• RN Utilization Management

    AdventHealth (Orlando, FL)
    …**The role you'll contribute:** The role of the Utilization Management (UM) Registered Nurse ( RN ) is to use clinical expertise by analyzing patient ... and valid license to practice in Florida as a Registered Nurse (ADN or BSN) required. +...care clinical nursing experience required. + Minimum two years Utilization Management experience, or equivalent professional experience.… more
    AdventHealth (01/08/25)
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  • Registered Nurse Care Manager East

    AdventHealth (Orlando, FL)
    …experiences you'll need to succeed:** **EDUCATION AND EXPERIENCE REQUIRED:** + Associates Degree Nursing or RN Diploma degree + Registered Nurse ( RN ) + ... documents avoidable days, and facilitates progression of care. Collaborates with Utilization Management staff for collaboration on patient status changes… more
    AdventHealth (01/09/25)
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  • Registered Nurse RN Care…

    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
    AdventHealth (01/07/25)
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  • Director Care Management

    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
    AdventHealth (12/21/24)
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  • Registered Nurse RN

    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 (11/25/24)
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  • Registered Nurse RN Care…

    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
    AdventHealth (10/19/24)
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  • Registered Nurse RN Case…

    AdventHealth (Lake Mary, FL)
    …W. Longwood, Lake Mary, Apopka, Mt Dora area **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional nurse ... and directs the Home Health patient's care based on individual patient needs. The RN Care Manager is responsible for independent management of the Home Health… more
    AdventHealth (12/13/24)
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  • Registered Nurse RN Care…

    AdventHealth (Deland, FL)
    …focused on doing visits West Volusia County **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional nurse ... and directs the Home Health patient's care based on individual patient needs. The RN Care Manager is responsible for independent management of the Home Health… more
    AdventHealth (01/09/25)
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  • Registered Nurse RN Case…

    AdventHealth (Tavares, FL)
    …5pm and flexible **Location:** Lake County area **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional nurse ... and directs the Home Health patient's care based on individual patient needs. The RN Care Manager is responsible for independent management of the Home Health… more
    AdventHealth (12/25/24)
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  • Registered Nurse RN

    AdventHealth (Altamonte Springs, FL)
    …telephonically, also support telephonically. **The role you'll contribute:** The Care Transitions Registered Nurse ensures that a care plan is carried out ... various other teams, including but not limited to Care Management nurses and social workers, nursing, home care liaisons,...State of Florida or multi state license as a Registered Nurse + Basic Life Support (BLS)… more
    AdventHealth (01/08/25)
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  • Registered Nurse RN

    AdventHealth (Winter Park, FL)
    …at the AdventHealth Orthopedic Institute **The role you'll contribute:** **The Care Transitions Registered Nurse ensures that a care plan is carried out in ... various other teams, including but not limited to Care Management nurses and social workers, nursing, home care liaisons,...State of Florida or multi state license as a Registered Nurse + Basic Life Support (BLS)… more
    AdventHealth (01/10/25)
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  • Care Management Educator Lead

    AdventHealth (Maitland, FL)
    …Bachelor's degree in Nursing Degree (or advanced degree) + Experience in Case Management , Utilization Management , Transitional Care + Experience with ... Care Manager System Educator Lead (CMEL) is a care management professional who supports the Director of System Care...+ Three (3) years functional healthcare setting + If RN , Current and valid Florida or Multi-State Department of… more
    AdventHealth (01/03/25)
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  • Senior Registered Nurse Supv

    MyFlorida (Orlando, FL)
    …that all verbal orders, including telephone orders from attending physicians, are reviewed by a registered nurse . + If no RN is available, receive all ... resident's status, and providing supervision and guidance to the Registered ( RN ), Licensed Practical Nurse ...the scheduled Care Plan Conference. + Participate in economic utilization of supplies and ensure that equipment is maintained… more
    MyFlorida (01/07/25)
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  • Care Review Clinician, Inpatient Review…

    Molina Healthcare (Orlando, FL)
    …Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... / MCG guidelines. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). **WORK SCHEDULE: Mon - Fri… more
    Molina Healthcare (12/22/24)
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  • Community Care Nurse , RN

    ChenMed (Orlando, FL)
    …with bachelor's degree in home in a related clinical field preferred. + A valid, active Registered Nurse ( RN ) license in State of employment required. + A ... cost effectiveness through the integrating and functions of case management , utilization review and discharge planning. The...+ Ability to work as oversight for License Practical Nurse (LPN) for initial assessments, plan of care and… more
    ChenMed (12/03/24)
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  • Care Manager - BH

    Magellan Health Services (Casselberry, FL)
    …- Licensed Professional Counselor - Care Mgmt, LSW - Licensed Social Worker - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care ... with necessary degrees: CEAP, LMSW, LCSW, LSW, LPC or RN . Minimum 2 years experience post degree in healthcare,...time management and communication skills. Knowledge of utilization management procedures, mental health and substance… more
    Magellan Health Services (01/07/25)
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  • Registered Nurse Specialist

    MyFlorida (Orlando, FL)
    68026222 - REGISTERED NURSE SPECIALIST Date: Jan 9, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 836314 Agency: Agency for Health Care Administration Working Title: 68026222 - REGISTERED NURSE SPECIALIST Pay Plan: Career Service Position Number: 68026222… more
    MyFlorida (01/09/25)
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  • RN Care Manager PRN

    AdventHealth (Orange City, FL)
    …+ **Minimum qualifications** : . Associate and 2 years experience . Associates Degree Nursing or RN Diploma degree . Registered Nurse ( RN ) . Two (2) ... . BSN . Health-related Master's degree or MSN . Prior Care Management / Utilization Management experience **.** **ACM/CCM Certification** This facility… more
    AdventHealth (01/09/25)
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  • COE CM Director, ( RN required)

    Molina Healthcare (Orlando, FL)
    Registered Nursing ( RN ) license in good standing. + Utilization Management Certification (CPHM) Certified Professional in Health Care Quality (CPHQ), ... _This position requires an actively licensed Registered Nurse_ **JOB DESCRIPTION** **Job Summary** The mission of Clinical Operations is to drive value through an… more
    Molina Healthcare (12/12/24)
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  • RN Care Manager PRN

    AdventHealth (Deland, FL)
    …you'll need to succeed** **:** **Minimum qualifications** : + Associate Degree in Nursing + Registered Nurse ( RN ) + Two (2) years of medical/hospital nursing ... + ACM/CCM Certification + Health-related Master's degree or MSN + Prior Care Management / Utilization Management experience This facility is an equal… more
    AdventHealth (12/05/24)
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