- Elevance Health (Tampa, FL)
- …market. America's 1st Choice operates as a wholly-owned subsidiary of Elevance Health. ** Licensed Utilization Review Sr .** **Office Location:** This ... model with PulsePoint sites used for collaboration, community, and connection. The ** Licensed Utilization Review Sr .** is responsible for working with… more
- Centene Corporation (Tallahassee, FL)
- …valid Florida clinical license. **Position Purpose:** Supervises the behavioral health (BH) utilization review clinicians to ensure appropriate care for members ... utilization management team. + Monitors behavioral health (BH) utilization review clinicians and ensures compliance with...BH utilization management + Works with BH utilization management team and senior management to… more
- MyFlorida (Land O' Lakes, FL)
- SENIOR LICENSED PRACTICAL NURSE - 50000034 Date: Dec 22, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... . Requisition No: 832463 Agency: Veterans Affairs Working Title: SENIOR LICENSED PRACTICAL NURSE - 50000034 Pay Plan:… more
- HCA Healthcare (Fort Walton Beach, FL)
- …guidelines. Participates in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with Process and Quality ... purpose and integrity. We care like family! Jump-start your career as a(an) Licensed Mental Health Professional II Masters today with HCA Florida Fort Walton-Destin… more
- Prime Therapeutics (Tallahassee, FL)
- … functions (Pharmacy Benefit Management (PBM), Third Party Administrator, Utilization Review Organization, Business, State registrations, etc); compile ... depth perception and ability to adjust focus **Reporting Structure** + Reports to Sr Professional, Manager, Director or Senior Director in the Compliance… more
- University of Miami (Miami, FL)
- …including but not limited to intake, discharge planning, case management, utilization review , resource management, care navigation, and patient placement ... between managed care organizations and the hospital regarding benefit coverage issues, utilization review , and quality assurance processes. + Identifies trends… more
- HCA Healthcare (Orange Park, FL)
- …representatives, and other parties as appropriate regarding behavioral services . Performs utilization review as assigned . Participates in developing department ... personal growth, we encourage you to apply for our Mental Health Professional Licensed LCSW opening. We promptly review all applications. Highly qualified… more
- HCA Healthcare (Miami, FL)
- …+ Develops Process and Quality Improvement initiatives appropriate to department. + Performs utilization review as assigned. + Assists with Process and Quality ... assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off,… more
- HCA Healthcare (Gainesville, FL)
- …is preferred . BSN is preferred . Certification in Case Management, Nursing or Utilization Review is preferred HCA Florida North Florida Hospital is a 523-bed, ... assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off,… more
- HCA Healthcare (Ocala, FL)
- …is preferred + BSN is preferred + Certification in Case Management, Nursing or Utilization Review is preferred Our hospital has been proudly serving the West ... assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off,… more
- HCA Healthcare (Gainesville, FL)
- …is preferred . BSN is preferred . Certification in Case Management, Nursing or Utilization Review is preferred HCA Florida North Florida Hospital is a 523-bed, ... assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off,… more
- HCA Healthcare (Orange Park, FL)
- …and other parties as appropriate regarding behavioral services . Performs utilization review as assigned . Develops department goals/objectives and ... assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off,… more
- HCA Healthcare (Tamarac, FL)
- …guidelines. Participates in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with Process and Quality ... assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off,… more
- HCA Healthcare (Tallahassee, FL)
- …guidelines. Participates in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with Process and Quality ... assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off,… more
- HCA Healthcare (Bradenton, FL)
- …assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, ... and external agencies to ensure continuity of care and optimal clinical resource utilization . The Director has oversight for all aspects of daily hospital case… more
- HCA Healthcare (Fort Walton Beach, FL)
- …assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, ... and external agencies to ensure continuity of care and optimal clinical resource utilization . The Director has oversight for all aspects of daily hospital case… more
- HCA Healthcare (Tamarac, FL)
- …etc.) hospital nursing experience required + Certification in case management or utilization review preferred + InterQual experience preferred Founded in 1974, ... assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off,… more
- HCA Healthcare (Orange Park, FL)
- …Management or Critical Care is preferred. + Certification in Case Management or Utilization Review is preferred. + InterQual experience is preferred. *Applicant ... (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid...is required. BSN is highly preferred. + Must be licensed as a Registered Nurse in the state which… more
- HCA Healthcare (Orange Park, FL)
- …Management or Critical Care is preferred. + Certification in Case Management or Utilization Review is preferred. + InterQual experience is preferred. HCA Florida ... (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid...is required. BSN is highly preferred. + Must be licensed as a Registered Nurse in the state which… more
- HCA Healthcare (Inverness, FL)
- …You will promote cost effectiveness through the integration of case management, utilization review management and discharge planning. **What qualifications you ... assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off,… more