- Centene Corporation (Tallahassee, FL)
- …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... to ensure appropriate care for members and supervises day-to-day activities of BH utilization management team. + Monitors behavioral health (BH) utilization … 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
- 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...the State of Florida + Bachelor's degree + Licensed Registered Nurse ( RN ) in the… more
- Humana (Tallahassee, FL)
- …Professional Counselor (LPC), Psychologist (PhD), Licensed Marriage Family Therapist, (LMFT), + Active Registered Nurse ( RN ) license in the state of Florida ... caring community and help us put health first** The Utilization Management Behavioral Health Professional 2 utilizes...or enhanced nurse compact license, (eNLC) without disciplinary actions, + or… more
- CVS Health (Tallahassee, FL)
- …both verbal and written **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must possess 1+ years of clinical experience in acute ... external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working...acute setting + Must have active current and unrestricted RN licensure in state of residence + Must be… 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
- MyFlorida (Chattahoochee, FL)
- REGISTERED NURSE SPECIALIST - 60006454 Date:...unit? Florida State Hospital is looking for a skilled RN to join our team, providing comprehensive care and ... . Requisition No: 843100 Agency: Children and Families Working Title: REGISTERED NURSE SPECIALIST - 60006454 Pay Plan: Career Service… more
- MyFlorida (Chattahoochee, FL)
- REGISTERED NURSE SPECIALIST - F/C -...dynamics. This position with APD will serve staff and management across the Agency. Your work will impact the ... . Requisition No: 837602 Agency: Agency for Persons with Disabilities Working Title: REGISTERED NURSE SPECIALIST - F/C - 67056731 APD/ DDDP CHATTAHOOCHEE, FL… more
- MyFlorida (Chattahoochee, FL)
- …appropriateness of that utilization . Minimum Qualifications: + Licensure as a Registered Professional Nurse in accordance with Florida Statute 464 or ... REGISTERED NURSE SPECIALIST-F/C - 60005305 Date:... REGISTERED NURSE SPECIALIST-F/C - 60005305 Date: Dec 8, 2024...knowledgeable of and utilize the principles of Total Quality Management . Nursing will provide guidance in the care and… more
- Highmark Health (Tallahassee, FL)
- …Remote - Part Time - Weekends Required.** This job implements the effective utilization management strategies including: review of appropriateness of health care ... Experience in a clinical setting **Preferred** + Certification in utilization management or a related field +...and Family Therapist (LMFT) + Licensed Behavior Specialist + Registered Nurse . **Preferred** + None **SKILLS** +… more
- Centene Corporation (Tallahassee, FL)
- …and Family Therapist (LMFT) required or Licensed Mental Health Professional (LMHP) required or RN - Registered Nurse - State Licensure and/or Compact State ... abuse across the continuum of care. Experience with managed care, case management , utilization management , or quality improvement. **License/Certification:**… more
- Humana (Tallahassee, FL)
- …providers or members **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in either Florida or a compact state ... community and help us put health first** The Pre-Authorization Nurse 2 reviews prior authorization requests for appropriate care...FL or GA + 2 or more years of Utilization Management (UM), Pre-Auth, and/or other managed… more
- Centene Corporation (Tallahassee, FL)
- …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive… more
- Sharecare (Tallahassee, FL)
- …appropriate total healthcare management and ensure cost effective, appropriate resource utilization and quality outcomes. The RN is also responsible for ... and their Primary Care Provider according to the disease management program intervention guidelines. An RN is...the disease management program intervention guidelines. An RN is supervised by an Operations Manager (OM). All… more
- Guardian Life (Tallahassee, FL)
- …services. Act as a liaison between all parties required in case management to facilitate collaboration toward RTW goals. Utilization of independent ... **Position Summary** The RN Clinical Consultant serves as a clinical resource...plan and length of disability. Plan for ongoing case management through proactive partnering with treating providers to move… more
- HCA Healthcare (Tallahassee, FL)
- …options and costs to patient and patient families. **What qualifications you will need:** + Registered Nurse , or Advance Practice Registered Nurse (APRN) ... **Description** **Introduction** Do you have the career opportunities as a(an) Manager Case Management you want in your current role? We invest in what matters most… more
- HCA Healthcare (Tallahassee, FL)
- …Support must be obtained within 30 days of employment start date + Bachelors Degree + Registered Nurse , or Advance Practice Registered Nurse (APRN) HCA ... **Job Summary and Qualifications** Job Summary: Provide leadership for planning, management , implementation, integration and coordination of the unit in support of… more
- YesCare Corp (Tallahassee, FL)
- **Experience & Requirements** + Active license + Registered Nurse required + Minimum of three (3) years of management experience in a healthcare setting. + ... is a list of your responsibilities as a **Health Services Administrator (HSA) RN required** at YesCare: + Manages the healthcare delivery system and coordinates with… more
- MyFlorida (Tallahassee, FL)
- …Estimator Tool (https://compcalculator.myflorida.com/) AGENCY FOR PERSONS WITH DISABILITIES POSITION: Registered Nurse Consultant - Career Service WORKING TITLE: ... dynamics. This position with APD will serve staff and management across the Agency. Your work will impact the...Registered Nursing license is required. Licensure as a Registered Professional Nurse in accordance with Florida… more