Utilization review nurse jobs in Davie, FL - 212 jobs

Avante at Boca Raton - Work today, get paid today! Avante at Boca Raton offers DAILY PAY!! Are you a Licensed Practical Nurse (LPN) or Registered Nurse (RN) seeking an exciting new opportunity? Are you an LPN or RN looking for a place where you can focus on patient care and make a real difference? Avante Group, Inc. has the perfect place for you! For almost 40 years, Avante has specialized in skilled nursing, assisted living, rehabilitation, and post-acute services. Our associates are committed individuals, who desire to create an environment that fosters wellness, integrity, and success. At Avante, you will have the opportunity for advancement, you will learn new skills, meet new people, build rewarding professional and personal relationships, and improve the quality of life of those around you. Full and Part-time - All Shifts Available The LPN or RN will provide direct nursing care to the residents and will perform the day-to-day nursing activities in accordance with current federal, state and local standards governing the facility, and as directed by the Director of Nursing Services, Assistant Director of Nursing Services and Administrator, to ensure that the highest degree of quality care is maintained at all times. Must be a Licensed Practical Nurse (LPN) or Registered Nurse (RN) in good standing and meet all applicable federal and state licensure requirements. Must speak and understand English. - Must be knowledgeable of nursing and medical practices and procedures and laws, regulations and guidelines governing long-term care. Positive attitude toward the elderly. Why Avante? At Avante, we believe in providing the highest quality of care to our residents while fostering a supportive and rewarding work environment for our team. Benefits You'll Love: Competitive Compensation Comprehensive Insurance Coverage (Medical, Dental, Vision and more!) Strong Retirement Plan for Your Future Paid Time Off & Holidays to Recharge Tuition Reimbursement - Invest in Your Education Health & Wellness Programs to Keep You Feeling Your Best Employee Recognition Programs - Win prizes & an annual cruise! A Collaborative Work Environment - We value your voice! (Employee surveys, check-ins, & town halls) Advancement Opportunities - Grow Your Career with Us! Full and Part-time - All Shifts Available Don't Hesitate- Apply Today! Avante provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, Veterans' status, national origin, gender identity or expression, age, sexual orientation, disability, gender, genetic information or any other category protected by law. In addition to federal requirements, Avante complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Avante expressly prohibits any form of workplace harassment based on race, color, religion, sex, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, Veterans' status or any other category protected by law. Improper interference with the ability of Avante's employees to perform their job duties may result in discipline, up to and including, discharge.

Avante at Lake Worth - Work today, get paid today! Avante at Lake Worth offers DAILY PAY!! Are you a Licensed Practical Nurse (LPN) or Registered Nurse (RN) seeking an exciting new opportunity? Are you an LPN or RN looking for a place where you can focus on patient care and make a real difference? Avante Group, Inc. has the perfect place for you! For almost 40 years, Avante has specialized in skilled nursing, assisted living, rehabilitation, and post-acute services. Our associates are committed individuals, who desire to create an environment that fosters wellness, integrity, and success. At Avante, you will have the opportunity for advancement, you will learn new skills, meet new people, build rewarding professional and personal relationships, and improve the quality of life of those around you. Full and Part-time- All Shifts Available The LPN or RN will provide direct nursing care to the residents and will perform the day-to-day nursing activities in accordance with current federal, state and local standards governing the facility, and as directed by the Director of Nursing Services, Assistant Director of Nursing Services and Administrator, to ensure that the highest degree of quality care is maintained at all times. Must be a Licensed Practical Nurse (LPN) or Registered Nurse (RN) in good standing and meet all applicable federal and state licensure requirements. Must speak and understand English. - Must be knowledgeable of nursing and medical practices and procedures and laws, regulations and guidelines governing long-term care. Positive attitude toward the elderly. Why Avante? At Avante, we believe in providing the highest quality of care to our residents while fostering a supportive and rewarding work environment for our team. Benefits You'll Love: Competitive Compensation Comprehensive Insurance Coverage (Medical, Dental, Vision and more!) Strong Retirement Plan for Your Future Paid Time Off & Holidays to Recharge Tuition Reimbursement - Invest in Your Education Health & Wellness Programs to Keep You Feeling Your Best Employee Recognition Programs - Win prizes & an annual cruise! A Collaborative Work Environment - We value your voice! (Employee surveys, check-ins, & town halls) Advancement Opportunities - Grow Your Career with Us! Full and Part-time- All Shifts Available Don't Hesitate- Apply Today! Avante provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, Veterans' status, national origin, gender identity or expression, age, sexual orientation, disability, gender, genetic information or any other category protected by law. In addition to federal requirements, Avante complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Avante expressly prohibits any form of workplace harassment based on race, color, religion, sex, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, Veterans' status or any other category protected by law. Improper interference with the ability of Avante's employees to perform their job duties may result in discipline, up to and including, discharge.

