We interpreted Midway, FL as Midway, FL. Other options include: Midway (Seminole County), FL
- 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...appropriate courses of action. As a Utilization Management RN working on the OneHome/ Home Solutions… more
- CVS Health (Tallahassee, FL)
- …years of clinical experience in acute or post-acute setting,and 1+ years of Utilization Management / CareManagementExperience + Must have active current and ... obtainadditionalNursing Licenses as business needsrequire. * **Preferred Qualifications** - Utilization Management experience preferred - **Anticipated Weekly… more
- CenterWell (Tallahassee, FL)
- …RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... Therapy, DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare… 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 ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- Evolent (Tallahassee, FL)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks are ... quality and cost effective care delivery. **What You'll Be Doing:** + Performs utilization review of outpatient procedures and ancillary services. + Fulfills on call… more
- HCA Healthcare (Tallahassee, FL)
- …passionate about delivering patient-centered care?** Submit your application for Operating Room Nurse - Surgery Center position and spend more time at the bedside ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
- HCA Healthcare (Tallahassee, FL)
- …**Introduction** Do you have the PRN career opportunities as an Operating Room Nurse PRN-Surgery Center you want with your current employer? We have an exciting ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
- HCA Healthcare (Tallahassee, FL)
- **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 ... to nurses like you - at home , at work, and at every stage in your...needs. + Develops, initiates, and coordinates individual patient case management plans to ensure appropriate level of care across… more
- HCA Healthcare (Tallahassee, FL)
- …to Patient in Bed by facility by floor to identify opportunities + Assesses utilization of Bed Management technology for optimal use + Performs staffing ... want to join an organization that invests in you as a(an) Director PI Bed Management ? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300… more
- CVS Health (Tallahassee, FL)
- …active, unrestricted pharmacist licensure within their state of residence.** Medication Therapy Management supports the company vision to help people on their path ... The role of the MTM Pharmacist is to deliver telephonic medication therapy management (MTM). Effective delivery of this CVS Health telephonic based MTM service… more
- HCA Healthcare (Tallahassee, FL)
- …and assess observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to third party ... is acceptable for position if current and compliant** + **Certification in Case Management , Nursing, or Utilization Review, preferred** + **Three years of… more
- HCA Healthcare (Tallahassee, FL)
- …and assess observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to third party ... is acceptable for position if current and compliant** + **Certification in Case Management , Nursing, or Utilization Review, preferred** + **Three years of… more
- HCA Healthcare (Tallahassee, FL)
- …and assess observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to third party ... is acceptable for position if current and compliant + Certification in Case Management , Nursing, or Utilization Review, preferred + Three years of nursing… more
- Centene Corporation (Tallahassee, FL)
- …reporting metrics for home infusion patients + Strong understanding of utilization management principles and healthcare managed care. + Proficient clinical ... to competitive benefits including a fresh perspective on workplace flexibility. **Registered Nurse (RN) with direct patient care and care coordination with Home… more
- Sharecare (Tallahassee, FL)
- …/ new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, ... + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex...and second opinion. + Referring members to Clinical Advocates ( Nurse ) for conditions that require clinical care and case… more
- MyFlorida (Tallahassee, FL)
- …+ Therapeutic Assistant + Behavioral Health Technician + Family Intervention Specialist + Home Health Aide + Nurse (LPN or RN) or similar profession ... Supervise, plan and direct workloads, workflows, deadlines, work objectives and time utilization of subordinate staff in the delivery of protecting children, working… more