• Review medical documentation for employment and fitness-for-duty determinations. • Evaluate Annual Medical Certification (AMC) cases. • Review medical examinations and supporting clinical documentation. • Request additional medical information from healthcare providers when necessary. • Document findings and recommendations in TSA systems. • Communicate professionally with applicants, employees, and healthcare providers. • Maintain productivity and quality standards while managing multiple cases. • Participate in quality assurance and continuous process improvement initiatives. • Ensure compliance with HIPAA, TSA policies, and federal regulations.

• Responsible for the daily operations/coordination of the Scheduling function for designated procedural area. • Liaison to both internal and external customers for this office. • Educates other areas as to process design and functionality of the Scheduling module when necessary. • Implements block scheduling and other associated processes with regard to the schedule to optimize resources and patient outcomes.

• Responsible for review of clinical information received from Physicians and other Clinical providers ensuring clinical data is substantial enough to authorize services. • Analyzes clinical information to ensure the services requested are authorized according to clinical protocols. • Responsible for validation of member benefits for the services requested. • Validates accuracy of insurance enrollment information in the system prior to authorizing services. • Requires knowledge of managed care contracting, clinical protocols and clinical review requirements. • Requires knowledge of regulatory and compliance requirements for government payers, self funded and commercial payers. • Ensures appropriate and accurate information is entered into claims system for processing of payment.

Role Description We are seeking a reliable and flexible Per Diem/On-Call Registered Nurse (RN) to provide staffing coverage during employee absences, vacations, and other scheduled or unscheduled time off. Qualifications - Current and unrestricted Registered Nurse (RN) license in the State of Florida - Current CPR/BLS certification - Strong clinical, communication, and patient care skills - Ability to adapt to varying schedules and work independently Requirements - Active RN licensure in additional states (preferred) - Experience working in occupational health, primary care, urgent care, or ambulatory settings (preferred) - Experience with Epic EHR and Tyto (preferred) - If working at home, internet connection must be through a cable broadband or fiber optic service provider with speeds of at least 10Mbps download/5Mbps upload Benefits This position offers an excellent opportunity for a qualified RN seeking a flexible schedule while supporting continuity of care and clinical operations as needed.