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Utilization Review Coordinator **PRIMARY PURPOSE** : To assign utilization review requests; to verify and enter data in appropriate system(s); and to provide general support to clinical staff in a team environment. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Accesses, triages and assigns cases for utilization review (UR). + Responds to telephone inquiries proving accurate information and triage as necessary. + Enters demographics and UR information into claims or clinical management system; maintains data integrity. + Obtains all necessary information required for UR processing from internal and external sources per policies and procedures. + Distributes incoming and outgoing correspondence, faxes and mail; uploads review documents into paperless system as necessary. + Supports other units as needed. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). **QUALIFICATIONS** **Education & Licensing** High School diploma or GED required. **Experience** Two (2) years of administrative experience or equivalent combination of experience and education required. Customer service in medical field preferred. Workers compensation, disability and/or liability claims processing experience preferred. **Skills & Knowledge** + Knowledge of medical and insurance terminology + Knowledge of ICD9 and CPT coding + Excellent oral and written communication, including presentation skills + PC literate, including Microsoft Office products + Analytical and interpretive skills + Strong organizational skills + Detail Oriented + Good interpersonal skills + Ability to work in a team environment + Ability to meet or exceed Performance Competencies **WORK ENVIRONMENT** When applicable and appropriate, consideration will be given to reasonable accommodations. **Mental:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines **Physical:** Computer keyboarding, travel as required **Auditory/Visual:** Hearing, vision and talking The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**

(1) Full-Time Utilization Reviewer: Monday through Friday 8:30 a.m. - 5:00 p.m. Qualifications : Clinical Background with 2 years of UR experience RN (or) Master level Clinician CPI Certification required Experience in Psychiatric facility preferred Bilingual (English/Spanish) preferred 3-5 years' experience of Mental Health and Substance Abuse in an Inpatient setting. EQUAL OPPORTUNITY EMPLOYER Larkin Behavioral Health Services is an Equal Opportunity Employer committed to nondiscrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender status, marital status, age, disability, or covered veteran's status consistent with applicable federal and state laws.

Pool Utilization Review Registered Nurse, Case Management, Per Diem, Shift Varies (Rotating Weekends)-155669Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 28,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 25 years, we've been named one of Fortune's 100 Best Companies to Work For, and in the 2024-2025 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 45 high-performing honors.What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues that go beyond the workplace, and we form meaningful relationships with patients and their families that extend beyond delivering care. Many of us have walked in our patients' shoes ourselves and that shared experience fuels out commitment to compassion and quality. Our culture is rooted in purpose, and every team member plays a part in making a positive impact - because when it comes to caring for people, we're all in. Description The purpose of this position is to conduct initial, concurrent, retrospective chart review for clinical, financial and resource utilization. Coordinates with healthcare Team for optimal efficient patient outcomes, while decreasing length of stay and avoid delays and denied days. They are accountable for a designated patient caseload and provides intervention and coordination to decrease avoidable delays denial of reimbursement. Specific functions within this role include: Screens pre-admission, admission process using established criteria for all points of entry, Facilitates communication between payers, review agencies and healthcare team, Identify delays in treatment or inappropriate utilization and serves as a resource, Coordinates communication with physicians, Identify opportunities for expedited appeals and collaborates resolve payer issues and ensures, maintains effective communication with Revenue Cycle Departments. Estimated pay range for this position is $45.00 / hour depending on shift as applicable.Qualifications Degrees:Associates.Licenses & Certifications:Registered Nurse.Additional Qualifications:RNs hired prior to 2/2012 (10/1/2017 at Bethesda or 7/1/2019 at BRRH) with an Associates Degree in Nursing are not required to have a BSN to continue their non-leadership role as an RN; however, required to complete the BSN within 3 years of hire.3 years of hospital clinical experience preferred.Excellent written, interpersonal communication and negotiation skills.Strong critical thinking skills and the ability to perform clinical chart review abstract information efficiently.Strong analytical, data management and computer skills.Strong organizational and time management skills, as evidenced by capacity to prioritize multiple tasks and role components.Current working knowledge of payer and managed care reimbursement preferred.Ability to work independently and exercise sound judgment in interactions with the health care team and patients/families.Knowledgeable in local, state, and federal legislation and regulations, and ability to tolerate high volume production standards.Minimum Required Experience: 3 Years of Utilization Review experience in an acute care setting required Job Case Management/Home HealthPrimary Location Boca RatonOrganization Boca Raton Regional HospitalSchedule Per DiemJob Posting Jan 7, 2026, 5:00:00 AMUnposting Date OngoingEOE, including disability/vets

The purpose of this position is to conduct initial, concurrent, retrospective chart review for clinical, financial and resource utilization. Coordinates with healthcare Team for optimal efficient patient outcomes, while decreasing length of stay and avoid delays and denied days. They are accountable for a designated patient caseload and provides intervention and coordination to decrease avoidable delays denial of reimbursement. Specific functions within this role include: Screens pre-admission, admission process using established criteria for all points of entry, Facilitates communication between payers, review agencies and healthcare team, Identify delays in treatment or inappropriate utilization and serves as a resource, Coordinates communication with physicians, Identify opportunities for expedited appeals and collaborates resolve payer issues and ensures, maintains effective communication with Revenue Cycle Departments. Estimated pay range for this position is $45.00 / hour depending on shift as applicable. Degrees: * Associates. Licenses & Certifications: * Registered Nurse. Additional Qualifications: * RNs hired prior to 2/2012 (10/1/2017 at Bethesda or 7/1/2019 at BRRH) with an Associates Degree in Nursing are not required to have a BSN to continue their non-leadership role as an RN; however, required to complete the BSN within 3 years of hire. * 3 years of hospital clinical experience preferred. * Excellent written, interpersonal communication and negotiation skills. * Strong critical thinking skills and the ability to perform clinical chart review abstract information efficiently. * Strong analytical, data management and computer skills. * Strong organizational and time management skills, as evidenced by capacity to prioritize multiple tasks and role components. * Current working knowledge of payer and managed care reimbursement preferred. * Ability to work independently and exercise sound judgment in interactions with the health care team and patients/families. * Knowledgeable in local, state, and federal legislation and regulations, and ability to tolerate high volume production standards. Minimum Required Experience: 3 Years of Utilization Review experience in an acute care setting required

