Nurse

• Conduct patient outreach to complete assessments, coordinate care, and provide resources
• Create, implement, and update individualized care plans for patients enrolled in care management programs
• Educate patients and families on disease processes, preventive screenings, and health maintenance
• Maintain accurate and timely documentation of patient encounters, progress, and case notes
• Facilitate interdisciplinary care team meetings and communicate patient progress, barriers, and care needs to providers, families, and team members
• Assess physical and psychosocial health, identify gaps in care, and advocate for necessary services
• Facilitate transitions of care and monitor progress to adjust care plans as needed
• Collaborate with physicians, interdisciplinary teams, and community resources to ensure seamless care delivery

Care Management Nurse coordinating patient care plans for Cano Health’s primary care network

Nurse, Care Management

Care Management Nurse coordinating individualized plans, outreach, education, and transitions for Cano Health’s primary care patients.
Improving outcomes through interdisciplinary collaboration and patient advocacy.

• Assist physicians in the care and teaching of patients
• Travel to clinics in Lake City, Gainesville, Palatka, and Fleming Island
• Assess patient needs and condition
• React calmly and effectively in emergency situations
• Work Monday through Friday from 8:00 a.m. to 4:30 p.m.
• Support world-class community cancer care at Florida Cancer Specialists & Research Institute

Registered Nurse providing oncology patient care across Florida Cancer Specialists clinics

Registered Nurse

Registered Nurse providing patient care and education across Florida Cancer Specialists clinics. Supporting community-based oncology treatment with extensive clinic travel.

• Develop, administer, and track compliance for education and training for research staff members and investigators
• Identify learning needs of research staff and investigators on an individual, regional, or research department-wide basis
• Work with clinic management staff to facilitate protocol-specific training for nursing and pharmacy staff
• Assist in developing education-based corrective action plans (CAPA)
• Ensure training and retraining requirements are met

Research Nurse Trainer delivering oncology research training for Florida Cancer Specialists

Research Nurse Trainer – OCN

Research Nurse Trainer delivering oncology research training for Florida Cancer Specialists. Developing protocol education, tracking compliance, and supporting clinical research staff and investigators.

• Perform physical examinations and establish medical history to determine donor suitability
• Build rapport with donors to ensure overall customer satisfaction
• Ensure donor and staff confidentiality
• Raise donor awareness of potential hazards
• Provide donor education regarding general health and counsel donors regarding unacceptable test results
• Evaluate and manage donor injuries and adverse events
• Evaluate histories of illness or medications to ensure continued donor suitability
• Assist in employee training
• Administer the employee Hepatitis Vaccine program

Center Medical Specialist screening plasma donors for Grifols’ plasma-derived healthcare operations

EMT, LPN

Center Medical Specialist screening and supporting plasma donors at Grifols, a global plasma-derived medicines company.
Assessing donor suitability, managing adverse events, and providing health education at the Jacksonville center.

• Complete clinical reviews for appropriateness, medical necessity, and quality
• Apply standardized clinical review criteria to determine medical necessity for service authorization requests
• Refer requests to an appropriate physician peer reviewer when criteria are not clearly met
• Perform pre-service, concurrent, and retrospective reviews
• Process authorization requests for inpatient admissions, rehabilitation, skilled nursing, home care/home infusion, and outpatient or inpatient services
• Document timely decisions and actions in the managed care information system (MCIS)
• Meet contractual timelines for review activities
• Communicate and interact with providers and internal/external partners to coordinate utilization-management activities
• Communicate determinations to providers according to established processes
• Participate in required staff meetings and complex case rounds
• Perform discharge planning to support safe and timely enrollee discharges
• Complete Inter-rater Reliability training, exams, and testing
• Follow utilization-management workflow processes
• Participate in a weekend and holiday coverage rotation
• Perform other duties supporting utilization-management functions

Physical Health Registered Nurse reviewing medical necessity for Vaya Health members

Physical Health Registered Nurse – Vaya

Physical Health Registered Nurse conducting utilization-management reviews for Vaya Health, a behavioral and physical health organization. Determining medical necessity, coordinating authorizations, and supporting safe member discharges.

