- Lee Health (Fort Myers, FL)
- …(American Heart Association / Basic Life Support) required. License:State of Florida Registered Nurse License or Physical Therapist License or Occupational ... to Midpoint Pay Rate: $38.48 - $50.01 / hour (Salary/Exempt) Previous Supervisory/ Management of Staff preferred Three (3) years of Home Health experience, Two… more
- CVS Health (Tallahassee, FL)
- …we do it all with heart, each and every day. **Position Summary** The ** Utilization Management Clinical Nurse Consultant** utilizes clinical skills to ... hospital clinical practice. + Must have active and unrestricted RN ( _Registered Nurse_ ) Licensure in the state...Time Zone. **Preferred Qualifications** : + Previous experience with utilization management . + Previous clinical experience in… more
- Humana (Tallahassee, FL)
- …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...+ Minimum of Associate Degree in nursing + Licensed Registered Nurse ( RN ) in a… 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 ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse ( RN )** in the… more
- CVS Health (Tallahassee, FL)
- …active current and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and work schedules will include weekends, ... **Required Qualifications** - 2+ years of experience as a Registered Nurse in adult acute care/critical care...or specialty area - Managed Care experience preferred, especially Utilization Management - Preference for those residing… more
- CVS Health (Tallahassee, FL)
- …members. This position does require a weekend schedule. **Required Qualifications** + Registered Nurse + Education: Diploma RN acceptable;Associate ... Licenses as business needs require. **Preferred Qualifications** Utilization Management experience preferred **Education** Education: Diploma RN acceptable;… more
- CVS Health (Tallahassee, FL)
- …sessions, or other events as directed. **`** **Required Qualifications** + Registered Nurse + Education:Diploma RNacceptable;Associate degree/BSN preferred, 3+ ... years of experience as a Registered Nurse , 1+ years of clinical experience...experience in acute or post-acute setting,and 1+ years of Utilization Management / CareManagementExperience + Must have… more
- CenterWell (Tallahassee, FL)
- … RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to ... put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care givers...DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous… more
- ERP International (Macdill AFB, FL)
- **Overview** ERP International is seeking a ** Registered ** ** Nurse ( RN )** for a Full-Time position in ** Utilization Management ** at MacDill AFB, FL. ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
- BayCare Health System (St. Petersburg, FL)
- …clinical nursing **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred ACM (Case Management ) + Preferred CCM (Case Manager) ... Nursing or + Preferred Bachelors in Nursing **Experience:** + Required 3 years in Utilization Management or + Required 3 years in Case Management or +… more
- Select Medical (Gainesville, FL)
- … Management ** **Full Time: Monday - Friday 8-5pm** **_Clinical license as a registered nurse or respiratory therapist or master's in social work and minimum ... focus on resource management . + Demonstrating compliance with facility-wide Utilization Management policies and procedures. + Coordinating UR compliance with… more
- Select Medical (Lake Worth, FL)
- …of Case Management ** **$10,000 Sign On Bonus** **_Clinical license as a registered nurse or respiratory therapist or master's in social work and minimum ... focus on resource management . + Demonstrating compliance with facility-wide Utilization Management policies and procedures. + Coordinating UR compliance with… more
- Mayo Clinic (Jacksonville, FL)
- …expenses. + Retirement: Competitive retirement package to secure your future. **Responsibilities** The Registered Nurse ( RN ) Case Manager works within an ... by ensuring appropriate utilization management , care coordination, resource utilization , and clinical documentation. The RN Case Manager will function… more
- Mayo Clinic (Jacksonville, FL)
- …expenses. + Retirement: Competitive retirement package to secure your future. **Responsibilities** The Registered Nurse ( RN ) Case Manager works within an ... utilization management , care coordination, resource utilization , and clinical documentation. The RN Case...of a baccalaureate nursing program All entry-level associate degree registered nurses with a RN start date… more
- Community Health Systems (Naples, FL)
- …platforms, healthcare software systems, and data analysis tools. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... + Refers cases not meeting criteria to the Physician Advisor or Utilization Management Committee and ensures appropriate follow-up. + Identifies avoidable… more
- TEKsystems (Orlando, FL)
- …plus 1 late shift 12-8:30 PM EST + RN : $31.50/hr | LPN: $29/hr Utilization Management (2 Openings) Responsibilities: + Review appeals and all types of Prior ... days), plus 1 late shift 12-8:30 PM EST + RN : $31.25/hr | LPN: $29/hr + Tues-Sat: 8 AM-5...Review outpatient test and procedure authorizations. Ideal Candidate: Previous Utilization Management experience. Schedule & Compensation: +… more
- HealthTrust Workforce Solutions (Bradenton, FL)
- …access to more than 200,000 jobs nationwide. **_JOB SUMMARY_** The Interim Leader of Case Management Services is a Registered Nurse who participates as an ... budget and resource management , cost control, contract compliance, quality improvement, utilization management , denials management and management of… more
- ERP International (Hurlburt Field, FL)
- **Overview** ERP International is seeking a full time ** Registered Nurse ( RN ) Case Manager** in support of the 1st Special Operations Medical Group at ... algorithms, CM software, and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case management with… more
- Community Health Systems (Naples, FL)
- …platforms, healthcare software systems, and data analysis tools. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... is responsible for the planning, coordination, and oversight of care management services, including utilization review, discharge planning, and transitions of… more
- HCA Healthcare (Atlantis, FL)
- …**Introduction** Do you want to join an organization that invests in you as a(an) registered Nurse RN Case Mgr? At HCA Florida JFK Hospital, you ... make a difference. We are looking for a dedicated registered Nurse RN Case Mgr...years of critical care experience + Certification in case management or utilization review preferred + InterQual… more
