Clinical Review Nurse

Job SummaryWe are seeking a highly skilled Clinical Review Nurse to join our team at First Coast Service Options, Inc. As a Clinical Review Nurse, you will play a critical role in reviewing and making medical determinations on health claims to ensure compliance with national and local policies, as well as accepted medical standards of care.Key...

Clinical Review Specialist **Job Summary** We are seeking a skilled Clinical Review Specialist to join our team at Universal Health Services. As a Clinical Review Specialist, you will play a critical role in evaluating patient medical records to determine the severity of patient illness and the appropriateness of level of care. You will serve as a liaison...

Job SummaryThe Utilization Reviewer plays a crucial role in ensuring the appropriate level of care for patients. This position requires a strong understanding of psychiatric clinical diagnosis and the ability to articulate indicators professionally.Key ResponsibilitiesEvaluate patient medical records to determine the severity of illness and the...

Job SummaryWe are seeking a highly skilled Charge Review Specialist to join our team at UF Health. As a Charge Review Specialist, you will be responsible for performing timely reviews of charges in the charge review system, verifying completeness of charge information, and researching charges for appropriate codes and modifiers.Key ResponsibilitiesAccurately...

Job SummaryWe are seeking a skilled Utilization Review Coordinator to join our team at River Point Behavioral Health, a subsidiary of Universal Health Services (UHS). As a Utilization Review Coordinator, you will play a critical role in ensuring the quality and appropriateness of patient care.Key ResponsibilitiesMonitor treatment activities and collaborate...

Job SummaryWe are seeking a highly skilled Clinical Research Nurse to join our team at UF Health. The successful candidate will be responsible for coordinating all aspects of research studies, providing research-specific quality nursing care to patients participating in clinical trials, and ensuring compliance with regulatory requirements.Key...

Job SummaryThis position is located in the outpatient clinic in the Department of Psychiatry at SIU HealthCare and performs clinical nursing responsibilities for the department.Key Responsibilities70% Direct ClinicalWorks diligently with healthcare providers, therapists, and other nursing staff to provide quality patient care with regards to new and...

Job Title: Utilization Management ReviewerMental Health Resource Center is seeking a skilled Utilization Management Reviewer to join our team. As a key member of our clinical team, you will play a vital role in ensuring the efficient and effective use of our mental health services.Job SummaryThe Utilization Management Reviewer will be responsible for...

Job SummaryWe are seeking a highly skilled and experienced Clinical Research Nurse Coordinator to join our team at UF Health. The successful candidate will be responsible for coordinating all aspects of research studies, providing research-specific quality nursing care to patients participating in clinical trials, and ensuring compliance with regulatory...

About the RoleWe are seeking a highly skilled Senior Clinical Coding Nurse Consultant to join our team at UnitedHealth Group Inc. in Jacksonville, FL.This is a unique opportunity to work with a clinician-led care organization that is changing the way clinicians work and live.As a member of our team, you will be an integral part of our vision to make...

Job OverviewConcierge Home Care is seeking a highly skilled and experienced Registered Nurse Clinical Manager to join our Jacksonville North team. As a key member of our clinical leadership team, you will play a vital role in ensuring the highest quality of care for our patients.Key Responsibilities:Supervise and manage home health services to patients in...

Endoscopy Nurse OpportunityWe are seeking a skilled Endoscopy Nurse to join our team at Clinical Management Consultants in South Florida. Our organization is dedicated to delivering top-notch patient care and is committed to fostering a collaborative and supportive work environment.Key Responsibilities:Prepare patients for endoscopic procedures and monitor...

Senior Clinical Coding Nurse ConsultantWellMed, part of the Optum family of businesses, is seeking a Senior Clinical Coding Nurse Consultant to join our team in Jacksonville, FL. As a clinician-led care organization, we're changing the way clinicians work and live.As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make...

Endoscopy Nurse OpportunityWe are seeking a skilled Endoscopy Nurse to join our team at Clinical Management Consultants. Our organization is dedicated to delivering high-quality patient care and is committed to fostering a collaborative and supportive work environment.Key Responsibilities:Prepare patients for endoscopic procedures and monitor their vitals...

About the RoleWe are seeking a highly skilled Senior Clinical Coding Nurse Consultant to join our team at UnitedHealth Group Inc. in Jacksonville, FL. As a key member of our Optum Care Delivery team, you will play a vital role in driving consistent, efficient processes and sharing best practices with Providers and Market Teams to achieve corporate and...

Senior Clinical Coding Nurse ConsultantWe are seeking a highly skilled Senior Clinical Coding Nurse Consultant to join our team in Jacksonville, FL. As a member of our Optum Care Delivery team, you will play a critical role in driving consistent, efficient processes and sharing best practices with Providers and Market Teams to achieve corporate and...

Job OverviewFlourish Research is seeking a highly motivated and experienced Registered Nurse to join our team as a Clinical Research Nurse. This is an exciting opportunity to work in a dynamic and collaborative environment, contributing to research that changes lives.Key ResponsibilitiesRepresent Flourish Research professionally when interacting with staff,...

Endoscopy Nurse OpportunityWe are seeking a skilled Endoscopy Nurse to join our team at Clinical Management Consultants in South Florida. Our organization is dedicated to delivering high-quality patient care and is committed to fostering a collaborative and supportive work environment.Key Responsibilities:Prepare patients for endoscopic procedures and...

Job OverviewConcierge Home Care is seeking a highly skilled and experienced Registered Nurse Clinical Manager to join our Jacksonville North team. As a Clinical Manager, you will play a vital role in supervising home health services to patients in place of residence by physician orders and strive to provide the highest quality of care.Key...

Job SummaryMental Health Resource Center Inc is seeking a skilled Utilization Management Reviewer to join our team. As a key member of our clinical team, you will play a vital role in ensuring the efficient and effective use of our mental health services.ResponsibilitiesConduct thorough reviews of medical records to ensure compliance with established...