- 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 (Tampa, FL)
- …Qualifications **The expertise and experiences you'll need to succeed:** . Associates Degree Nursing or RN Diploma degree. . Registered Nurse ( RN ). . Two ... transitions, patient satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily with the… more
- AdventHealth (Zephyrhills, FL)
- …transitions, patient satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily with the ... and understanding of medical necessity are core competencies of this role. The RN Care Manager facilitates the collaborative management of patient care across… more
- HCA Healthcare (Brandon, FL)
- …patient care is as meaningful as we do. We are seeking an OR Charge Registered Nurse . You will provide clinical expertise to ensure all patients receive high ... **Introduction** Do you have the career opportunities as a(an) RN Clinical Nurse Coordinator OR you want...efficiency. **Requirements:** + Must be licensed as a Florida Registered Nurse in accordance with state regulations… more
- HCA Healthcare (St. Petersburg, FL)
- …The CM coordinates efforts within the Rehabilitation team. We are seeking a Registered Nurse Case Manager. You will provide clinical expertise to ensure ... will promote cost effectiveness through the integration of case management , utilization review management and...unparalleled patient service. **What qualifications you will need:** + Registered Nurse + Associate Degree HCA Florida… 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 (Brandon, FL)
- …be a part of our team. **Job Summary and Qualifications** We are seeking a Registered Nurse Case Manager. You will provide clinical expertise to ensure all ... organization that invests in you as a(an) Case Manager RN ? At HCA Florida Brandon Hospital, you come first....will promote cost effectiveness through the integration of case management , utilization review management and… more
- HCA Healthcare (Sun City Center, FL)
- …your knowledge and expertise! **Job Summary and Qualifications** We are seeking a Registered Nurse Case Manager. You will provide clinical expertise to ensure ... you have the career opportunities as a(an) Case Manager RN PRN you want with your current employer? We...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
- HCA Healthcare (Brandon, FL)
- …**Introduction** Do you have the PRN career opportunities as a(an) Operating Room RN PRN you want with your current employer? We have an exciting opportunity ... Do you want to work as a(an) Operating Room RN PRN where your passion for creating positive patient...Summary and Qualifications** We are seeking an Operating Room Nurse for our ambulatory surgery center who demonstrates the… 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
- CenterWell (Tampa, 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
- 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