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Utilization Review Nurse Jobs in Florida

18 jobs

Xerox is the world's leading enterprise for business process and document management. Its services, technology, and expertise enable workplaces - from small businesses to large global enterprises - to simplify the way work gets done so they operate more effectively and focus more on what matters most: their real business. Xerox offers business process outsourcing and IT outsourcing services, inclu...
Xerox is the world's leading enterprise for business process and document management. Its services, technology, and expertise enable workplaces - from small businesses to large global enterprises - to simplify the way work gets done so they operate more effectively and focus more on what matters most: their real business. Xerox offers business process outsourcing and IT outsourcing services, inclu...
Xerox is the world's leading enterprise for business process and document management. Its services, technology, and expertise enable workplaces - from small businesses to large global enterprises - to simplify the way work gets done so they operate more effectively and focus more on what matters most: their real business. Xerox offers business process outsourcing and IT outsourcing services, inclu...
Xerox is the world's leading enterprise for business process and document management. Its services, technology, and expertise enable workplaces - from small businesses to large global enterprises - to simplify the way work gets done so they operate more effectively and focus more on what matters most: their real business. Xerox offers business process outsourcing and IT outsourcing services, inclu...
Description Xerox is the world's leading enterprise for business process and document management. Its services, technology, and expertise enable workplaces - from small businesses to large global enterprises - to simplify the way work gets done so they operate more effectively and focus more on what matters most: their real business. Xerox offers business process outsourcing and IT outsourcing se...
Description Xerox is the world's leading enterprise for business process and document management. Its services, technology, and expertise enable workplaces - from small businesses to large global enterprises - to simplify the way work gets done so they operate more effectively and focus more on what matters most: their real business. Xerox offers business process outsourcing and IT outsourcing se...
Xerox is the world's leading enterprise for business process and document management. Its services, technology, and expertise enable workplaces - from small businesses to large global enterprises - to simplify the way work gets done so they operate more effectively and focus more on what matters most: their real business. Xerox offers business process outsourcing and IT outsourcing services, inclu...
Description16006732 Qualifications Xerox is the world's leading enterprise for business process and document management. Its services, technology, and expertise enable workplaces - from small businesses to large global enterprises - to simplify the way work gets done so they operate more effectively and focus more on what matters most: their real business. Xerox offers business process outsourci...
Description16006729 Qualifications Xerox is the world's leading enterprise for business process and document management. Its services, technology, and expertise enable workplaces - from small businesses to large global enterprises - to simplify the way work gets done so they operate more effectively and focus more on what matters most: their real business. Xerox offers business process outsourci...
Role: Utilization Review RN Assignment: Sr. Segment Location: Initial training period in Miramar, FL market office then work-at-home - must live in Southeast Florida area Humana’s dream is to help our members and our own associates achieve lifelong well-being. Use your clinical experience to work with patients and providers in a nontraditional environment where your knowledge will make a differ...
Healthcare Company in the Miami, FL area is seeking a Case Manager- Utilization Review in the South Florida area. Qualifications Education/Experience: 1 years of utilization management- Prior Authorization or Concurrent Review Working knowledge and understanding of basic utilization management and quality improvement concepts. Previous experience as a lead in a functional area or managing cros...
Xerox is the world's leading enterprise for business process and document management. Its services, technology, and expertise enable workplaces - from small businesses to large global enterprises - to simplify the way work gets done so they operate more effectively and focus more on what matters most: their real business. Xerox offers business process outsourcing and IT outsourcing services, inclu...
Healthcare Company in the South Florida area is seeking 10 Utilization Review RN's to join their team! Description Position Purpose: Supervise the daily operations of the utilization management (UM) department Ensure appropriate usage of resources in order to facilitate the UM process Ensure compliance within applicable state program guidelines Evaluate compliance policies and procedures and ...
To review requests for pre-certification of services, obtain further information if needed, approve requests, review for appropriateness (determination, criteria, and provider) and send potential denials to medical director for further action. ESSENTIAL DUTIES AND RESPONSIBILITIES: 1. Reviews requests for services that require pre-certification such as: treatment by non-participating providers, ...
Utilization Review Specialist Growing company in Ft Peirce has a Utilization Review Nurse job! This is a full time position. As the UR Specialist will be responsible for establishing and maintaining positive and effective communication with managed care companies for the clients facilities. This position also aligns medical and counseling staff to ensure services are provided at the appropriate ...
Case Management Support Specialist Case Management FT PC#00018350 - 026436 POSITION SUMMARY: To be fully engaged in providing Quality/No Harm, Customer Experience, and Stewardship by: Ensuring appropriate communication/documentation with third party payers to receive requests and seek authorization for hospital stays. Provide support with all discharge planning functions within the Case Manageme...
POSITION SUMMARY: To be fully engaged in providing Quality/No Harm, Customer Experience, and Stewardship by: Ensuring appropriate communication/documentation with third party payers to receive requests and seek authorization for hospital stays. Provide support with all discharge planning functions within the Case Management department. Be flexible fulfilling various roles, putting forth the needs...
POSITION SUMMARY: The Admission Director is responsible for managing the customer flow, admissions process and marketing program for the center. Responsibilities include guiding marketing program for healthcare services which assures: strong customer, referrer, and payor satisfaction; appropriate market penetration; positive public image; maximization of center profitability and census goals. RESP...