Top 787 Quality improvement nurse Jobs in Tampa, Fl

Utilization Reviewer 2
Enlyte —Tampa, FL
- $59,500 - $76,000 a year
- Full-time
- RN License
- Mid-level
- Office
- Health savings account
- AD&D insurance
2d
CLINICAL DOCUMENTATION SPECIALIST II
Moffitt Cancer Center —Tampa, FL
- $82,934.80 - $126,427.60 a year
- Full-time
- Nursing
- RN License
- Writing skills
14d
Registered Nurse (Vascular Access)
US Veterans Health Administration —Tampa, FL
- $78,737 - $151,012 a year
- Online Application
- Background check
- Nursing
- Doctoral degree
- Paid holidays
- Dental insurance
2d
RN TEMP
Moffitt Cancer Center —Tampa, FL
- $65 an hour
- Temporary
- Nursing
- Surgery
- RN License
8d
Senior Consultant - Clinical Documentation Specialist
Deloitte —Tampa, FL
- $110,700 - $218,300 a year
- Full-time
- Microsoft Word
- Nursing
- RN License
Trainer, Clinical Services
Molina Healthcare —Tampa, FL
- $29.05 - $56.64 an hour
- Full-time
- Classroom
- Nursing
- RN License
- Health insurance
RN AMBULATORY CLINIC
Moffitt Cancer Center —Tampa, FL
- $34.36 - $52.20 an hour
- Full-time
- Nursing
- RN License
- Computer literacy
RN- Pre Assessment Testing Clinic
Moffitt Cancer Center —Tampa, FL
- Full-time
- Nursing
- RN License
- BLS Certification
9d
Clinical Coordinator
BrightStar Care Pinellas —Largo, FL
- $30 - $35 an hour
- Full-time
- Background check
- Nursing
- Microsoft Excel
- Health insurance
- Paid time off
Quick Apply
4d
Home Health Physical Therapist-PRN
Centerwell —Tampa, FL
- $59 - $83 an hour
- Part-time
- CPR Certification
- Management
- BLS Certification
- 401(k)
- Paid time off
12d
Family Nurse Practitioner (Geriatric Specialist)
Ocana Medical Center —Tampa, FL
- Full-time
- Bilingual
- Spanish
- Nursing
- 401(k)
- Paid time off
Quick Apply
ADON/Quality Improvement Coordinator (QIC) Registered Nurse (RN) Full Time
Westchester Gardens Health & Rehabilitation —Clearwater, FL
- Weekends as needed
- Nursing
- Skilled nursing facility
- RN License
Quick Apply
1d
Vice President of Surgical Solutions
Newsom Eye and Laser Center —Tampa, FL
- Full-time
- Nursing
- Surgery
- Bachelor of Science in Nursing
- Health insurance
- Dental insurance
Quick Apply
4d
Cath Lab and Risk Manager
Bay Surgical Specialists —Saint Petersburg, FL
- Full-time
- Background check
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply
Quality Coordinator RN PRN
HCA Florida West Tampa Hospital —Tampa, FL
- PRN
- Mid-level
- 3 years
- Communication skills
- Employee stock purchase plan
- Disability insurance
Quick Apply
Assistant Director of Nursing
Summation Financial Services —Clearwater, FL
- $90,000 - $95,000 a year
- Weekends as needed
- Nursing
- Skilled nursing facility
- RN License
Quick Apply
6d
Registered Nurse Float Pool Med Surg PCU
HCA Florida South Shore Hospital —Sun City Center, FL
- Full-time
- Surgery
- Mid-level
- Neurology
- Employee stock purchase plan
- Disability insurance
Quick Apply
RN Registered Nurse
Aventura at the Bay —Saint Petersburg, FL
- $33 - $45 an hour
- 8 hour shift
- In person
- Skilled nursing facility
- Vital signs
- RN License
- Dental insurance
- Paid time off
Quick Apply
Physical Therapy Assistant (PTA) - Home Health - FT
VitalCaring Group —Tampa, FL
- Full-time
- CPR Certification
- BLS Certification
- Physical & Rehabilitation Medicine
- Continuing education credits
- Health savings account
Quick Apply
Mother Baby Registered Nurse
AdventHealth —Tampa, FL
- $31.53 - $52.24 an hour
- Overnight shift
- CPR Certification
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply

