- Cognizant (Tallahassee, FL)
- …you need to have to be considered** + Educational background - Registered Nurse (RN) + 2-3 years combined clinical and/or utilization management ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations + Experience in utilization management to include Clinical Appeals and… more
- CVS Health (Tallahassee, FL)
- …both verbal and written **Required Qualifications** - 2+ years of experience as a Registered Nurse in adult acute care/critical care setting - Must have active ... work schedules will include weekends, holidays, and evening hours._ + Utilizes clinical experience and skills in a collaborative process to assess, plan, implement,… more
- CVS Health (Tallahassee, FL)
- … + Education:Diploma RNacceptable;Associate degree/BSN preferred, 3+ years of experience as a Registered Nurse , 1+ years of clinical experience in acute ... collaboration with management to ensure adequate weekend coverage.Position Summary:Utilize your clinical experience and skills in a collaborative process to assess,… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse (RN)** in the (appropriate state)… more
- Evolent (Tallahassee, FL)
- …+ Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse with a current, ... for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals.… more
- CenterWell (Bainbridge, GA)
- …+ Graduate of an accredited School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance ... position comes with a $10K sign-on bonus.** + The ** Clinical Manager** coordinates and oversees all direct care patient...and reliable transportation. + Two years as a Registered Nurse in a home care, with… more
- HCA Healthcare (Tallahassee, FL)
- …license held, active FL RN licenserequiredwithin90 days of hire** + **Advanced Practice Registered Nurse license is acceptable for position if current and ... location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential...care with a focus on evaluating the appropriateness of clinical care, medical necessity, admission status, level of care,… more
- HCA Healthcare (Tallahassee, FL)
- …held, active FL RN license required within90 days of hire** + **Advanced Practice Registered Nurse license is acceptable for position if current and compliant** ... plan of care with a focus on evaluating the appropriateness of clinical care, medical necessity, admission status, level of care, and resource management.… more
- HCA Healthcare (Tallahassee, FL)
- …active FL RN license required within 90 days of hire** + **Advanced Practice Registered Nurse license is acceptable for position if current and compliant** + ... plan of care with a focus on evaluating the appropriateness of clinical care, medical necessity, admission status, level of care, and resource management.… more
- HCA Healthcare (Tallahassee, FL)
- …Supt must be obtained within 30 days of employment start date + (APRN) Advanced Practice Registered Nurse , or (RN) Registered Nurse + Associate Degree, ... accordance with established policies/procedures and holds staff accountable for quality and clinical outcomes in support of facility objectives. **What you will do… more
- HCA Healthcare (Tallahassee, FL)
- …options and costs to patient and patient families. **What qualifications you will need:** + Registered Nurse , or Advance Practice Registered Nurse (APRN) ... and accountability in ensuring all admissions and continued stays meet clinical criteria for appropriateness and medical necessity. Assesses discharge planning needs… more
- Highmark Health (Tallahassee, FL)
- …years of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** ... itemized bills, and claims data to assure appropriate level of payment and resource utilization . It is also used to identify issues which can be used for education… more
- CVS Health (Tallahassee, FL)
- …conditions. + **Diabetes education experience** is required. + Current, unrestricted ** Registered Nurse (RN) license** ; multi-state licensure preferred. + ... health outcomes by engaging telephonically with individuals living with diabetes. This nurse will guide members through actionable steps to close gaps in care,… more