- University of Miami (Miami, FL)
- …Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote . The incumbent conducts initial, concurrent and ... retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for optimal and… more
- Highmark Health (Tallahassee, FL)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Fully Remote ** This job has primary ownership and oversight over a specified panel of members ... interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- CVS Health (Tallahassee, FL)
- …make health care more personal, convenient and affordable. **Position Summary** **The Case Manager RN position is 100% remote and employees can live in ... a volunteer basis.** **There is no travel expected with this position.** This Case Manager RN position is part of Aetna's Commercial Care Management… more
- Synergy Healthcare Solutions (FL)
- … | Full Time Ignite your nursing career with Synergy Healthcare Services as a Full-Time RN Case Manager ! This is your chance to make a meaningful impact ... exhilarating career adventure. **Your day to day as a RN Case Manager ** As a...and qualifications. A valid Degree in Nursing as a Registered Nurse is a must, along with… more
- Veterans Affairs, Veterans Health Administration (Tampa, FL)
- …James A Haley Veterans' Hospital is recruiting for a Registered Nurse ( RN ) Ambulatory Care Nurse Manager (NM) for the organization's Patient Aligned ... seek an energetic, forward-thinking, master's prepared Registered Nurse with outstanding communication skills. The RN - Nurse Manager is responsible… more
- Veterans Affairs, Veterans Health Administration (Tampa, FL)
- …two Registered Nurses to serve in the role of Inpatient Mental Health Assistant Nurse Manager . The Assistant Nurse Manager reports directly to the ... level degree in Nursing may have opportunity to become registered as a nurse with a state...(may be extended up to two years on a case -by- case -basis.) NOTE: Grandfathering Provision - All persons… more
- Actalent (Orlando, FL)
- Description The RN Case Manager performs telephonic case management for Medicare Advantage members in the state of FL. The case manager will be ... members, and building new cases in Athena (EMR). Skills Case management, Care management, Managed care, rn ...or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position will be accepting… more
- Molina Healthcare (Orlando, FL)
- **JOB DESCRIPTION** _For this position we are seeking a ( RN ) Registered Nurse who must have a current active unrestricted RN license in the state of CA._ ... _Case Manager RN will work in remote setting supporting...population who have recently been admitted into Hospital. The Case Manager will support our members to… more
- Highmark Health (Tallahassee, FL)
- …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
- Health First (Rockledge, FL)
- …**Job:** ** Case Management* **Organization:** **HF Administrative Plan Inc* **Title:** * RN Care Manager HFHP- Gateway* **Location:** *Florida - Brevard ... of a multidisciplinary team in an outpatient setting. The RN Care Manager acts as a patient...* * *Education:*Bachelor's degree in nursing * *Licensure:*Compact State RN license * *Certification:* o Case Management… more
- Highmark Health (Tallahassee, FL)
- …+ Licensed Marriage and Family Therapist (LMFT) + Licensed Behavior Specialist + Registered Nurse . **Preferred** + None **SKILLS** + Working knowledge of ... **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Fully Remote - Part Time - Weekends Required.** This job implements the effective utilization… more
- Elevance Health (FL)
- …Service Coordinator - RN Telehealth** _Location:_ While this position is fully remote , candidate must reside in the tri-state area (NY, NJ, or CT) and within ... the scope of licensure; provides supervision and direction to non- RN clinicians participating in the member's case ...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Sharecare (Tallahassee, FL)
- …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based...an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care… more
- Veterans Affairs, Veterans Health Administration (West Palm Beach, FL)
- …programs, including but not limited to; the Post Baccalaureate Registered Nurse (PB-RNR), Transition to Practice (TTP) RN residency programs, Shared ... Summary The Nurse Manager (NM) of Professional Development...Nurse Educators, Transition to Practice, and Post Baccalaureate Registered Nurse Coordinator programs. The (NM) is… more
- Humana (Tallahassee, FL)
- …managed care experience **OR** A current, valid, and unrestricted nursing license to include: ** Registered Nurse ( RN )** with; + Must have clinical experience ... and help us put health first** The Telephonic Care Manager (Autism Care Navigator) serves as a primary advocate...+ Minimum of 1 year of managed care and case management experience + An active designation as a… more
- Veterans Affairs, Veterans Health Administration (Tampa, FL)
- Summary James A Haley Veterans hospital and clinics has a Registered Nurse vacancy for one Spinal Cord Injury (SCI) Nurse Manager position. The Nurse ... limited to: Provides leadership and supervision to the Assistant Nurse Manager (s) on the team. Responsible for...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- BayCare Health System (Clearwater, FL)
- … remote ) + **On Call:** No **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred ACM ( Case Management) + Preferred CCM ( ... + Preferred experience includes Critical Care or Emergency Nursing RN . **Position details:** + **Location:** Morton Plant Hospital +... Case Management or + Required 3 years Registered Nurse + Preferred experience in Critical… more
- Veterans Affairs, Veterans Health Administration (Orlando, FL)
- Summary The PACT Care Manager RN is responsible for the...level degree in Nursing may have opportunity to become registered as a nurse with a state ... life-threatening conditions and/or behavioral health emergencies. Responsibilities The PACT Care Manager RN provides coordination and transition of care across… more
- Veterans Affairs, Veterans Health Administration (Tampa, FL)
- …Spinal Cord Injury Staffing Coordinator. Spinal Cord Injury (SCI) Staffing Coordinator Registered Nurse ( RN ) incorporates position responsibilities and ... level degree in Nursing may have opportunity to become registered as a nurse with a state...degrees. Preferred Experience: BSN or Higher Leadership Experience (Charge Nurse , Assistant Nurse Manager , … more
- Takeda Pharmaceuticals (Tallahassee, FL)
- …of contact for vendor operations and vendor oversight, including vendors performing case management, case intake (ie, Call Centers), scientific literature ... contact for vendor operations including the PV BPO vendor and/or vendors performing case management, case intake, literature review; call centers + Provide… more