Medical Review Nurse (RN) - UM/Appeals experience Molina Healthcare IncMedical Review Nurse (RN) - UM/Appeals experienceFlorida, FLREQUIRED QUALIFICATIONS: At least 2 years clinical nursing experience, including at least 1 year of utilization review (prospective, retrospective and concurrent clinical review), medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding to ensure appropriate reimbursement to providers.
NewLocal Contract Nurse RN - NICU - Neonatal Intensive Care - $46-49 per hour HealthTrust Workforce Solutions HCALocal Contract Nurse RN - NICU - Neonatal Intensive Care - $46-49 per hourMargate, FL$46–$49 / hourLevel 111 NICU is 24 hour Unit for babies born at less than 32 weeks gestation as well as babies born with critical illness and all gestational ages, full range of pediatric medical subspecialties. Plus, as a preferred partner to thousands of top-performing hospitals, we provide our healthcare professionals with first-priority access to more than 200,000 jobs nationwide.
Director, Healthcare Services - REMOTE Molina Healthcare IncDirector, Healthcare Services - REMOTEOrlando, FLRemoteRegistered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). At least 8 years of health care experience, and at least 5 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience.
Health Services, Assistant Supervisor (PT) United Parks & Resorts IncHealth Services, Assistant Supervisor (PT)Orlando, FLHave a minimum of 2 years of active clinical experience in an EMS system or hospital setting, Be able to complete provided Health Care Provider CPR training/certification. Available to work varying shifts/hours based on business need, to include opening, mid-, and closing shifts; nights, weekends, and holidays.
Full Time Registered Nurse - RN - $5,000 Sign on Bonus HealogicsFull Time Registered Nurse - RN - $5,000 Sign on BonusLeesburg, FloridaUnder the direction of the Wound Care Center Clinical Nurse Manager/Clinical Coordinator, the Registered Nurse (RN) primarily provides patient care and handles intake and discharge processes for the Wound Care Center patients as scheduled. This entails: Performing the initial nursing assessment, communicating findings with the assigned physician, assessing the wound stage and measurements, documenting care plans, evaluating the patient’ status in regards to desired outcomes, and identifying patient care situations that require intervention.
NewTravel Nurse RN - Case Management - $2,399 per week HealthTrust Workforce Solutions HCATravel Nurse RN - Case Management - $2,399 per weekFort Walton Beach, FLPlus, as a preferred partner to thousands of top-performing hospitals, we provide our healthcare professionals with first-priority access to more than 200,000 jobs nationwide. We are dedicated to positively impacting the healthcare industry by providing first-priority access to more than 200,000 jobs nationwide to our healthcare professionals.
Nurse Case Manager II Elevance Health IncNurse Case Manager IITampa, FLThe Telephonic Nurse Case Manager II is responsible for care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Registered Nurse (RN) – Start of Care (SOC) and Visits Home Health - Bradenton, FL Matrix Home CareRegistered Nurse (RN) – Start of Care (SOC) and Visits Home Health - Bradenton, FLBradenton, FloridaMatrix Home Care is currently seeking compassionate, experienced, and motivated Registered Nurses (RNs) to join our growing Home Health team in Bradenton, Florida. This position focuses heavily on Start of Care (SOC) admissions and skilled nursing visits for patients receiving care in the home setting.
Pop Health Concierge Care Coordination RN- Medical Pediatric Pop South Florida Community Care NetworkPop Health Concierge Care Coordination RN- Medical Pediatric PopSunrise, FLCommunication and Collaboration: Interact with, assist, and educate physicians, hospital representatives, administrators, patients and their families, corporate representatives, and other healthcare providers regarding the High-Risk Pregnancy Management Program. Position Summary: The Population Health and Care Coordinator for Maternal Child Health plays a critical role as a core member of the care team, working closely with medical providers, maternal health specialists, and the broader care coordination team.
NewTravel Nurse RN - Case Management - $2,304 per week HealthTrust Workforce Solutions HCATravel Nurse RN - Case Management - $2,304 per weeklargo, FLPlus, as a preferred partner to thousands of top-performing hospitals, we provide our healthcare professionals with first-priority access to more than 200,000 jobs nationwide. We are dedicated to positively impacting the healthcare industry by providing first-priority access to more than 200,000 jobs nationwide to our healthcare professionals.
NewTravel Nurse RN - Case Management - $2,126 per week TrustaffTravel Nurse RN - Case Management - $2,126 per weekMargate, FLPay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Case Managers are important liaison, and you'll serve as a link between patients, their families, and healthcare providers.
