- Mayo Clinic (Jacksonville, FL)
- …and provides the resources you need to succeed. **Responsibilities** The Registered Nurse ( RN ) Case Manager works within an interdisciplinary ... management, care coordination, resource utilization , and clinical documentation. The RN Case Manager will function within the Mayo Clinical Nursing… more
- Surgery Care Affiliates (Jacksonville, FL)
- …preferred. + Experience At least five years of clinical experience and utilization review/ case management experience. Experience in determining medical necessity ... in accordance with specified guidelines of hospital. + Certifications Current RN licensure to practice in the State of Texas. Successful completion of Basic Cardiac… more
- Mayo Clinic (Jacksonville, FL)
- …and provides the resources you need to succeed. **Responsibilities** The Registered Nurse ( RN ) Case Manager works within an interdisciplinary ... management, care coordination, resource utilization , and clinical documentation. The RN Case Manager will function within the Mayo Clinical Nursing… more
- Mayo Clinic (Jacksonville, FL)
- …of a Bachelor's degree in nursing program. 2 years of hospital-based case management, including discharge planning and utilization review experience preferred. ... Facilitates and coordinates the orientation and staff development programs for the case management staff. Participates in development of leadership skills in case… more
- Molina Healthcare (Jacksonville, FL)
- …and production levels are maintained + Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case ... align with Molina auditing policy and protocols + Assists Manager with data for team member performance reviews +...them.. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ) Program and… more
- Select Medical (Jacksonville, FL)
- **Overview** **UF Health Rehabilitation Hospital - North** **Jacksonville, FL** ** Case Manager ( RN or MSW)** Full-time **Benefits of becoming a Case ... term disability, and tuition assistance) **Responsibilities** **Position Summary** The Case Manager is responsible for the coordination...Social Work or in a clinical or related discipline ( RN preferred), per state guidelines for case … more
- Elevance Health (Jacksonville, FL)
- …Miami-Dade counties, FL. The **LTSS Clinician** works under the direction/supervision of an RN , with overall responsibility for the member's case , as required by ... the scope of licensure including, for example, assisting the responsible RN with telephonic or face-to-face assessments for the identification, evaluation,… more
- Elevance Health (Jacksonville, FL)
- The **Behavioral Health Provider Quality Manager ** is responsible for leading Behavioral Health (BH) provider engagement, with a focus on leveraging the data ... interactions to collaborative aggregate data assessment. Perform medical record and case management file reviews for enrollees who are high utilizers of… more