Pool Utilization Review Registered Nurse, Case Management, Per Diem, Shift Varies (Rotating Weekends)-155669Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 28,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 25 years, we've been named one of Fortune's 100 Best Companies to Work For, and in the 2024-2025 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 45 high-performing honors.What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues that go beyond the workplace, and we form meaningful relationships with patients and their families that extend beyond delivering care. Many of us have walked in our patients' shoes ourselves and that shared experience fuels out commitment to compassion and quality. Our culture is rooted in purpose, and every team member plays a part in making a positive impact - because when it comes to caring for people, we're all in. Description The purpose of this position is to conduct initial, concurrent, retrospective chart review for clinical, financial and resource utilization. Coordinates with healthcare Team for optimal efficient patient outcomes, while decreasing length of stay and avoid delays and denied days. They are accountable for a designated patient caseload and provides intervention and coordination to decrease avoidable delays denial of reimbursement. Specific functions within this role include: Screens pre-admission, admission process using established criteria for all points of entry, Facilitates communication between payers, review agencies and healthcare team, Identify delays in treatment or inappropriate utilization and serves as a resource, Coordinates communication with physicians, Identify opportunities for expedited appeals and collaborates resolve payer issues and ensures, maintains effective communication with Revenue Cycle Departments. Estimated pay range for this position is $45.00 / hour depending on shift as applicable.Qualifications Degrees:Associates.Licenses & Certifications:Registered Nurse.Additional Qualifications:RNs hired prior to 2/2012 (10/1/2017 at Bethesda or 7/1/2019 at BRRH) with an Associates Degree in Nursing are not required to have a BSN to continue their non-leadership role as an RN; however, required to complete the BSN within 3 years of hire.3 years of hospital clinical experience preferred.Excellent written, interpersonal communication and negotiation skills.Strong critical thinking skills and the ability to perform clinical chart review abstract information efficiently.Strong analytical, data management and computer skills.Strong organizational and time management skills, as evidenced by capacity to prioritize multiple tasks and role components.Current working knowledge of payer and managed care reimbursement preferred.Ability to work independently and exercise sound judgment in interactions with the health care team and patients/families.Knowledgeable in local, state, and federal legislation and regulations, and ability to tolerate high volume production standards.Minimum Required Experience: 3 Years of Utilization Review experience in an acute care setting required Job Case Management/Home HealthPrimary Location Boca RatonOrganization Boca Raton Regional HospitalSchedule Per DiemJob Posting Jan 7, 2026, 5:00:00 AMUnposting Date OngoingEOE, including disability/vets

Job Description The HOA Bookkeeper & Architectural Review Coordinator plays a key role in supporting the financial integrity, operational efficiency, and architectural standards of a luxury residential community. This position is responsible for day-to-day bookkeeping functions, overseeing architectural modification applications, assisting the General Manager with administrative and operational tasks, and supporting office staff in daily operations. The ideal candidate is detail-oriented, highly organized, customer-focused, and capable of multitasking in a fast-paced, high-expectation environment. Key Responsibilities: Maintain accurate financial records Process vendor invoices, reimbursements, and mics. expenses Assist with monthly financial reporting, reconciliations, and budget tracking Maintain organized financial records in compliance with Association policies Utilize strong Excel skills for reporting, tracking, and data management Manage architectural modification applications from submission through approval process Coordinate with the Architectural Review Committee (ARC) and management Creates monthly agenda for committee meetings Ensure applications comply with governing documents and community standards Communicate professionally with Subdivision property managers and or homeowners regarding application requirements and status Document findings and report any non-compliance to management and committee Assist the General Manager with administrative tasks, reporting, and special projects Support office staff with day-to-day operational needs Provide exceptional customer service to homeowners, Board members, vendors, and guests Maintain confidentiality and professionalism when handling sensitive information Coordinate appointments with vendors and property manager Full-time Mon-Fri 8:30am-5pm Salary: $60k - $65k DOE PLEASE DO NOT APPLY FOR THIS POSITION IF YOU LIVE MORE THAN 30 MINUTES FROM THE BOCA RATON AREA.

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career! Job Description Are you an experienced Registered Nurse with Utilization Review or Concurrent Review experience looking for a new opportunity with a prestigious Managed Care Company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions - this is the position for you! Daily Responsibilities: Conducts pre-admission, concurrent and retrospective acute care, sub-acute, hospice, qualification of transitional care and long-term care needs for medical necessity Perform case reviews and complete all required documentation in appropriate database Collaborate with primary or attending physician, case managers, patient and/or family to provide continuity and quality of care in the most cost-effective manner. Timely completion of admission reviews (within 48-hours for weekday, 72-hours for weekend) Provide outpatient or pharmacy services utilization review Hours for this Position: M-F 8:00am to 5:00pm Requirements: Current Florida RN License 2+ years in recent medical/surgical or critical care experience 3+ years of Utilization Review / Case Management experience Strong reasoning ability: define problems, collect data, establish facts, and draw conclusions Advantages of this Opportunity: Competitive salary ($30/hr. to $32/hr.) Permanent position Benefits offered, Medical, Dental, and Vision Fun and positive work environment Interested in being considered? If you are interested in being considered for this position, PLEASE click the APPLY NOW button! Additional Information

