- Elevance Health (Tampa, FL)
- RN Utilization Management Nurse Sr. (Medicaid-InPatient) JR130851 **Location:** Must be within 50 miles / 1 hour commute of Tampa or Miami, FL offices. ... Friday. **2 Holidays** per year and **occasional** weekends. The ** Nurse Medical Management Sr** serves as T...Requires minimum of 5 years acute care clinical experience, utilization management or managed care experience; or… more
- AdventHealth (Tarpon Springs, FL)
- …succeed:** . Associates Degree Nursing or RN Diploma degree. . State specific Registered Nurse ( RN ) License. . Two (2) years of medical/hospital nursing ... transitions, patient satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily with the… more
- BayCare Health System (Dunedin, FL)
- …to be part of an amazing team and a great place to work!** **Requirements:** + RN ( Registered Nurse ) License + Driver's License, State of Florida required ... takes a special kind of person to become a nurse . And we're hoping that you're one of those...is looking for its newest weekend **Home Care Supervisor, RN ** . At BayCare, we are proud to be… more
- CenterWell (Clearwater, FL)
- …license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a home care, ... clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- Molina Healthcare (Tampa, FL)
- **_For this position we are seeking a ( RN ) Registered Nurse with previous experience in Hospital Acute Care, Concurrent Review/ Utilization Review / ... Medical, or ER unit. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). To all current Molina… more
- 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 ensure ... hours volunteering in our communities. As a(an) Case Manager RN with HCA Florida Bayonet Point Hospital you can...will promote cost effectiveness through the integration of case management , utilization review management and… more
- HCA Healthcare (Tampa, FL)
- …goals. Unlock your potential! **Job Summary and Qualifications** We are seeking a Registered Nurse Case Manager. You will provide clinical expertise to ensure ... hours volunteering in our communities. As a(an) Case Manager RN PRN with HCA Florida South Tampa Hospital you...will promote cost effectiveness through the integration of case management , utilization review management and… more
- Elevance Health (Tampa, FL)
- ** RN Hospital Bill Audit/Appeal Lead** **Supports the Carelon Payment Integrity line of business** _Location: This position will work a hybrid model (remote and ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** RN Hospital Audit/Appeal Lead** is responsible for leading a team of… more
- Elevance Health (Tampa, FL)
- …facilitation skills, and analytical skills preferred. + Minimum of 2 years utilization management STRONGLY preferred. Please be advised that Elevance Health ... ** Nurse Medical Management I** **Preferred Location**...diploma or equivalent. + Requires current active valid unrestricted RN license to practice as a health professional within… more
- Elevance Health (Tampa, FL)
- …required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members with complex and chronic care ... **Telephonic Nurse Case Manager II** **Location: This is a...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
- Elevance Health (Tampa, FL)
- …- 8:00pm ET The ** Nurse Case Manager II** is responsible for care management within the scope of licensure for members with complex and chronic care needs by ... with providers, claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:** + Requires… more
- Elevance Health (Tampa, FL)
- **Telephonic Nurse Disease Management II** **$2000 Sign on Bonus** At **Federal Health Products and Services - FHPS** , a proud member of the Elevance Health, ... pm, or 2:30 pm - 11 pm EST.** The **Telephonic** **N** **urse Disease Management II** will be responsible for telephonic outreach, enrollment, and management of… more
- AdventHealth (Tampa, FL)
- …/ Utilization Management experience in an acute care setting. . State specific RN license if a Registered Nurse . This facility is an equal opportunity ... work life balance **The role you'll contribute:** The Care Management Manager is under the general leadership of the...expertise and experiences you'll need to succeed** **:** . Registered Nurse : BSN or Social Worker: BSW… more
- CVS Health (Tampa, FL)
- …expense reimbursement policy. Preferred Qualifications : Oklahoma residency preferred Oklahoma-licensed registered nurse preferred OR be certified as a Certified ... a variety of external and internal audiences including senior management . Required Qualifications : * 5 to 7 years'...(CHCQM) by the American Board of Quality Assurance and Utilization Review Providers prior to employment. A minimum of… more
- AdventHealth (Tampa, FL)
- …experiences you'll need to succeed** **:** **EDUCATION AND EXPERIENCE REQUIRED** **:** + RN with Bachelor's Degree in Nursing, Management or related healthcare ... of products and leads multi-disciplinary teams to decrease product variation, utilization and costs through the development of consensus supply utilization… more