- Battelle Memorial Institute (Tampa, FL)
- …two years' nursing experience + Current, full, active, and unrestricted license as a Registered Nurse in any US State, the District of Columbia, Guam, Puerto ... (HRA) business line is seeking a highly motivated, full-time ** Nurse Case Manager** to join our team in support...professional parameters + Knowledge and skill in using pre-established utilization review criteria to recognize and report… more
- BayCare Health System (Tampa, FL)
- …appraisals + Community discounts and more Equal Opportunity Employer Veterans/Disabled **Position** Utilization Review RN **Location** Tampa:St Josephs | ... of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior/ RN responsibilities...+ **On Call:** No **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred… more
- BayCare Health System (St. Petersburg, FL)
- … Management or 6 years of clinical nursing **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred ACM (Case Management) + Preferred ... trust, dignity, respect, responsibility and clinical excellence. **The Team Lead Utilization Review responsibilities include:** + Directing and coordinating the… more
- Molina Healthcare (St. Petersburg, FL)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... emergency room. Preferred Experience Previous experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual /… more
- Veterans Affairs, Veterans Health Administration (Tampa, FL)
- Summary James A Haley is excited to recruit a Registered Nurse , Nursing Officer of the Day (NOD) . This registered nurse would be responsible and ... Administrative Officer (AOD), Transfer Coordinator, the Emergency Room, Admissions, Utilization Review , and Acute Care charge nurses...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- HCA Healthcare (St. Petersburg, FL)
- …Hospital we support our colleagues in their positions. Join our Team as a(an) Registered Nurse Service Line Coordinator OR and access programs to assist with ... gain certifications and job skills. Apply today for our Registered Nurse Service Line Coordinator OR opening...satisfaction for your patients. + You will ensure effective utilization of resources, standards of care, and operating procedures.… more
- BayCare Health System (Bradenton, FL)
- …care goals. + Knowledge of regulatory standards appropriate to position. **Requirements:** + RN ( Registered Nurse ) License + Driver's License, State of ... Career with BayCare HomeCare as a Home Care Supervisor, RN ! At BayCare, we are proud to be one...area of responsibility. + Ensure quality assurance program and utilization review is followed in accordance with… more
- CenterWell (Bradenton, FL)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- Elevance Health (Tampa, FL)
- …physical and/or behavioral health practitioners responsible for coordinating member service, utilization , access, care management and/or concurrent review to ... reside in the state of Florida* The **Manager of Utilization Management** is responsible for managing a team of...would provide an equivalent background. + Current active unrestricted RN , PA, LSW, LCSW, LPC, LMHC or other accepted… more
- HCA Healthcare (Sun City Center, FL)
- …Healthcare Quality) OR CHCQM (Diploma in American Board of Quality Assurance and Utilization Review Physicians). _Individuals without CPHQ or_ CHCQM _will be ... As our Director, you willprovide direction to ensure the facilitation and utilization of diverse strategies and communication for quality and performance improvement… more
- HealthTrust Workforce Solutions (Bradenton, FL)
- …nationwide. **_JOB SUMMARY_** The Interim Leader of Case Management Services is a Registered Nurse who participates as an active administrative member of the ... to assure that the following functions of the role are completed: Utilization Review for medical necessity of admission and concurrent stay, Social Services… more
- Deloitte (Tampa, FL)
- …Bachelor's degree in nursing, medical degree, or physician assistant required + Current Registered Nurse ( RN ) license required + Certified Clinical ... nurse , physician, physician assistant, case manager, clinical documentation specialist, utilization review , informatics RN , Quality, DRG Validation and… more
- Elevance Health (Tampa, FL)
- …or case management experience and requires a minimum of 2 years clinical, utilization review , or managed care experience; or any combination of education ... reside in the state of Florida** The **Medical Management Nurse ** will be responsible for review of...an equivalent background. + Current active, valid and unrestricted RN license and/or certification to practice as a health… more
- Molina Healthcare (St. Petersburg, FL)
- For this position we are seeking a ( RN ) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity ... (Team will work on set schedule) Looking for a RN with experience with appeals, claims review ,...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- Zelis (St. Petersburg, FL)
- …clinical experience in a healthcare setting, with a strong background in clinical review , utilization management, or quality assurance. + Extensive knowledge of ... in supporting the quality and integrity of our clinical review processes, providing expert guidance, and contributing to the...is preferred. + Current and unrestricted clinical licensure (eg, RN , MD, DO) is preferred. + Minimum of 8… more
- HCA Healthcare (Brandon, FL)
- …satisfaction and personal growth, we encourage you to apply for our Operating Room RN PRN opening. We review all applications. Qualified candidates will be ... have the PRN career opportunities as a Operating Room RN PRN you want with your current employer? We...Summary and Qualifications** We are seeking an Operating Room Nurse for our ambulatory surgery center who demonstrates the… more
- HCA Healthcare (Brandon, FL)
- …and personal growth, we encourage you to apply for our Operating Room RN opening. We promptly review all applications. Highly qualified candidates will ... integrity. We care like family! Jump-start your career as a(an) Operating Room RN today with Brandon Surgery Center. **Benefits** Brandon Surgery Center, offers a… more
- Elevance Health (Tampa, FL)
- **Telephonic Nurse Case Manager II** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... 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… more
- Elevance Health (Tampa, FL)
- …facility-based and outpatient professional treatment health benefits through telephonic or written review . **How you will make an impact** Primary duties may include ... which would provide an equivalent background. Current active unrestricted license, such as RN LCSW LMSW LMHC LPC LBA (as allowed by applicable state laws) LMFT… more
- ChenMed (Bradenton, FL)
- …explain nurse practitioner role. + Facilitates patient/family conferences to review treatment goals, optimize resource utilization , provide family education ... 50-75% of local travel **EDUCATION AND EXPERIENCE CRITERIA:** + Current RN licensure and Nurse Practitioner Certification in the State of practice required +… more