Job DescriptionAbout us: Solis Health Plans is a new kind of Medicare Advantage Company. We provide solutions that are more transparent, connected and effective for both our members and providers. Solis was born out of a desire to provide a more personal experience throughout all levels of the healthcare journey. Our team consists of expert individuals that take pride in delivering quality service. We believe in a culture that collaborates and supports one another, and where success is interlinked and each employee is valued. Please check out our company website at ************************ to learn more about us! **Bilingual in English and Spanish is required** Full benefits package offered on the first on the month following date of hire including: Medical, Dental, Vision, 401K plan with a 100% company match! Our company has doubled size and we have experienced exponential growth in membership from 2,000 members to over 10,000 members! Join our winning Solis Team! Position is fully onsite Monday-Friday. Location: 9250 NW 36th St, Miami, FL 33178. Position Summary: Under the supervision of the Health Services Director, the Utilization Management Nurse (LPN or RN) uses a multidisciplinary approach to organize, coordinate, monitor, evaluate, create and manage organization determinations and authorizations. These service requests will focus on selected complex medical and psychosocial needs of Solis Health Plans members. The UM Nurse is responsible for assuring the receipt of high quality, cost efficient medical outcomes for enrollees. This role works with Medical Directors, Authorization Coordinators and Service Coordinators to perform first level review to pre-certify elective services, procedures and tests utilizing established Care Coordination polices and protocols, Solis Health Plans benefit criteria, applicable regulatory review criteria and nationally accepted criteria for medical necessity determination. Main Key Responsibilities: Conduct concurrent and retrospective utilization review for inpatient, observation or SNF services. Conducts clinical reviews of proposed services against appropriate criteria/guidelines to determine medical necessity, benefit eligibility, and network contract status. Work with Medical Directors, Program Leadership and Solis Health Plans Provider Relations Teams to identify and mitigate facility barriers associated with the ability to make timely decisions. Identify, align and utilize health plan and community resources that impact high-risk/high cost care. Act as liaison between assigned facilities, members/families, and Solis Health Plans. Clarify policies/procedures and member benefits as needed. Authorizes services, coordinates care, and ensures timeliness and coordination of healthcare services, in compliance with department and regulatory standards, seeking supplemental services when appropriate or when needed. Assess enrollee needs and monitor progress toward goals at all times, communicating findings and status with members of the enrollee's primary care team. Ensure optimal delivery of safe quality health care to members, while maximizing resources and containing costs, and facilitate continual patient-centered and outcome-driven health performance improvement activities. Review enrollees with the Medical Directors and Primary Care Teams and advocates for Administration Exception considerations as appropriate. Facilitate communications between the facility, providers, and the PCT in order to effect and influence a safe and effective discharge plan and care plan for the enrollee. Qualifications: Graduate from an accredited school of nursing, or Bachelors (or advanced) degree in nursing. Active and unrestricted licensure as a Registered Nurse in Florida. A minimum of three to five years clinical experience as a Registered Nurse in a clinical setting required. 2 years' experience as a Utilization Management nurse in a managed care payer preferred. One year experience as a case manager in a payer or facility setting highly preferred. Discharge planning experience highly preferred. What Sets Us Apart: Join Solis Health Plans as a Utilization Management Nurse and become a catalyst for positive change in the lives of our members. At Solis, you will be part of a locally rooted organization deeply committed to understanding and serving our communities. If you are eager to embark on a purpose-driven career that promises growth and the chance to make a significant impact, we encourage you to explore the opportunities available at Solis Health Plans. Join us and be the difference!

Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. Job Description License and Educational requirement: LCSW, LCPC or RN. A Masters degree is required for ALL licenses EXCEPT for the RN. A Bachelors degree is required for the RNs. Description: Under general supervision by management, and in collaboration with Medical Directors and other members of the clinical team, gathers and synthesizes clinical information in order to authorize services. Reviews health care services to determine consistency with contract requirements, coverage policies and evidence-based medical necessity criteria; collects and analyzes utilization information; assists with program processes for transitions across levels of care including discharge planning and ambulatory follow up activity. Serves as an expert resource on coverage policies, covered benefits, and medical necessity criteria. ESSENTIAL FUNCTIONS: - Develops and manages new enrollee transitions and those involving a change in provider relationships. Develops and implements transition plans, as indicated, to ensure continuity of care. Negotiates and documents single case agreements according to the company's procedures. - Reviews planned, in process, or completed health care services to ensure medical necessity and effectiveness according to evidence-based criteria. Proposes alternatives when the requested services do not meet medical necessity criteria or are outside the contracted network. As assigned and based on credentials, monitors and reviews specialized requests and treatment records such as Treatment Record Forms. - In conjunction with providers and facilities, identifies, develops and monitors discharge plans. Collaborates with the Care Coordination Team to implement support for transitions in care. Facilitates timely sharing of enrollees clinical information (such as previous treatment, medications, and planned care) in order to promote continuity of care. - Provides information to enrollees, providers, and internal staff regarding covered and non-covered benefits, community resources, agency programs, and company policies and procedures and criteria. - Interacts with Medical Directors and Physician Advisors to provide case information and discuss clinical and authorization questions and concerns regarding specific cases. Assures that case documentation for each decision is complete, including related correspondence. - Participates in Care Coordination Team and utilization management activities, including collaboration with other staff on enrollee cases, and performing data collection, tracking, and analysis. - Maintains an active work load in accordance with performance standards. - Works with community agencies as appropriate. - Participates in network development including identification and recruitment of quality providers as needed. - Advocates for the enrollee to ensure health care needs are met. Interacts with providers in a professional, respectful manner. - Provides coverage of Nurse Line and/or Crisis Line as requested or required for position. Qualifications Requirements/Certifications: THIS IS A TEMP-TO-PERM POSITION. The candidate will work an 8 hour shift that could start between the hours of 8am - 10:30am. Caseload: 25-30 reviews per day. This position is 98% telephonic. Additional Information: The candidate MUST have BH experience. There will be rounds with a Doctor for 15 mins everyday. Travel maybe required to a local hospital with a mileage rate of $0.54/mile. The manager is looking for 3 years of Inpatient Medical experience, 3 years of Utilization experience, Concurrent Review experience and HMO exp. Training will be 3 - 4 weeks long that will include Code of Conduct, Systems App and Shadowing. Credentialing Paperwork will be completed during training. Additional Information Riya Khem Life Science Recruiter Integrated Resources, Inc. IT Life Sciences Allied Healthcare CRO Certified MBE |GSA - Schedule 66 I GSA - Schedule 621I DIRECT # - 732 -844-8721 | (W) # 732-549-2030 - Ext - 311 |(F) 732-549-5549

Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Hours: Monday - Friday 9:00am to 5:30pm EST and 1 late evening 11:30am to 8:00pm EST. * This position will service members in different states; therefore, Multi-State Licensure will be required. This position requires an on-line pre-employment skills assessment. The assessment is free of charge and can be taken from any PC with Internet access. Candidates who meet the minimum requirements will be contacted via email with instructions. In order to move forward in the process, you must complete the assessment within 48 hours of receipt and meet the criteria. The 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. Performs duties telephonically. How you will make an impact: * Ensures member access to services appropriate to their health needs. * Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment. * Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements. * Coordinates internal and external resources to meet identified needs. * Monitors and evaluates effectiveness of the care management plan and modifies as necessary. * Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans. * Negotiates rates of reimbursement, as applicable. * Assists in problem solving with providers, claims or service issues. * Assists with development of utilization/care management policies and procedures. Minimum Requirements: * Requires BA/BS in a health-related field and minimum of 5 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. * Current, unrestricted RN license in applicable state required. * Multi-state licensure is required if this individual is providing services in multiple states. Preferred Capabilities, Skills and Experiences: * Case Management experience. * Certification as a Case Manager. * Minimum 2 years' experience in acute care setting. * Managed Care experience. * Ability to talk and type at the same time. * Demonstrate critical thinking skills when interacting with members. * Experience with (Microsoft Office) and/or ability to learn new computer programs/systems/software quickly. * Ability to manage, review and respond to emails/instant messages in a timely fashion. For candidates working in person or virtually in the below locations, the salary* range for this specific position is $76,944 to $126.408. Locations: Colorado; New York; New Jersey In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. 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. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

We are seeking an Utilization Management Coordinator to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. About the Role: The Utilization Management Coordinator plays a critical role in ensuring that healthcare services are delivered efficiently and effectively by overseeing the review and authorization of medical treatments and procedures. This position is responsible for coordinating utilization management activities to optimize member care while controlling costs and adhering to regulatory requirements. The role involves collaborating with healthcare providers, insurance companies, and internal teams to evaluate the necessity and appropriateness of medical services. The Coordinator will analyze clinical data and documentation to support decision-making processes and ensure compliance with organizational policies and healthcare standards. Ultimately, this position contributes to improving member outcomes by facilitating timely access to necessary care and preventing unnecessary or redundant services. Minimum Qualifications: Associate degree in Health Administration, or a related healthcare field Minimum of 2 years of experience in utilization management, case management, or a related healthcare coordination role. Strong knowledge of healthcare regulations, insurance processes, and medical terminology. Proficiency in electronic health records (EHR) systems and utilization management software. Relevant experience may substitute for the educational requirement on a year-for-year basis. Preferred Qualifications: Bachelor's degree in Nursing, Health Administration, or a related healthcare field. Certification in Utilization Review (e.g., Certified Professional in Utilization Review - CPUR) or Case Management (e.g., CCM). Experience working within managed care organizations or health insurance companies. Advanced knowledge of clinical guidelines and healthcare quality improvement methodologies. Familiarity with regulatory requirements such as HIPAA, URAC, and NCQA standards. Demonstrated ability to lead or participate in cross-functional teams focused on utilization management initiatives. Responsibilities: Conduct thorough reviews of medical records and treatment plans to determine the medical necessity and appropriateness of requested services. Coordinate communication between healthcare providers, insurance representatives, and internal departments to facilitate timely authorization and appeals processes. Maintain accurate documentation of utilization management activities and decisions in compliance with regulatory and organizational standards. Monitor and analyze utilization data to identify trends, potential issues, and opportunities for process improvement. Assist in developing and implementing utilization management policies and procedures to enhance operational efficiency and member care quality.

