Clinical Review Nurse, you will determine the..

The UM Nurse Consultant job duties include (not all encompassing). Reviews services to assure medical.. Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization benefit..

Initiates utilization review for preauthorization and post service reviews Utilizes knowledge of community resources and the member's benefit structure Interacts with providers and facilities in..

Procure data through observation, interviews, and analysis of records and other sources to include the utilization of electronic equipment. Maintain databases by entering new and updated records..

Coordinate structural design with architects, other engineering disciplines, building officials, and contractors. Perform construction administration tasks, including reviewing shop drawings and..

GCP is seeking Remote CMS Medical Review RNs. RNs Staff will perform clinical reviews of Medicare Part A.. For complex claim reviews, we are required to use Registered Nurses ( RNs ). Clinical decisions will be..

Rapidly growing Florida Workers Compensation and personal Injury firm is looking for litigation associates to join their team. The firm represents clients throughout Florida and is..

Description. Sterling Medical is seeking a RN Utilization Manager to work at Hulburt Field in Ft. Walton.. Licensure. Current, full, active, and unrestricted license to practice as a Registered Nurse..

Join us and contribute to Sedgwick being a great place to work.Great Place to Work Most Loved Workplace. Forbes Best in State EmployerEstimate Review Specialist SrPRIMARY PURPOSE. To review all..

As a Credit Risk Review Advisor within PNC's Credit Risk Review organization, this position is primarily.. Additional locations may be considered.The primary objective of Credit Risk Review (CRR) is to conduct..

Looking for a Registered Nurse Case Manager. The successful candidate will assess and oversee case.. Experience and utilization review and or medical appeal experience is a plus. Certified coder a plus..

Summary The Registered Nurse. RN Case Manager is a nurse with strong clinical knowledge and leadership.. and or utilization review Track record and comfort in collaborating with physicians Ability to lead and..

Job Description On Site Not Remote. Per Diem Open Positions Perform focused Utilization Review applying.. Conducts intermittent chart reviews for all patients admitted to ensure that patients meet level of care..

Office. Attorney Review HR Coordinator Title. Attorney Review HR Coordinator Location. Orange County Job.. Support the non partner attorney mid year and annual performance review processes by completing request..

Works with the Utilization Management team primarily responsible for inpatient medical necessity.. Provides daily review and evaluation of members that require hospitalization and or procedures providing..