• Complete clinical reviews for appropriateness, medical necessity, and quality
• Apply standardized clinical review criteria to service authorization requests
• Refer requests to physician peer reviewers when medical necessity criteria are not clearly met
• Review pre-service, concurrent, and retrospective requests
• Process authorization requests for inpatient, rehabilitation, skilled nursing, home care/home infusion, outpatient, and inpatient services
• Document timely decisions and actions in the managed care information system (MCIS)
• Meet contractual timelines for review activities
• Communicate with providers and internal and external partners to coordinate utilization management activities
• Communicate determinations to providers according to established processes
• Participate in staff meetings and complex case rounds
• Perform discharge planning for safe and timely enrollee discharges
• Complete utilization management workflow processes and other assigned UM duties
• Participate in weekend and holiday coverage rotations

Registered Nurse conducting utilization-management reviews for Vaya Health members

Physical Health Registered Nurse – Remote

Registered Nurse conducting utilization-management reviews for Vaya Health members. Processing service authorizations, coordinating provider determinations, and supporting safe discharge planning.

• Provide, coordinate, and support evidence-based direct patient care
• Work closely with a Physician and other team members to provide patient care and education
• Perform phone assessments and work autonomously in a clinic environment
• Collaborate with the interdisciplinary team
• Initiate process suggestions and prioritize effectively
• Support positive patient outcomes in the Outpatient Medical Oncology Clinic

Registered Nurse providing outpatient oncology care for Baptist Health patients in Jacksonville

Registered Nurse, Hematology Medical Oncology

Registered Nurse providing outpatient hematology and medical oncology care at Baptist Health’s Jacksonville-area MD Anderson clinic. Coordinating evidence-based patient care, education, assessments, and interdisciplinary collaboration.

• Provide nursing care from initial patient contact until care is relinquished to the accepting medical facility
• Assess, triage, and treat critically ill or injured patients for safe transport
• Maintain thorough patient care documentation
• Participate in ongoing laboratory, clinical, aviation, safety, OSHA, HIPAA, and continuing education training
• Use and routinely maintain aircraft medical equipment and supplies; report failures and initiate repairs
• Maintain adequate onboard supplies and keep aircraft clean and orderly
• Attend pre-mission briefings and debriefings and complete required documentation
• Assist with liftoff checklists and support pilots with radio, navigation, and visual observation activities
• Conduct aircraft safety briefings and comply with safety standards
• Serve as a flight resource to neonatal/pediatric personnel and perform approved advanced procedures
• Participate in patient/referring institution follow-up and outreach marketing and education
• Precept and orient new employees and students as assigned
• Participate in meetings, activities, projects, committees, research, and publishing opportunities
• Be scheduled for at least two 24-hour shifts per week at CBS bases where currently licensed

Flight Nurse providing critical-care air transport across Air Methods’ Southeastern U.S. bases

Flight Nurse, Float

Flight Nurse delivering critical-care air transport for Air Methods across Southeastern U.S. bases. Assessing patients, performing advanced procedures, and supporting aviation safety during missions.

• Provide nursing care from initial patient contact until relinquishment to the accepting medical facility
• Assess, triage, treat, and prioritize care for critically ill or injured patients during safe transport
• Maintain thorough patient care documentation and required licensure, certification, training, and clinical records
• Maintain competency through laboratory, clinical, continuing education, and advanced skills experiences
• Operate and maintain medical equipment and supplies; report failures and initiate repairs
• Keep aircraft clean and orderly and maintain adequate onboard supplies
• Attend pre-mission briefings and mission debriefings and complete required documentation
• Assist with liftoff checklists and support pilots with radio, navigation, and visual observation activities
• Conduct aircraft safety briefings and comply with safety standards
• Support neonatal and pediatric specialty transports and perform approved advanced procedures
• Participate in patient and referring-institution follow-up and outreach marketing and education
• Precept and orient new employees and students
• Participate in meetings, activities, projects, committees, research, and publishing opportunities
• Work scheduled 24-hour shifts at CBS bases where currently licensed

Flight Nurse providing critical-care air transport across Air Methods’ Southeast bases

Flight Nurse – Float

Flight Nurse providing critical-care nursing and helicopter transport for Air Methods’ Southeast bases.
Assessing patients, coordinating safe transfers, and supporting aviation safety across multiple licensed states.

