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Concurrent Review Nurse jobs - Tampa, FL

Viewing 1 - 10 of 211 jobs

  • UTILIZATION REVIEW SPECIALIST, LPN - (PRN)

    BayCare Health System - Clearwater, FL

    appropriate level of care through comprehensive concurrent review for medical necessity of outpatient observation and ... standards appropriate to positionKnowledge of Utilization Review ProcessKnowledge of InterQualOrganization: 2030-MPM...

    30+ days ago from HealthJobsNationwide.com

  • Onsite RN - Concurrent Review Disharge Planning

    Humana - Tampa, FL

    services against established CMS Coverage Guidelines review criteria. Manage network participation, care with specialty ... established screening criteria Conduct admission review, post-discharge calls and discharge planning This position...

    1 day ago from Humana

  • Concurrent Review Nurse

    Freedom Health - Tampa, FL

    Management_ GENERAL PURPOSE: The Concurrent Review Nurse is responsible for the management of inpatient and ... and facilities/agencies. Maintains accurate record of concurrent activities. Regular & prompt attendance is required...

    13 days ago from Freedom Health

  • Concurrent Review Nurse

    Simply Healthcare Plans - Tampa, FL

    medical necessity reviews as needed on prior authorization, concurrent review and/or retrospective reviews that are ... 2+ years experience with medical claims review and/or inpatient concurrent review...

    6 days ago from CareerBuilder

  • Concurrent Review Project Manager (Specialist IIIb Business Project Management)

    Florida Blue - Tampa, FL

    Job Description Concurrent Review Project Manager (Specialist IIIb - Business Project Management)-4594 ## Description ... RN or Clinical background with knowledge of Utilization Review ## Primary Location West Palm Beach ## Other Locations...

    6 days ago from Florida Blue

  • Concurrent Review Project Manager (Specialist IIIb Business Project Management)

    Blue Cross Blue Shield of Florida - Tampa, FL

    within clinical UM operations · Coordinates Consistent Review / audit activities to include system entry and ... used by the Project Management Institute · Prefer Florida RN or Clinical background with knowledge of Utilization...

    13 days ago from Blue Cross Blue Shield of Florida

  • Utilization Review Nurse

    IASIS Healthcare - Tampa, FL

    CRS Provide admission and concurrent review on inpatient members to ensure and facilitate quality and cost effective ... inpatient stay and utilize peer review, as necessary • Complete onsite and/or telephonic admission and concurrent...

    12 hours ago from IASIS Healthcare

  • RN Utilization Review (26535-1851)

    HCA Healthcare - Tampa, FL

    with Utilization Plan using ISD criteria, and performs concurrent stay reviews at least every 48 hours for severity ... health care experience * Current Florida State Registered Nurse license * Critical thinking, service excellence and good...

    3 days ago from HCA Healthcare

  • RN Utilization Review

    OU Medical Center - Tampa, FL

    with Utilization Plan using ISD criteria, and performs concurrent stay reviews at least every 48 hours for severity ... health care experience * Current Florida State Registered Nurse license * Critical thinking, service excellence and good...

    12 days ago from OU Medical Center

  • Utilization Review Nurse

    Tampa, FL

    Utilization Review Nurse (LPN or RN) Tampa, Florida Description: Oversees utilization management activities by assessing ... pre-authorization, utilization review, concurrent review, discharge planning, and/or skilled nursing facility...

    4 days ago from eBay Classifieds

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