- CVS Health (Tallahassee, FL)
- …- team members sign up to work one major and one minor holiday yearly. As a Utilization Management Nurse Consultant , you will utilize clinical skills to ... health care more personal, convenient and affordable. **Position Summary:** Utilization Management is a 24/7 operation and...Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current and unrestricted RN… more
- CVS Health (Tallahassee, FL)
- …Must possess 1+ years of clinical experience in acute or post acute setting - Utilization Management is a 24/7 operation and the work schedule may include ... and external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working environment with… more
- CVS Health (Tallahassee, FL)
- …personal, convenient and affordable. **Position Summary** This is a fulltime remote Utilization Management Clinical Consultant opportunity for candidates ... clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and is… more
- CVS Health (Tallahassee, FL)
- …collaborative position working proactively with the Aetna account team, Aetna's Care management teams, and key National Account partners to support our customers. In ... this role, the consultant is empowered to: + Provide progressive consultative clinical...consultative clinical insights based on analysis of clinical plan utilization and impact of member behavior on medical plan… more
- Veterans Affairs, Veterans Health Administration (Orlando, FL)
- …the least restrictive, most cost-effective manner, through use of outpatient utilization management criteria, clinical practice guidelines and clinical pathways. ... satisfaction throughout the continuum of care. Responsibilities The Clinical Registered Nurse (RN) Consultant executes position responsibilities that demonstrate… more
- MyFlorida (Tallahassee, FL)
- …Tool (https://compcalculator.myflorida.com/) AGENCY FOR PERSONS WITH DISABILITIES POSITION: Registered Nurse Consultant - Career Service WORKING TITLE: State ... STATE OFFICE NURSE - 67016906 Date: Dec 12, 2024 The...dynamics. This position with APD will serve staff and management across the Agency. Your work will impact the… more
- MyFlorida (Fort Myers, FL)
- …and federal programmatic requirements, rules, and regulations. Assesses quality and utilization of services and resources by: + Forecasting future programs needs ... training/education) + Serve as a member of the department's incident management team (eg Operations Chief/deputy or Clinical Services Branch Director/deputy)… more
- Cleveland Clinic (Weston, FL)
- …compliance with all standards and favorable performance on safety, quality, utilization , and experience metrics. + Participate in engraining the safety, quality, ... data and participate in improvement strategy development. + Act as a consultant in educating and evaluating clinical and support department caregivers regarding… more
- Health First (Melbourne, FL)
- …a positive, open and effective relationship with the Medical Staffs, Hospital Management Teams and all levels of the associates through open communication, utilizing ... system/hospital/clinic administration, physicians, departments, and staff to ensure cost-effective utilization of services and processes. * Disseminates best practice… more
- Trinity Health (Fort Lauderdale, FL)
- …members of the** **interprofessional acute care, ambulatory and post-acute care management teams to improve communication across the continuum of care.** **_What ... that have been documented in the medical record.** Serves as a consultant and educator with medical staff regarding status, placement, payer requirements, and… more