• Oversee quality management activities in collaboration with the medical staff.
• Lead Clinical Effectiveness teams using evidence-based best practices to improve patient outcomes.
• Analyze quality and performance data to identify opportunities and implement performance improvement initiatives.
• Promote patient safety through monitoring and compliance with National Patient Safety Goals (NPSGs).
• Assist with Joint Commission readiness activities to maintain a constant state of survey readiness.
• Utilize NDNQI and other quality data to evaluate nursing performance and develop quality improvement plans.
• Participate in quality councils, committees, and interdisciplinary improvement initiatives.
• Support Baptist Health's Magnet journey by promoting nursing excellence and evidence-based practice.
• Collaborate with nursing leadership, physicians, and multidisciplinary teams to improve quality, safety, and patient outcomes.

Clinical Quality Improvement Nurse at Baptist Health improving patient outcomes

Clinical Quality Improvement Nurse

Clinical Quality Improvement Nurse at Baptist Health enhancing patient outcomes through quality initiatives and interdisciplinary collaboration. Leading efforts to promote nursing excellence and regulatory readiness.

• Responsible for providing high quality pre-hospital advanced life support including assessment, triage, and treatment utilizing standards and guidelines established by Air Methods Community Based Services (CBS) Medical Director(s)
• Provides pre-hospital advanced life support care from the initial contact until patient care is relinquished to the accepting medical facility; maintains thorough patient care documentation
• Practices within his/her scope of practice as defined by the states regulating each base and Air Methods CBS
• Maintains documentation of required licensure, certifications, continuing education, aviation and safety training, OSHA and HIPAA training, clinical rotations, and advanced procedures
• Attends minimum of six educational programs per year pertinent to his/her practice
• Knowledgeable in use and routine maintenance of all equipment and supplies used by Air Methods CBS
• Responsible for reporting medical equipment failures and taking initial steps to ensure repair of equipment as directed
• Maintains adequate supplies onboard aircraft to deliver patient care
• Keeps aircraft clean and orderly to insure rapid response to all transport requests
• Participates in patient and referring institution follow-up and planned outreach marketing and education activities
• Functions as a medical flight member by attending pre-mission briefings and mission debriefings and completes necessary documentation
• Assists in pre-mission liftoff checklist and assists pilot as requested
• Complies with safety standards to assure safety of self, medical personnel, patient, and equipment
• Conducts aircraft safety briefings as needed
• Serves as a flight resource to neonatal/pediatric personnel when transporting specialty patients by helicopter
• Performs advanced skills and procedures as approved by Air Methods CBS Medical Director(s)
• Serves as a role model, educator and clinical resource
• Participates regularly in departmental activities, projects and committees (to include research and publishing opportunities)
• Maintains awareness of current issues related to pre-hospital care through participation in professional activities

Flight Nurse Medic providing advanced pre-hospital care in Florida

Flight Nurse

Flight Nurse Medic providing advanced pre-hospital care in state-of-the-art helicopters in Florida. Supporting education and maintaining high quality medical standards for community care.

• Serve as a point of contact for providers to assist in navigating members them through the continuum, educate regarding benefits, identify candidates for Care Programs and provide information pertaining to the network and network access
• Evaluate members in the Hospital, Skilled Nursing Facility, LTAC, Acute Inpatient Rehab for benefit determination, medical necessity and appropriate level of care utilizing member benefits and InterQual or other medical necessity criteria.
• Participate in weekly case review
• Determine member's discharge status and identify and coordinate any additional needs and services that require ongoing Care Coordination services
• Collaborate with Medical Directors, Managers, Co-workers and other departments including Case Management and Care Partners
• Other duties as assigned

Clinical role evaluating hospital benefit determinations and care coordination

Concurrent Review Nurse

Concurrent Review Nurse role at Florida Blue focusing on evaluating hospital benefits and coordinating care for members in various healthcare settings. Collaborating with medical teams to ensure appropriate level of care.

• Performs clinical utilization reviews using evidenced based guidelines, policies and nationally recognized clinical criteria and internal policies/procedures.
• Identifies potential Third-Party Liability and Coordination of Benefit Cases and notifies appropriate parties/departments.
• Collaborates with healthcare partners to ensure timely review of services and care.
• Provides referrals to Case management, Disease Management, Appeals & Grievances, and Quality Departments as needed.
• Develop and review member centered documentation and correspondence reflecting determinations in compliance with regulatory and accreditation standards
• Identifies potential quality of care issues, service or treatment delays and intervenes as clinically appropriate.
• Triages and prioritizes cases and other assigned duties to meet required turnaround times.
• Prepares and presents cases to Medical Director (MD) for medical director oversight and necessity determinations.
• Communicates determinations to providers and/or members in compliance with regulatory and accreditation requirements.
• Duties as assigned.