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quality improvement nurse jobs near tampa, fl

Utilization Reviewer 2

Enlyte -
Tampa, FL

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Job Details

Full-time
$59,500 - $76,000 a year
2 days ago

Benefits

Health savings account
AD&D insurance
Health insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Vision insurance

Qualifications

Caseload management
Bachelor's degree
Utilization management
Medical treatment knowledge
Resource utilization in healthcare
Medical terminology
Healthcare software applications

Full Job Description

Company Overview:

At Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and wellness through our industry-leading solutions and services. Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing clinical services you'll work alongside dedicated professionals who share your commitment to excellence and make a meaningful impact. Join us in fueling our mission to protect dreams and restore lives, while building your career in an environment that values collaboration, innovation, and personal growth.

Be part of a team that makes a real difference.

Job Description:

This is an In Office Position from Monday - Friday from 9 AM - 5 PM EST

FL Registered Nursing or Chiropractor License Required

We are seeking a qualified Utilization Reviewer located in the Tampa, FL area. The ideal candidate performs utilization review on workers’ compensation related prospective, concurrent, and retrospective treatment referrals. The ideal candidate will play a crucial role in assessing and ensuring the appropriateness of medical treatment plans, contributing to effective claims management and optimal patient outcomes.

Uses solid clinical judgment to ensure treatment approved is medically necessary.
Forwards treatment requests for physician reviewer that cannot be approved as medically necessary based on application of solid clinical judgment.
Collaborates with healthcare providers, claims adjusters, and other stakeholders to gather relevant information for comprehensive assessments.
Evaluates medical documentation to ensure compliance with industry standards and regulatory requirements.
Communicates findings clearly and concisely through written reports and verbal discussions.
Stays up-to-date on industry regulations, medical advancements, and best practices to enhance the quality of reviews.
Participates in team meetings and contributes to the continuous improvement of utilization review processes.

Qualifications:

Minimum Education: Bachelor's degree.

Required Skills and Experience:

Registered Nurse (RN) or chiropractor with a valid license in the state of Florida.
Minimum of 2 years of utilization review experience; or an advanced degree without experience.
Knowledge of medical terminology, treatment modalities, and healthcare guidelines.
Analytical and critical thinking skills for effective decision-making.
Strong communication and interpersonal skills to liaise with diverse stakeholders.
Ability to work independently and collaboratively within a team environment.
Detail-oriented with strong organizational skills to manage multiple cases efficiently.
Familiarity with relevant software and tools used in healthcare.

Desired Skills and Experience:

Prior review experience in healthcare, insurance, utilization management, quality assurance, or other applicable capacity.
Prior experience in the workers' compensations field.

Benefits:

We’re committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $59,500 - $76,000 annually, and will be based on a number of additional factors including skills, experience, and education.

The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.

Don’t meet every single requirement? Studies have shown that women and underrepresented minorities are less likely to apply to jobs unless they meet every single qualification. We are dedicated to building a diverse, inclusive, and authentic workplace, so if you’re excited about this role but your past experience doesn’t align perfectly with every qualification in the job description, we encourage you to apply anyway. You may be just the right candidate for this or other roles.

#LI-MC1

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Refine Your Search

quality improvement nurse jobs in tampa, fl

Utilization Reviewer 2

CLINICAL DOCUMENTATION SPECIALIST II

Registered Nurse (Vascular Access)

RN TEMP

Senior Consultant - Clinical Documentation Specialist

Trainer, Clinical Services

RN AMBULATORY CLINIC

RN- Pre Assessment Testing Clinic

Clinical Coordinator

Home Health Physical Therapist-PRN

Family Nurse Practitioner (Geriatric Specialist)

ADON/Quality Improvement Coordinator (QIC) Registered Nurse (RN) Full Time

Vice President of Surgical Solutions

Cath Lab and Risk Manager

Quality Coordinator RN PRN

Assistant Director of Nursing

Registered Nurse Float Pool Med Surg PCU

RN Registered Nurse

Physical Therapy Assistant (PTA) - Home Health - FT

Mother Baby Registered Nurse

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