This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Founded in 2005, HealthSun is a local Medicare Managed Care Organization with administrative offices located in Coconut Grove, Florida. Serving more than 50,000 members, HealthSun is one of the fastest growing health plans in South Florida. As a local plan, we recognize the healthcare needs of our community and strive to provide our members with only the best service and experience possible. The Nurse Case Manager I is responsible for performing 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. Performs duties telephonically or on-site such as at hospitals for discharge planning. How You Will Make an Impact: Primary duties may include, but are not limited to: Ensures member access to services appropriate to their health needs Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment. Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements. Coordinates internal and external resources to meet identified needs. Monitors and evaluates effectiveness of the care management plan and modifies as necessary. Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans. Assists in problem solving with providers, claims or service issues. Minimum Requirements: Requires BA/BS in a health related field and minimum of 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. Current, unrestricted RN license in applicable state(s) required. Multi-state licensure is required if this individual is providing services in multiple states. Preferred Skills, Capabilities & Experiences: Certification as a Case Manager is preferred. Bilingual English/Spanish highly preferred. MS Office Suite good working knowledge preferred. For URAC accredited areas the following applies: Requires BA/BS and 3 years of clinical care experience; or any combination of education and experience, which would provide an equivalent background. Current and active RN license required in applicable state(s). Multi-state licensure is required if this individual is providing services in multiple states. Certification as a Case Manager and a BS in a health or human services related field preferred. Job Level: Non-Management Exempt Workshift: 1st Shift (United States of America) Job Family: MED > Licensed Nurse Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. 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. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Why Work at Concerto? What is in it for you? Three (3) day work week Competitive pay Nurse to patient's ratio Clinical/Corporate Career Advancement Medical, dental, vision, short- and long-term disability benefits Pet Insurance 401k match of 50% up to 6% of salary PTO Paid Holidays Discounts through Nectar Employer Paid Employee Assistance Program Who Are We? Concerto Renal Services is an industry leader in sub-acute hemodialysis within a skilled nursing facility and/or long-term care facility. We are a rapidly expanding business with a simple mission: reimagining dialysis care, one community at a time. Our model focuses on ensuring those with end-stage renal disease receive the best possible care through a more convenient, centralized, continuous care model. Why is this Role Essential? Concerto is seeking a Dialysis Nurse to join its team! The Dialysis Nurse supervises dialysis care in accordance with policy, procedure and training and in compliance with state and federal regulations. Assures responsibility for the unit and works collaboratively with members of the hemodialysis healthcare team. Supervises care given by dialysis technicians while assuming a ‘hands on' role and fostering a team approach to patient care. What Will You Do? Patient Care & Education Provides direct hemodialysis care, performs assessments, administers medications, and educates patients on renal health, treatment, and self-care. Team Leadership & Supervision Delegates tasks to dialysis technicians, supervises their performance, and ensures compliance with clinical standards and regulations. Treatment Monitoring & Adjustment Monitors patient response to dialysis, adjusts treatment plans as needed, and ensures accurate documentation of interventions and outcomes. Collaboration & Communication Works closely with physicians and healthcare team members to coordinate care, report critical lab results, and ensure continuity of treatment. Documentation & Compliance Maintains accurate electronic medical records, ensures timely completion of care plans, and adheres to safety and regulatory protocols. Qualifications You Might Be a Good Fit If You are... Compassionate and Empathetic A Critical Thinker and Problem-Solver An Individual who Thrives in a Team Environment An Individual with Excellent Communication Skills Purpose-driven What's Required? Graduate of an accredited school of Nursing Current State appropriate or Compact RN License Minimum of one (1) year of nursing experience in any practice area Minimum of three (3) months of Dialysis experience required BLS Provider certification Physical Requirements & Work Environment This role requires successful completion of the Ishihara Color Blindness Test to ensure accurate color perception in a clinical setting. It also involves prolonged walking, standing, stooping, and bending, with the ability to lift up to 25 lbs. Strong focus and attention to detail are essential. The work environment includes temperature control, moderate noise levels, and potential exposure to infectious materials. Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Compensation $38 - $50 per hour Hourly rate is dependent upon several factors, including but not limited to the following: a candidate's experience in this position and/or the dialysis industry in general, location of the position in question, urgency of company need, timeline of required to fill position, and other potential and/or applicable factors that emerge from time to time.

Corrections professionals who foster a humane and secure environment and ensure public safety by preparing individuals for successful reentry into our communities. Corrections professionals who foster a humane and secure environment and ensure public safety by preparing individuals for successful reentry into our communities. Overview Help Accepting applications Open & closing dates 10/01/2025 to 09/30/2026 Salary $50,241 to - $114,573 per year Pay scale & grade GL 05 - 10 Locations Many vacancies in the following locations: Aliceville, AL Maxwell AFB, AL Talladega, AL Forrest City, AR Show morefewer locations (90) Phoenix, AZ Safford, AZ Tucson, AZ Atwater, CA Herlong Sierra Ordnance Depot, CA Lompoc, CA Los Angeles, CA Mendota, CA San Diego, CA Victorville, CA Florence, CO Littleton, CO Danbury, CT Coleman, FL Marianna, FL Miami, FL Miami-Dade County, FL Tallahassee, FL Atlanta, GA Jesup, GA Honolulu, HI Chicago, IL Greenville, IL Marion, IL Pekin, IL Thomson, IL Terre Haute, IN Leavenworth, KS Ashland, KY Inez, KY Lexington, KY Manchester, KY Pine Knot, KY Oakdale, LA Pollock, LA Fort Devens, MA Cumberland, MD Milan, MI Duluth, MN Rochester, MN Sandstone, MN Waseca, MN Springfield, MO Yazoo City, MS Butner Federal Correctional Complex, NC Berlin, NH Fairton, NJ Fort Dix, NJ Kings, NY Otisville, NY Ray Brook, NY Elkton, OH El Reno, OK Oklahoma City, OK Sheridan, OR Gregg Township, PA Kelly Township, PA Lewis Run, PA Loretto, PA Minersville, PA Philadelphia, PA Waymart, PA Guaynabo, PR Bennettsville, SC Edgefield, SC Estill, SC Salters, SC Yankton, SD Memphis, TN Bastrop, TX Beaumont, TX Big Spring, TX Bryan, TX Federal Medical Center Carswell, TX Fort Worth, TX Houston, TX La Tuna, TX Seagoville, TX Texarkana, TX Three Rivers, TX Jonesville, VA Prince George, VA Seatac, WA Grand Marsh, WI Alderson, WV Beaver, WV Bruceton Mills, WV Glenville, WV Morgantown, WV Welch, WV Remote job No Telework eligible No Travel Required Occasional travel - Travel may be required for training and/or work related issues. Relocation expenses reimbursed No Appointment type Permanent Work schedule Full-time - Registered Nurse Accelerated Promotion Program covers the 0610 series ranging from GL-05 through GL-10 grade levels. If eligible, this enables a Registered Nurse to promote up to twice at an accelerated pace through a training program. Service Competitive Promotion potential 10 - Grade 10 - Registered Nurse Accelerated Promotion Program covers the 0610 series ranging from GL-05 through GL-10 grade levels. If eligible, this enables a Registered Nurse to promote up to twice at an accelerated pace through a training program. Job family (Series) * 0610 Nurse Supervisory status No Security clearance Other Drug test Yes Bargaining unit status No Announcement number DHA-2026-0002 Control number 847130700 This job is open to Help The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Career transition (CTAP, ICTAP, RPL) Federal employees whose job, agency or department was eliminated and are eligible for priority over other applicants. Clarification from the agency This is a public notice under the Direct Hiring Authority open to all U.S. citizens. Please review instructions in the "

