This opportunity is with a National Managed Care Organization located in Sunrise, FL! As a Utilization Review Nurse you will be responsible for the review of requests for prior authorization of medical services such as surgeries, pain management, home health care.
** Candidates must be an RN with Managed Care or Acute Care Utilization Management experience! This position is full time, fully benefited with a competitive compensation package. If you or someone you know is looking for a career with ...
The ACO Care Coordinator supports the Baptist Health Quality Network "BHQN", an 800 physician clinically integrated network of Baptist Health South Florida "BHSF", in the unique clinical and financial care coordination needs of the shared savings program by coordinating, and evaluating processes to improve high patient satisfaction, positive quality outcomes and cost efficiency. The ACO Care Coordinator calloborates with members of the health care team to develop, and implement an ...
Director of Medical Surgical-Telemetry – Miami, FL - HAC215
Reporting to the CNO, the Director of Medical Surgical - Telemetry will direct and manage the operations and activities of a busy 72 bed Med- Surg Telemetry unit.
• Oversee successful daily department operations to achieve quality improvement, fiscal productivity and patient satisfaction goals/objectives
• Supervise 70+ FTE’s including performance and departmental accomplishments to meet facility and ...
The Director of Operations is essential to the management of our clinical staff and care center operations.
Assure state and federal regulatory compliance applicable to home health and reimbursement issues.
Educate all staff members about state and federal rules and regulations
Acts as a liaison between staff, patients, physicians, and other health care providers.
Continually monitors clinical episode management and provide direction/redirection as necessary.
Work with all members of the medical ...
When you choose an application for your company, you must ensure that the system you select meets your key business requirements and allows you to maintain and develop a competitive advantage. We provide you with the knowledge and expertise to do just that. We analyze your problems, define your needs, clarify your goals and use that information to help you design, evaluate and select the right software package for your business. DescriptionThis position shall perform in accordance with federal, state ...
Vice President of Quality Management (RN) – near Ft. Lauderdale, FL - HAC236
Acute Career hospital in southeast Florida with over 250 beds has opening for a experienced Vice President of Quality Management.
Reporting to the CEO, the Vice President of Quality Management is responsible for the direction of the Quality Management Department and the various functions under its umbrella, including Performance Improvement, Medical Staff Services and Credentialing, Risk Management, Infection Control, ...
Vice President, Quality Management (RN) – Miami, FL - HAC235
400 bed hospital has opening for a Vice President of Quality Management.
Reporting to the CEO, this individual is responsible for the direction of the Quality Management Department and the various functions under its umbrella, including Performance Improvement, Medical Staff Services and Credentialing, Risk Management, Infection Control, and Patient Satisfaction. Responsibilities will be detailed upon acceptance of application.
NEW Opportunity - Staffing Now – RN/LPN Private Duty Vent/Trach In-Home Care - 12 hour shifts
These nurses will be working with ventilator and tracheostomy dependent Spanish speaking patient in an in-home, private duty setting. There is a serious and immediate need for clinicians able to cover 12 hour day shifts. All RNs and LPNs who have at least 1 year of experience are encouraged to apply; previous ventilator and tracheostomy experience is required.
FirstLantic Healthcare’s RNs and LPNs work in ...
Are you passionate about patient care? Are you dynamic? Are you seeking a supportive, ethical and enjoyable environment where you can grow as a professional?
Then you have found your new home...FirstLantic Healthcare!
At FirstLantic Healthcare our reputation is built on a culture of care, dignity and compassion -- the cornerstones of our business. Our people, our culture and our care are the reasons we are the home healthcare company of choice in Florida.
FirstLantic Healthcare has exciting Per Diem ...
RN PSYCH Nurse - NEW Opportunity - Staffing Now - -Medicare visits-- Responsible for furnishing comprehensive, skilled, psychiatric-nursing services to psychiatric patients in their home.
Must have a current license to practice as a Registered Nurse in Florida and:
• A registered nurse with a Master’s degree in psychiatric or mental health nursing or
• A registered nurse with a Bachelor’s degree in nursing with one year of experience in an active treatment unit in a psychiatric or mental health ...
Are you an experienced Prior Authorizations RN in the Doral area looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your Nursing career by joining a exponentially growing company that provides on-going training and development? Are you interested in working for a company that offers benefits for full-time permanent employees, flex schedules and the opportunity to grow with the company? If you answered “yes” to any of these ...
We are looking for candidates with clinical background such as RN, LPN, RHIT or RHIA who are interested in this temp-to-hire opportunity in the South. The candidate must have at least 3 years Clinical Documentation experience working specifically with Cerner, but will entertain candidates with other EMRs.
Leave the contract role merry-go-round and enjoy the benefits of permanent living in this low cost of living state that has no state income tax! The incredible shopping and dining experiences ...
We are looking for LOCAL candidates with clinical background such as RN, LPN, RHIT or RHIA who are interested in this temp-to-hire opportunity in the South. The candidate must have at least 3 years Clinical Documentation experience working specifically with Cerner, but will entertain candidates with other EMRs. No relocation is offered.
Put down some roots in this low cost of living state that offers no state income tax! The great outdoors with wide open spaces, incredible shopping and dining and ...
For details and to apply, please visit
Job Title: VP Case Management (Complex Populations)
Company Name: MMS Group
Location: Sunrise, Florida
Job Type: Full-Time
Career Level: Experienced
Experience: 10-15 years
Education Level: Bachelors Degree
VP, Complex Case Management RNTHE opportunity you have been working to attain is now available in sunny FLORIDA! Executive RN who is both clinically and ...
As a member of our team you can play a vital role in caring for our patients at Baptist Health South
Florida by putting your Certified Nursing Assistant skills into practice with an
organization that values quality, safety and patient satisfaction. Working under
the direction of an RN, the C.N.A./Clinical Partner is responsible for providing basic
technical nursing care skills including phlebotomy, wound care, monitor tech and
Opportunities available at these
Baptist Health ...
Join the country’s leading provider of comprehensive home-based Care Management services for high risk patients with complex needs. The Company delivers improved health outcomes and lowered health care costs.
As VP of Care Management Operations, you will supervise and provide leadership for a staff of 80 care management nurses. Working on behalf of both Commercial and Government Health Plans, the Director will oversee the delivery and effective utilization of homecare services in four states.
Some Requirements and Responsibilities:
A talented Scheduling Coordinator to join our team!
Enjoy working with the senior community, and helping others. Ethical, trustworthy, reliable team player. Someone who is a self-starter, detailed oriented, good memory recall who can multi-task well, if needed.
Bilingual in both, English & Spanish is a requirement for this position. Written and spoken fluency in English with spelling and grammatical proficiency.
General computer knowledge in Microsoft ...
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