NewBilingual Targeted Case Manager HEALTH CONNECT AMERICA, INCBilingual Targeted Case ManagerTampa, FLWe are relentlessly committed to keeping families together and transforming lives through evidence-informed care, delivered by clinically trained staff who meet clients where they are — in their homes, in their communities, and in our offices. Health Connect America and our family of brands are leading providers of mental and behavioral health services for children, families, and adults across a multi-state footprint.
Travel Nurse RN - Case Management - $2,023 per week TrustaffTravel Nurse RN - Case Management - $2,023 per weekFort Lauderdale, FLPay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Case Managers are important liaison, and you'll serve as a link between patients, their families, and healthcare providers.
Travel Case Management RN - $2,047 per week HealthTrust Workforce Solutions HCATravel Case Management RN - $2,047 per weekFort Pierce, FLWe are dedicated to positively impacting the healthcare industry by providing first-priority access to more than 200,000 jobs nationwide to our healthcare professionals. Plus, as a preferred partner to thousands of top-performing hospitals, we provide our healthcare professionals with first-priority access to more than 200,000 jobs nationwide.
NewDirector of Behavioral Health Community Health Systems IncDirector of Behavioral HealthKey West, FLCollaborates with hospital leadership to set the strategic direction for the department, including budgeting, resource allocation and long-term planning. Monitors clinical and operational outcomes, including quality indicators, patient satisfaction, length of stay, and readmission rates; develops action plans for improvement as needed.
Clinical Field Specialist - Miami, FL Becton Dickinson and CoClinical Field Specialist - Miami, FLMiami, FLA Day in the Life: The Clinical Field Specialist will provide education on products within the Advanced Patient Monitoring portfolio through intra-operative case coverage, coordinating one-on-one ad hoc training sessions and in-service education programs in the ICU, OR, and other acute care areas. They will also provide physicians and medical staff with clinical instructions to ensure continuity of education and technical support related to all aspects of patient outcome throughout continuum of care while anticipating and foreseeing obstacles and planning accordingly for smooth execution.
Emergency Medicine NP or PA – Weekdays Only, No Nights Great Bay Staffing GroupEmergency Medicine NP or PA – Weekdays Only, No NightsPort Charlotte, Florida$150,000–$165,000 / yearThis community hospital ED is looking for an experienced Emergency Medicine NP or PA to join a team-based department where you're managing low to moderate acuity cases, ordering and interpreting diagnostics, and performing procedures within your scope—working closely with physicians and nursing staff who actually collaborate, not just delegate. You're managing low to moderate acuity patients, ordering and interpreting diagnostic studies, and performing procedures within your scope of practice—all while working alongside physicians, nursing staff, and ancillary team members who are part of that day-to-day collaboration, not just names on an org chart.
Clinical Liaison Inpatient Rehab Select Medical CorpClinical Liaison Inpatient RehabTallahassee, FL$70,000–$88,000 / yearIn this highly visible, challenging and rewarding position, you will assume a leadership role, developing and nurturing professional relationships with case managers, physicians and clinicians in acute care hospitals; educating staff, patients and families regarding rehabilitation services provided by our rehabilitation hospital. Two years related experience working in a clinical healthcare setting or previous experience working in a clinical liaison role preferred.
Pop Health Behavioral Healthcare Coordinator South Florida Community Care NetworkPop Health Behavioral Healthcare CoordinatorSunrise, FLCommunity Integration and Home Assessments: In conjunction with the Concierge Care Coordination Health Social Worker, conduct in-home assessments as needed to evaluate the member's home environment for safety, setting appropriateness, and the availability of needed supplies and medications. Regular Activities: While performing the duties of this job, the employee is regularly required to sit for extended periods, use hands to handle or feel objects, tools, or controls, reach with hands and arms, and communicate verbally to effectively interact with team members and enrollees.
Medical Assistant- On Call/Pool, Days 8:00am-4:30pm Jackson Health SystemMedical Assistant- On Call/Pool, Days 8:00am-4:30pmMiami, FLClinical Duties (may include, but not limited to): Taking medical histories; Preparing patients for examination; Assisting the physician during exams and certain procedures; Collecting and preparing laboratory specimens; Performing basic laboratory tests; Drawing blood; Taking electrocardiograms; May perform other advanced clinical duties under direction and supervision of a nurse or a physician, as needed. Administrative Duties (may include, but not limited to): Using computer applications; Answering telephones; Welcoming patients; Updating and filing patient medical records; Coding and filling out insurance forms; Scheduling appointments; Arranging for hospital admissions and laboratory services; Handling correspondence, billing, and bookkeeping.