Telephonic Nurse Disease Management I Sign-on Bonus: $2000 Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Work schedule: Monday-Friday, 12:30 - 9 pm EST. Federal Employee Program - FEP, a proud member of the Elevance Health, Inc. family of companies, it is a powerful combination, and the foundation upon which we are creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us, and together we will drive the future of health care. The Telephonic Nurse Disease Management I responsible for participating in delivery of patient education and disease management interventions and for performing health coaching for members, across multiple lines, for health improvement/management programs for chronic diseases. How you will make an Impact: * Conducts behavioral or clinical assessments to identify individual member knowledge, skills and behavioral needs. * Identifies and/or coordinates specific health coaching plan needs to address objectives and goals identified during assessments. * Interfaces with provider and other health professionals to coordinate health coaching plan for the member. * Implements and/or coordinates coaching and/or care plans by educating members regarding clinical needs and facilitating referrals to health professionals for behavioral health needs. * Uses motivational interviewing to facilitate health behavior change. * Monitors and evaluates effectiveness of interventions and/or health coaching plans and modifies as needed. * Directs members to facilities, community agencies and appropriate provider/network. * Refers member to catastrophic case management. Minimum Requirements: * Requires AS in nursing and minimum of 2 years of condition specific clinical or home health/discharge planning experience; or any combination of education and experience, which would provide an equivalent background. * Current unrestricted RN license in applicable state(s) required. Preferred Skills, Capabilities, and Experiences: * BS in nursing preferred. * Prior case management experience preferred. For candidates working in person or virtually in the below locations, the salary* range for this specific position is $68,880 to $103,320.. Locations: Nevada. In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Job Level: Non-Management Exempt Workshift: 2nd Shift (United States of America) Job Family: MED > Licensed Nurse Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. 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. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

