• Nurse - Surgical Provider Appeal Analyst…

    Travelers Insurance Company (Tampa, FL)
    …what you do and where you do it. **Job Category** Claim, Nurse - Medical Case Manager **Compensation Overview** The annual base salary range provided for ... evaluating previously paid complex surgical bills based on additional medical records submitted by medical providers to...a plus. **What is a Must Have?** + Registered Nurse or Licensed Practical Nurse with Surgical… more
    Travelers Insurance Company (11/01/24)
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  • Workers Compensation Benefit Analyst Entry Level

    Travelers Insurance Company (Tampa, FL)
    …discontinuation of benefits through litigation). Collaborate with our internal nurse resources ( Medical Case Manager ) in order to integrate the delivery ... moderate supervision, manage Workers' Compensation Claims with: Stable Lifetime Indemnity and/or Medical Benefits where the medical expenditures are not expected… more
    Travelers Insurance Company (11/07/24)
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  • Telephonic Nurse Case Manager

    Elevance Health (Tampa, FL)
    **Telephonic Nurse Case Manager II** **Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point ... hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is...management plan and modifies as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of… more
    Elevance Health (11/07/24)
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  • Nurse Case Manager I

    Elevance Health (Tampa, FL)
    …will live within 50 miles of one of our Elevance Health PulsePoint locations. ** Nurse Case Manager I** Responsible for performing care management within ... skills, facilitation skills, and analytical skills preferred. + Certification as a Case Manager is preferred. + Bi-lingual Spanish-speaking candidate preferred.… more
    Elevance Health (11/02/24)
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  • Assistant Nurse Manager

    Veterans Affairs, Veterans Health Administration (Tampa, FL)
    …EDRP application. Former EDRP participants ineligible to apply. Responsibilities The (RN)-Assistant Nurse Manager (ANM) for the Spinal Cord Injury and Disorders ... provides leadership and direction to nursing staff. The (RN)-Assistant Nurse Manager (ANM) is accountable for adhering...(may be extended up to two years on a case -by- case -basis.) NOTE: Grandfathering Provision - All persons… more
    Veterans Affairs, Veterans Health Administration (11/02/24)
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  • Manager of Case Management

    HCA Healthcare (Hudson, FL)
    …**Introduction** Do you want to join an organization that invests in you as a(an) Manager of Case Management? At HCA Florida Bayonet Point Hospital, you come ... make a difference. We are looking for a dedicated Manager of Case Management like you to...Nurse license + Three to five years previous Case Management experience; two years of which were in… more
    HCA Healthcare (09/13/24)
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  • Case Manager RN

    HCA Healthcare (Hudson, FL)
    …goals. Unlock your potential! **Job Summary and Qualifications** We are seeking a Registered Nurse Case Manager . You will provide clinical expertise to ... over 156,000 hours volunteering in our communities. As a(an) Case Manager RN with HCA Florida Bayonet...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
    HCA Healthcare (10/04/24)
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  • RN Case Manager Home Health Full…

    CenterWell (Clearwater, FL)
    …our caring community and help us put health first** Clearwater As a **Home Health RN Case Manager ** , you will: + Provide admission, case management, and ... Manager , preparing and completing needed clinical documentation. + Prepare appropriate medical documentation on all patients, including any case conferences,… more
    CenterWell (10/30/24)
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  • Assistant Nurse Manager Endoscopy

    AdventHealth (Tampa, FL)
    …care and nursing practice within the clinical unit. The Assistant Nurse Manager ensures efficient patient and case flow throughout the shift by continually ... care tower which will ensure state of the art medical and surgical car for generations to come ....Primary Stroke Center. **The role you'll contribute:** **The Assistant Nurse Manager supervises and coordinates patient care… more
    AdventHealth (10/12/24)
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  • Registered Nurse Care Manager PRN

    AdventHealth (Tarpon Springs, FL)
    …specific Registered Nurse (RN) License. . Two (2) years of medical /hospital nursing experience. This facility is an equal opportunity employer and complies with ... AdventHealth North Pinellas **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians and… more
    AdventHealth (11/03/24)
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  • Nurse Medical Management Sr

