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Concurrent Review Nurse jobs - Tampa, FL

Viewing 1 - 10 of 104 jobs

  • Corporate Behavioral Medical Director

    Medicare and Medicaid Managed Care Health Company - Tampa, FL

    facilitate the application of policy in precertification, concurrent review, and case management. Initiates dialogue with providers, as necessary, to resolve differences in opinions concerning utilization management; reviews and makes...

    30+ days ago from IvyExec

  • Registered Nurse

    Judge Healthcare - Tampa, FL

    nity in the Tampa AND Orlando Florida areas. This position will be working with one of our best clients in Florida! Responsibility: Conduct utilization review using interqual criteria. Review census; clinical & concurrent review. Setup...

    29 days ago from ZipRecruiter

  • Appeals Review Nurse (Inpatient Care experience) LPN/RN

    WellCare - Tampa, FL

    of benefits and subrogation necessary to reach prospective, concurrent and retrospective decisions in the appeals ... activity and reporting. * Applies accepted criteria to review process, utilizes the parameters and inputs review...

    30+ days ago from WellCare

  • RN Utilization Review

    HCA - Tampa, FL

    Title: RN Utilization Review Location: United States-Florida-Tampa-Tampa Community Hospital Other Locations: null For ... with Utilization Plan using ISD criteria, and performs concurrent stay reviews at least every 48 hours for severity...

    30+ days ago from HCA

  • UTILIZATION REVIEW SPECIALIST, LPN - (PRN)

    Baycare - Clearwater, FL

    appropriate level of care through comprehensive concurrent review for medical necessity of outpatient observation and ... Knowledge of regulatory standards appropriate to position Knowledge of Utilization Review Process Knowledge of...

    30+ days ago from Baycare

  • Utilization Review RN (2 026139 264477)

    Adecco - Clearwater, FL

    UM, RN is a registered nurse who provides utilization review by processing requests for services, applying ... for timely medical necessity review, escalation, Peer Review and appeals meeting all state, URAC and applicable...

    30+ days ago from Adecco

  • UTILIZATION REVIEW SPECIALIST, SENIOR - SJH - UTILIZATION MGT DENIALS

    Baycare - Tampa, FL

    appropriate level of care through comprehensive concurrent review for medical necessity of outpatient observation and ... The Senior Utilization Review Specialist is responsible for the oversight of the utilization Review Specialists...

    30+ days ago from Baycare

  • RN Director of Case Management

    Eastside Medical Center - Tampa, FL

    Utilization Review for medical necessity of admission and concurrent stay, Social Services Intervention, Discharge Planning, Resource Management, Concurrent Analysis, Delay in Services and Quality Concerns. The Director of Case Management...

    1 day ago from Eastside Medical Center

  • RN Director of Case Management

    Mountain Star Healthcare - Tampa, FL

    Utilization Review for medical necessity of admission and concurrent stay, Social Services Intervention, Discharge Planning, Resource Management, Concurrent Analysis, Delay in Services and Quality Concerns. The Director of Case Management...

    1 day ago from Mountain Star Healthcare

  • RN Director of Case Management

    Npas - Tampa, FL

    Utilization Review for medical necessity of admission and concurrent stay, Social Services Intervention, Discharge Planning, Resource Management, Concurrent Analysis, Delay in Services and Quality Concerns. The Director of Case Management...

    1 day ago from Npas

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