Utilization Management Nurse performing clinical reviews for health services.

Utilization Management Nurse

Utilization Management Nurse providing evaluations of medical necessity for healthcare services. Collaborates with healthcare partners and handles clinical documentation remotely.

• Answer incoming and/or make outgoing calls to/from stakeholders, referral sources, and new patients to provide exceptional patient care and customer service in a fast-paced, high-volume call center environment.
• Demonstrate the ability to prioritize and multitask, operate multiple web-based systems simultaneously, access and comprehend information to determine next steps, and perform data entry with high accuracy.
• Be able to easily accept and adapt to changes in procedures, programs, and/or role functions based on the needs of the company.
• Compliance with HIPAA in all interactions.
• Create, update, and access confidential client data in the company's Electronic Medical Records with a high level of confidentiality and accuracy.
• Communicate effectively with both internal and external customers.
• Maintain internal department spreadsheet logs and/or reports.
• Utilizes appropriate supervisors and leaders to discuss, enhance, and resolve issues.

Nurse Concierge providing patient care and customer service in home healthcare.

Nurse Concierge – Weekend, Full-Time – RN/LPN

Nurse Concierge providing patient care and customer service in home healthcare. Join Florida’s largest independent Medicare-certified home health provider delivering compassionate healthcare.

• Track and respond to calls for a multi-state nurse triage telephone service.
• Provide clinical assessment based on established protocols and triage patients by phone or through patient portal.
• Provide administrative support and perform clinical tasks.
• Facilitate referrals and collaborate on addressing prior authorization requests.
• Participate in Remote Patient Monitoring (RPM) initiatives.
• Screen and qualify patients for clinical trials.

Registered Nurse providing remote telephone triage support for various states

RN Telephone Triage Nurse – Compact License, IL, MA, NY, MN, DC

Registered Nurse providing remote telephone triage support. Handling clinical assessments and administrative tasks for multi-state telehealth services.

• Conduct initial, concurrent, retrospective chart review for clinical financial resource utilization.
• Coordinates with healthcare team for optimal/efficient patient outcomes, while decreasing length of stay (LOS) and avoid delays and denied days.
• Accountability for a designated patient caseload and provides intervention, coordination to decrease avoidable delays, denial of reimbursement.
• Screens pre-admission, admission process using established criteria for all points of entry.
• Facilitates communication between payers, review agencies, healthcare team.
• Identifies delays in treatment or inappropriate utilization and serves as a resource.
• Coordinates communication with physicians.
• Identifies opportunities for expedited appeals and collaborates to resolve payer issues.
• Ensures/Maintains effective communication with Revenue Cycle Departments.

Registered Nurse conducting chart reviews for Baptist Health

Registered Nurse – Utilization Review, Case Management

Registered Nurse conducting chart reviews for clinical resource utilization at Baptist Health. Coordinating with healthcare teams for optimal patient outcomes while managing caseload and communications.

• Conduct Virtual First Appointments – Perform new patient intake visits, review health history, establish baseline nursing assessments, and introduce members to the PeopleOne Health model.
• Utilize nursing judgment to identify patient needs, prioritize concerns, and determine appropriate nursing interventions.
• Assess reported symptoms and escalate patients requiring provider evaluation or emergency care.
• Promote Patient-Centered Health – Educate and counsel patients during virtual visits on self-care, medication use, and follow-up needs.
• Complete medication reconciliation.
• Educate patients regarding prescribed medications, side effects, and adherence.
• Support patients with chronic conditions through education, coaching, and ongoing follow-up.
• Collaborate with Interdisciplinary Team – Communicate with primary care providers, clinical pharmacists, registered dietitians, health coaches, and care coordinators to ensure seamless handoff and follow-up.
• Champion Access and Experience – Serve as a welcoming, accessible first point of contact for patients and contribute to a positive member experience.

Registered Nurse providing virtual care for patients at PeopleOne Health

Registered Nurse – Virtual Care

Registered Nurse providing virtual care for patients with PeopleOne Health. Conducting assessments and coordinating care through telehealth practices.

Nurse jobs in Florida

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