INTRODUCTION BioMatrix is a nationwide, independently-owned infusion pharmacy with decades of experience supporting patients on specialty medication. Our compassionate care team helps patients navigate the often-challenging healthcare environment. We treat our patients like family and get them started on therapy quickly. We work closely with them as well as their family and their healthcare providers throughout the patient journey, staying focused on optimal clinical outcomes. At BioMatrix the heart of our Inclusion, Diversity, Equity, & Access (IDEA) philosophy is the commitment to cultivate a welcoming space where everyone's contributions are acknowledged and celebrated. Our goal is to draw in, develop, engage, and retain talented, high-performing individuals from diverse backgrounds and viewpoints. We believe that both respecting and embracing diversity enriches the experiences and successes of our patients, employees, and partners. Please note that this posting is not associated to any specifically available position. As we can hire for this position based on evolving business needs, applicants may be considered for future opportunities. Schedule & Location: BioMatrix Specialty Infusion Pharmacy is seeking a Part-Time Per Diem Infusion Nurse to see patients in their homes or infusion suites in Broward County, FL. It is anticipated that an incumbent in this role will work in one of the metropolitan-area locations noted in the posting. Work location is subject to change based on business needs. Job Description: A Registered Nurse for Home Infusion inserts, monitors and removes an IV used to give medications, blood products and nutrition to a patient. During the IV therapy, the nurse monitors the patient for adverse reactions and ensures that the tubing, bandages and needle stay in place. When a patient needs blood levels checked, an IV nurse performs a veinous phlebotomy. During the entire IV therapy process, the nurse obtains sets of vital signs, completes the physical assessment and review of systems, documents all patient-related activities and records the medications they use. Provides and coordinates all aspects of staffing services to the patient with the assistance of the Company Directors, Nursing Coordinator and the Director of Nursing. Communicates with the patients to determine problems and/or solutions regarding their treatment. The Per Diem RN also conveys collected documentation from patient to all necessary internal and third-party external staff regarding scheduling and other pertinent patient information. Performs a variety of duties both clinical and nursing notes documentation. This position requires skill in planning, organizing, scheduling and coordinating the delivery of patient care by all staff personnel including but not limited to complete documentation of nursing care and submission of nursing notes. QUALIFICATION REQUIREMENTS * Nursing Degree from an accredited college or university required * IV certification & experience in central line care and management required * Current state RN license in location denoted in posting required * Minimum of two (2) years of RN experience required * Valid state driver's license required * CPR certification required * Home care, critical care, emergency nursing, AIC or hospital discharge planning experience. * Incumbent should have some experience in staffing and should be able to demonstrate the ability to multi-task as well as good communicative and interpersonal skills. * Basic level skill in Microsoft Office (including Word, Excel, PowerPoint, etc.). * Willing to travel to see patients in the homes, and in other health care facilities. * Experience providing customer service to internal and external customers, including meeting quality standards for services, and evaluation of customer satisfaction. QUALIFICATIONS PREFERRED * Bachelor's degree preferred * RN license in other states preferred ESSENTIAL FUNCTIONS AND RESPONSIBILITIES * Demonstrates the basic knowledge and judgment to utilize the nursing process to schedule nursing visits in accordance with RX's and established protocols. * Coordinates SOC and ongoing nursing visits and confirms scheduled visits with both patient and Nursing Agency/RN. * Assures schedule is sent out via email to team members. * Responsible for following up on and entering Therapy Admin reports and emailing to team involved. * Reviews all nurses notes for content and accuracy and completion without omitting necessary information such as drugs given, drug dosing and time of administration. * Continual communication with families, supervisors and field personnel, agencies regarding problems and/or special needs of both the patient. * Responsible to communicate all problems and reportable situations to the referring MD and appropriate MD office administrator and to Biomatrix nursing * Computer functions including but not limited to input, reports, searches, schedules. * Communicates patient/employee information to answering services when necessary. * Has read and understands company compliance paperwork and videotapes. * Performs all duties in accordance with all applicable federal and state laws and with the highest ethical standards. * Coordinates staffing in a timely manner while also adhering to confidentiality and ethics as discussed in the compliance program 100% of the time. * Insert intravenous cannulas; administer prescribed intravenous solutions, medications; monitor & maintain infusion sites & system; evaluate responses to prescribed therapy. * Teach patients & caregivers to perform & monitor administration of Home Infusion as prescribed. * Prepare clinical records, care plans, progress notes for each patient visit. * Coordinate schedule of patient visits & phone calls. * Works in patients place of residence. * Drive as assigned within state. * Prior experience in Home Infusion Therapy is preferred. PICC/Port/Midline experience and certification is preferred. NON-ESSENTIAL FUNCTIONS & RESPONSIBILITIES * Ability to prioritize and handle multiple tasks and projects concurrently. * Must have scheduling flexibility and be able to work extra hours if needed. * Careful attention to detail. * Performs related duties as requested. * Participates in quality assurance activities and audits as directed. KNOWLEDEGE, SKILLS AND ABILITIES REQUIREMENTS * Provides professional nursing care within the department * Coordinates care planning with other disciplines * Provides care that meets the psychosocial, physical general aspects of care * Determines priorities of care based on physical psychosocial needs of patients, as well as factors influencing patient flow through the system * Communicates regarding changes in patient status, symptomatology results of diagnostic studies * Responds quickly accurately to changes in condition or response to treatment * Excellent verbal skills and Good written skills * Excellent Customer Service skills * Must be able to develop caring relationships with their patients and treat them with respect and empathy. * Possess medical-surgical experience or knowledge in phlebotomy and venous access, both of which deal with the collection of blood. * Must be able to work independently, as well as on a team. * Must teach the patient how to properly care for their IV or PICC line and be able to communicate with patients clearly while giving instructions. * Ability to work under high levels of stress, know how to handle critical situations in the home. Communication Skills * Oral Communication - Speaks clearly and persuasively in positive or negative situations; listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings. * Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information. Computer Skills * Become and remain proficient is all programs necessary for execution. PHYSICAL DEMANDS AND WORK ENVIRONMENT * This position requires driving to patient homes and other HC facilities, walking, sitting, standing, kneeling or stooping. * This position requires the use of hands to finger, handle or feel objects and the ability to reach with hands and arms. * This position requires constant talking and hearing. * Specific vision abilities required by this job include close vision and the ability to adjust focus. * This position must occasionally lift and/or move up to 20 pounds * Required to move/lift physical hardware. PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. If needing a reasonable accommodation within the application process, please contact the BioMatrix People & Culture team at ************************* or ************ x 1425. While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; taste or smell. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. OTHER * Will participate in legal and ethical compliance training each year. * Will consistently behave in compliance with the BioMatrix, LLC's legal and ethical policies and procedures. * Will abide by the policies of BioMatrix, LLC as set forth in the Compliance Manual. * Will not participate in any conduct considered to be unethical or illegal. EXPECTATION FOR ALL EMPLOYEES Supports the organization's mission, vision, and values by exhibiting the following behaviors: integrity, dedication, compassion, enrichment and enthusiasm, places patients first, is all-in with stacked-hands, and is focused on relentless consistency wins. GENERAL INFORMATION: The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. The incumbent must be able to work in a fast-paced environment with demonstrated ability to juggle and prioritize multiple, competing tasks and demands and to seek supervisory assistance as appropriate. Incumbents within this position may be required to assist or find appropriate assistance to make accommodations for disabled individuals in order to ensure access to the organization's services (may include: visitors, patients, employees, or others). All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Excel is seeking highly skilled healthcare professionals for travel assignments across the United States. As a Travel Healthcare Professional, you will have the opportunity to work in diverse healthcare settings, providing essential medical care while exploring new locations and cultures. Key Responsibilities: • Provide direct patient care in accordance with healthcare facility policies and procedures. • Collaborate with interdisciplinary teams to ensure comprehensive patient care. • Maintain accurate patient medical records and documentation. • Adhere to infection control standards and other regulatory requirements. • Educate patients and their families on healthcare plans and treatments. Qualifications: • Active state licensure in [specify relevant states] (e.g., RN, LPN, PT, OT). • Minimum [number] years of experience in [specialty]. • BLS/CPR certification (ACLS, PALS, or others as required by specialty). • Excellent communication and interpersonal skills. • Ability to adapt to different environments and work independently. Why Choose Excel Medical Staffing: • Trusted partner with a proven track record in healthcare staffing. • Competitive compensation package including hourly wages and stipends. • Access to a wide range of healthcare facilities and specialties. • Personalized support throughout your assignment. • Opportunity to enhance your skills and build a diverse professional portfolio.