- Veterans Affairs, Veterans Health Administration (Orlando, FL)
- …all RUR staff provides feedback as appropriate, for performance improvement, utilization management , and compliance related issues. Conducts precertification ... Billing, Insurance Verification, Veteran Services, Compliance, Providers, Health Information Management (HIM), Utilization Management (UM),...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- AdventHealth (Maitland, FL)
- …Bachelor's degree in Nursing Degree (or advanced degree) + Experience in Case Management , Utilization Management , Transitional Care + Experience with ... Care Manager System Educator Lead (CMEL) is a care management professional who supports the Director of System Care...+ Three (3) years functional healthcare setting + If RN , Current and valid Florida or Multi-State Department of… more
- AdventHealth (Celebration, FL)
- …documents avoidable days, and facilitates progression of care. Collaborates with Utilization Management staff for collaboration on patient status changes ... valid State of Florida or multistate license as a Registered Nurse + 2 years of medical/...+ Health-related master's degree or MSN + Prior Care Management / Utilization Management experience +… more
- AdventHealth (Winter Garden, FL)
- …documents avoidable days, and facilitates progression of care. + Collaborates with Utilization Management staff for collaboration on patient status changes and ... satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily...Nursing (BSN) + ACM/CCM Certification + Experience in Care Management / Utilization Management This facility… more
- AdventHealth (Winter Park, FL)
- …experience *Experience in Case Management , Managed Care, Discharge Planning and Utilization Management *Case Management training *Specific knowledge and ... Scope and Standard for Nursing Practice, and the AONE Nurse Executive Competencies. *Liaises between Care Management ,...REQUIRED:** * Basic Life Support - CPR Cert * Registered Nurse This facility is an equal… more
- AdventHealth (Orlando, FL)
- …+ Associate of Science degree in Nursing (ASN) + Current valid license as a Registered Nurse in the state of Florida + Two (2) years of medical/hospital ... satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily...+ Health-related Master's degree or MSN + Prior Care Management / Utilization Management experience + ACM/CCM… more
- AdventHealth (Orlando, FL)
- …role you'll contribute:** The Population Health Case Manager (PHCM) ensures effective utilization and case management oversight activities as defined by inter ... best practices, agency policies/processes. Ensures clear and appropriate visit utilization using evidence-based and best practice guidelines to achieve positive… more
- AdventHealth (Orlando, FL)
- …experience in Care Management /Social Work leadership EDUCATION AND EXPERIENCE PREFERRED: Registered Nurse : MSN Social Worker: MSW with LCSW 5-7 years in ... RN license if a nurse LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED: RN -BC Certification in Care Management This facility is an equal opportunity… more
- AdventHealth (Maitland, FL)
- …in direct Care Management State specific RN license if a nurse **Preferred qualifications:** Registered Nurse : BSN Social Worker: MSW Three (3) ... of staff Resolves daily staffing issues **Minimum qualifications** : Registered Nurse : Associates Degree Nursing OR Social...years of experience in direct Care Management CCM, ACM, or RN -BC… more
- AdventHealth (Tavares, FL)
- …Lake County, Marion County Sumter County **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional nurse ... and directs the home care patient's care based on individual patient needs. The RN Care Manager is responsible for independent management of the Home Health… more
- AdventHealth (Tavares, FL)
- …and exceptional health and benefits offerings **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional nurse ... care patient's care based on individual patient needs. The RN Care Manager is responsible for independent management...and technology skills + Minimum of one-year relevant clinical RN experience + Current Registered Nursing License… more
- AdventHealth (Orlando, FL)
- …32826, 32820, 32709, 32828, 32833, 32831, 32832 **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional nurse ... and directs the home care patient's care based on individual patient needs. The RN Care Manager is responsible for independent management of the Home Health… more
- AdventHealth (Apopka, FL)
- …potential **The expertise and experiences you'll need to succeed:** **Minimum qualifications** : Registered Nurse : BSN or Social Worker: BSW Masters in related ... field 3 years in direct Care Management / Utilization Management experience in an...experience in an acute care setting **Preferred qualifications:** + Registered Nurse : BSN Masters in related field… more
- Elevance Health (Altamonte Springs, FL)
- … (BH CM) The **Manager Behavioral Health Services** is responsible for Behavioral Health Utilization Management (BH UM), or Behavioral Health Case Management ... facility-based and/or outpatient psychiatric and chemical dependency treatment and prior utilization management experience; or any combination of education and… more
- Select Medical (Orlando, FL)
- … within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with ... what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning,...**Current licensure in a clinical discipline either as a Nurse ( RN /LPN/ LVN)or a Respiratory Therapist… more
- Select Medical (Orlando, FL)
- … within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with ... current licensure in a clinical discipline either as a Nurse ( RN /LPN/LVN) or a Respiratory Therapist (RT)...what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning,… more
- MyFlorida (Orlando, FL)
- OPS REGISTERED NURSE Date: Aug 13, 2024...Care Plans and MDS as required. + Ensure economical utilization of supplies and proper charging of items to ... . Requisition No: 827322 Agency: Veterans Affairs Working Title: OPS REGISTERED NURSE Pay Plan: Health Care Practice Position Number: 50601384 Salary: $30.00… more
- MyFlorida (Orlando, FL)
- 68026222 - REGISTERED NURSE SPECIALIST Date: Aug 27, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 836314 Agency: Agency for Health Care Administration Working Title: 68026222 - REGISTERED NURSE SPECIALIST Pay Plan: Career Service Position Number: 68026222… more
- AdventHealth (Tavares, FL)
- …appropriate discharge options and providers of post-hospital care.** **Minimum qualifications** : + Registered Nurse ( RN ) + Two (2) years of medical/hospital ... + ACM/CCM certification + Health-related Master's degree or MSN + Prior Care Management / Utilization Management experience This facility is an equal… more
- CenterWell (Orlando, FL)
- …license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a Home Health or ... about what CenterWell Home Health can do for your Nurse Career! The ** RN C** **linical** **Manager**...clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates… more