    Elevance Health (Tampa, FL)
    Job Description ** Nurse Medical Management Sr.** **Preferred Location** : Florida. **This position will work 100% remote (with the exception of team meetings ... miles of one of our Elevance Health PulsePoint locations. ** Nurse Medical Management Sr.** Responsible to serves...minimum of 3 years acute care clinical experience or case management, utilization management or managed care experience; or… more
    Elevance Health (11/02/24)
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  • Nurse Medical Mgmt II (US)

    Elevance Health (Tampa, FL)
    ** Nurse Medical Management II** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of ... our Elevance Health PulsePoint locations. The ** Nurse Medical Management II** will be responsible...minimum of 3 years acute care clinical experience or case management, utilization management or managed care experience; or… more
    Elevance Health (10/27/24)
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  • Registered Nurse (Transcranial Magnetic…

    Veterans Affairs, Veterans Health Administration (Tampa, FL)
    …The Registered Nurse TMS functions autonomously under the supervision of the Nurse Manager and under the direction of the TMS program coordinator. The ... Summary The Registered Nurse (RN) will provide compassionate direct patient care...struggling with depression and/or anxiety. Monitor a patient for medical emergencies such as seizures. Provide medical more
    Veterans Affairs, Veterans Health Administration (11/06/24)
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  • RN Transplant Case Mgr II (Transplant…

    Elevance Health (Tampa, FL)
    …be required.** **The Transplant Nurse II** is responsible for providing case management and/or medical management (UM/UR) for members receiving transplant ... be licensed in multiple states (compact license). + Both Case Management and Medical Management (UM/UR) is...and managed care products preferred. + Certification as a Case Manager is preferred. + Previous work… more
    Elevance Health (11/02/24)
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  • Registered Nurse Home Health Per Diem

    CenterWell (Clearwater, FL)
    …our caring community and help us put health first** As a **Home Health Registered Nurse ** , you will: + Provide admission, case management, and follow-up skilled ... Manager , preparing and completing needed clinical documentation. + Prepare appropriate medical documentation on all patients, including any case conferences,… more
    CenterWell (10/30/24)
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  • Clinical Care Transition Specialist / Registered…

    Option Care Health (Tampa, FL)
    …gathering preadmission information, collaborating with internal (intake) and external ( case managers, discharge planners) partners to ensure quality of service ... discharge and therapy independence. + Effectively communicates with agency staff, medical team, patients and family throughout the discharge process to implement… more
    Option Care Health (11/06/24)
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  • Licensed Practical Nurse LPN Home Care

    AdventHealth (Tarpon Springs, FL)
    …approach in the delivery of patient care. Executes physician's orders and notifies RN/ Case Manager of necessary updates or changes in condition. Completes ... order and under the direction and supervision of a Registered Nurse . Provides intermittent, individualized nursing care, teaches and supervises the patient… more
    AdventHealth (09/21/24)
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  • RN Clinical Manager Home Health Full Time

    CenterWell (Land O' Lakes, FL)
    …the delivery of care to all patients served by the location. Receives case referrals. Reviews available patient information related to the case , including ... admit patients to service. Assigns appropriate clinicians to a case , as needed. + Instructs and guides clinicians to...of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's… more
    CenterWell (10/30/24)
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  • Center Clinical Manager

    ChenMed (Clearwater, FL)
    …expanding and we need great people to join our team. The Center Clinical Manager is a leadership role responsible for ensuring that the VIP experience is optimized ... that help the center meet/exceed organizational goals. The Center Clinical Manager demonstrates thorough knowledge and proficiency in business strategies, clinical… more
    ChenMed (09/13/24)
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  • Utilization Review Specialist Senior

    BayCare Health System (Clearwater, FL)
    Nurse ) + Preferred ACM ( Case Management) + Preferred CCM ( Case Manager ) **Education:** + Required Associates in Nursing or + Required Bachelors ... appropriate level of care through comprehensive concurrent review for medical necessity of outpatient observation and inpatient stays and...in Utilization Review or + Required 2 years in Case Management + Preferred 3 years Registered Nurse more
    BayCare Health System (10/14/24)
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