- AdventHealth (Altamonte Springs, FL)
- …role you will contribute:** The role of the Utilization Management (UM) Registered Nurse ( RN ) is to use clinical expertise by analyzing patient ... including concurrent payer communications to resolve status disputes. The Utilization Management Nurse is accountable.... Current and valid license to practice as a Registered Nurse (ADN or BSN) required. .… more
- AdventHealth (Orlando, FL)
- …experiences you'll need to succeed:** **EDUCATION AND EXPERIENCE REQUIRED:** + Associates Degree Nursing or RN Diploma degree + Registered Nurse ( RN ) + ... documents avoidable days, and facilitates progression of care. Collaborates with Utilization Management staff for collaboration on patient status changes… more
- AdventHealth (Kissimmee, FL)
- …documents avoidable days, and facilitates progression of care. Collaborates with Utilization Management staff for collaboration on patient status changes ... valid State of Florida or multistate license as a Registered Nurse + 2 years of medical/...+ Health-related master's degree or MSN + Prior Care Management / Utilization Management experience +… more
- AdventHealth (Orlando, FL)
- …+ Associate of Science degree in Nursing (ASN) + Current valid license as a Registered Nurse in the state of Florida + Two (2) years of medical/hospital ... satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily...+ Health-related Master's degree or MSN + Prior Care Management / Utilization Management experience + ACM/CCM… more
- AdventHealth (Orlando, FL)
- …experience in Care Management /Social Work leadership EDUCATION AND EXPERIENCE PREFERRED: Registered Nurse : MSN Social Worker: MSW with LCSW 5-7 years in ... RN license if a nurse LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED: RN -BC Certification in Care Management This facility is an equal opportunity… more
- AdventHealth (Altamonte Springs, FL)
- …in direct Care Management State specific RN license if a nurse **Preferred qualifications:** Registered Nurse : BSN Social Worker: MSW Three (3) ... of staff Resolves daily staffing issues **Minimum qualifications** : Registered Nurse : Associates Degree Nursing OR Social...years of experience in direct Care Management CCM, ACM, or RN -BC… more
- AdventHealth (Orlando, FL)
- …and exceptional health and benefits offerings **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional nurse ... ** Registered Nurse Care Manager |** **AdventHealth...Health patient's care based on individual patient needs. The RN Care Manager is responsible for independent management… more
- AdventHealth (Orlando, FL)
- …and Ocoee, Winter Garden, Windermere area **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional nurse ... ** Registered Nurse Care Manager | AdventHealth...care patient's care based on individual patient needs. The RN Care Manager is responsible for independent management… more
- AdventHealth (Deland, FL)
- …focused on doing visits West Volusia County **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional nurse ... and directs the Home Health patient's care based on individual patient needs. The RN Care Manager is responsible for independent management of the Home Health… more
- AdventHealth (Tavares, FL)
- …5pm and flexible **Location:** Lake County area **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional nurse ... and directs the Home Health patient's care based on individual patient needs. The RN Care Manager is responsible for independent management of the Home Health… more
- AdventHealth (Orlando, FL)
- …inpatients and 125,000 outpatients each year **The role you'll contribute:** **The Care Transitions Registered Nurse ensures that a care plan is carried out in ... various other teams, including but not limited to Care Management nurses and social workers, nursing, home care liaisons,...State of Florida or multi state license as a Registered Nurse + Basic Life Support (BLS)… more
- AdventHealth (Maitland, FL)
- …Bachelor's degree in Nursing Degree (or advanced degree) + Experience in Case Management , Utilization Management , Transitional Care + Experience with ... Care Manager System Educator Lead (CMEL) is a care management professional who supports the Director of System Care...+ Three (3) years functional healthcare setting + If RN , Current and valid Florida or Multi-State Department of… more
- MyFlorida (Orlando, FL)
- REGISTERED NURSE Date: Jan 22, 2025...Plans and MDS as required. + Will ensure economic utilization of supplies and proper charging of items to ... . Requisition No: 845312 Agency: Veterans Affairs Working Title: REGISTERED NURSE Pay Plan: Career Service Position Number:… more
- Molina Healthcare (Orlando, FL)
- …Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... / MCG guidelines. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). **MULTI STATE / COMPACT… more
- ChenMed (Orlando, FL)
- …with bachelor's degree in home in a related clinical field preferred. + A valid, active Registered Nurse ( RN ) license in State of employment required. + A ... cost effectiveness through the integrating and functions of case management , utilization review and discharge planning. The...+ Ability to work as oversight for License Practical Nurse (LPN) for initial assessments, plan of care and… more
- AdventHealth (Orange City, FL)
- …+ **Minimum qualifications** : . Associate and 2 years experience . Associates Degree Nursing or RN Diploma degree . Registered Nurse ( RN ) . Two (2) ... . BSN . Health-related Master's degree or MSN . Prior Care Management / Utilization Management experience **.** **ACM/CCM Certification** This facility… more
- Molina Healthcare (Orlando, FL)
- …of payment decisions. + Serves as a clinical resource for Utilization Management , Chief Medical Officers, Physicians, and Member/Provider Inquiries/Appeals. ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
- Molina Healthcare (Orlando, FL)
- … Registered Nursing ( RN ) license in good standing. + Utilization Management Certification (CPHM) Certified Professional in Health Care Quality (CPHQ), ... _This position requires an actively licensed Registered Nurse_ **JOB DESCRIPTION** **Job Summary** The mission of Clinical Operations is to drive value through an… more
- AdventHealth (Deland, FL)
- …you'll need to succeed** **:** **Minimum qualifications** : + Associate Degree in Nursing + Registered Nurse ( RN ) + Two (2) years of medical/hospital nursing ... + ACM/CCM Certification + Health-related Master's degree or MSN + Prior Care Management / Utilization Management experience This facility is an equal… more
- Molina Healthcare (Orlando, FL)
- **KNOWLEDGE/SKILLS/ABILITIES** + Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case ... them. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ) Program and...years of experience in case management , disease management or utilization management in… more