- CVS Health (Tallahassee, FL)
- …of Saturday shift is approximately 1 per month.** No travel is required. As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... to make health care more personal, convenient and affordable. **Position Summary** This Utilization Management (UM) Nurse Consultant role is 100% remote… more
- CVS Health (Tallahassee, FL)
- …members sign up to work one major and one minor holiday yearly. As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, ... health care more personal, convenient and affordable. **Position Summary:** Utilization Management is a 24/7 operation and...**Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current… more
- CVS Health (Tallahassee, FL)
- …Must reside in Florida + Licensed Independent Behavioral Health clinician or an unrestricted Registered Nurse ( RN ) license in FL with psychiatric specialty ... convenient and affordable. **Position Summary** This is a fulltime remote Utilization Management Clinical Consultant opportunity for candidates residing in… more
- AdventHealth (Daytona Beach, FL)
- …**The role you'll contribute:** The role of the Utilization Management (UM) Registered Nurse ( RN ) is to use clinical expertise by analyzing patient ... + Current and valid license to practice as a Registered Nurse + Minimum three years acute...acute care clinical nursing experience + Minimum two years Utilization Management experience + Excellent interpersonal communication… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Utilization Management Registered Nurse 2 utilizes clinical nursing skills to ... independent determination of the appropriate courses of action. The Utilization Management Registered Nurse...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse ( RN )** in the… more
- Community Health Systems (Milton, FL)
- …fundamental mission.** **Position Requirements** + Florida RN License-active + Case Management experience 2+ years + Utilization review experience 2+ years + ... Review/Case Management meetings. Provides input in such meetings 6regarding utilization management and discharge planning. + Responsible for evaluating and… 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
- Select Medical (Fort Myers, 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
- AdventHealth (Orlando, FL)
- …+ Associate of Science degree in Nursing (ASN) + Current valid license as a Registered Nurse in the state of Florida + Two (2) years of medical/hospital ... satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily...+ Health-related Master's degree or MSN + Prior Care Management / Utilization Management experience + ACM/CCM… more
- MTC (Quincy, FL)
- …record or other forms as appropriate. + Practice basic cost containment and utilization management for inmate care and facility operations. + Maintain absolute ... in one package!** Are you a dedicated and skilled RN looking for a meaningful opportunity to provide exceptional...with an acceptable driving record required, unless waived by management . Management & Training Corporation (MTC) is… more
- University of Miami (Miami, FL)
- …of Case Management . + Incorporates the fundamental principles of utilization management , monitoring resource consumption, social services intervention and ... University of Miami/UHealth has an exciting opportunity for an RN Case Manager in the Case Management ...and community services to patients and families through effective utilization of available resources. + Manages the observation patients… more
- AdventHealth (Orlando, FL)
- …experience in Care Management /Social Work leadership EDUCATION AND EXPERIENCE PREFERRED: Registered Nurse : MSN Social Worker: MSW with LCSW 5-7 years in ... RN license if a nurse LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED: RN -BC Certification in Care Management This facility is an equal opportunity… more
- ERP International (Tyndall AFB, FL)
- **Overview** ERP International is seeking a full time ** Registered Nurse ( RN ) Case Manager** in support of the Wounded Warrior program at the 325th Medical ... algorithms, CM software, and databases for community resources. + Integrate CM and utilization management (UM) and integrating nursing case management with… more
- MTC (Panama City, FL)
- … & Training Corporation and the Bay Correctional Facility are seeking a **full-time Registered Nurse ( RN )** to join our team. **Primary duties:** + ... or other forms as appropriate. + Practice basic cost containment and utilization management for inmate care and facility operations. + Maintain absolute security… more
- MTC (Panama City, FL)
- …The Bay Correctional Facility located in Panama City, FL. is **now hiring a part-time Registered Nurse ( RN )** to join our team. **Primary duties:** + Attend ... or other forms as appropriate. + Practice basic cost containment and utilization management for inmate care and facility operations. + Maintain absolute security… more
- University of Miami (North Miami, FL)
- …this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Advanced Practice Registered Nurse - Radiology -SoleMia The ... order. + Return Chart to area's patient access rep to schedule and obtain utilization management /insurance/or other financial clearance if required . + Pre study… more
- Veterans Affairs, Veterans Health Administration (Largo, FL)
- …per established policies and guidelines. Responsibilities The Community Care (CCC) Coordinator Registered Nurse ( RN ) is responsible for executing a ... of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- University of Miami (Miami, FL)
- …Care Coordination provides strategic leadership and oversight of care coordination, case management , social services, and utilization management across all ... financial, and operational goals across UHealth, ensuring optimized care coordination, utilization management , and resource allocation. + Oversees utilization… more
- AdventHealth (Altamonte Springs, FL)
- …in direct Care Management State specific RN license if a nurse **Preferred qualifications:** Registered Nurse : BSN Social Worker: MSW Three (3) ... of staff Resolves daily staffing issues **Minimum qualifications** : Registered Nurse : Associates Degree Nursing OR Social...years of experience in direct Care Management CCM, ACM, or RN -BC… more
- AdventHealth (Mount Dora, FL)
- …and exceptional health and benefits offerings **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional nurse ... ** Registered Nurse Care Manager |** **AdventHealth...Health patient's care based on individual patient needs. The RN Care Manager is responsible for independent management… more