- MTC (Quincy, FL)
- …record or other forms as appropriate. + Practice basic cost containment and utilization management for inmate care and facility operations. + Maintain absolute ... in one package!** Are you a dedicated and skilled RN looking for a meaningful opportunity to provide exceptional...HIPAA rules. + Accurately and promptly chart medical care. Review medical files to determine all provided services are… more
- Humana (Tallahassee, FL)
- …supports the goal to put health first? The Prior Authorization, Registered Nurse , RN , Intern will review prior authorization requests for appropriate ... onsite, field, or remote based opportunities. The Prior Authorization, Registered Nurse , RN , Intern will...experience a plus. + Previous experience in prior authorization, utilization management + Experience working with MCG… more
- MyFlorida (Chattahoochee, FL)
- REGISTERED NURSE SPECIALIST-F/C OPS - 60953707 Date: Dec 30, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Requisition No: 843873 Agency: Children and Families Working Title: REGISTERED NURSE SPECIALIST-F/C OPS - 60953707 Pay...knowledgeable of and utilize the principles of Total Quality Management . Nursing will provide guidance in the care and… more
- Highmark Health (Tallahassee, FL)
- …and Sunday required in addition to 3 weekdays** This job implements effective utilization management strategies including: review of appropriateness of ... and offers interventions and/or alternatives. **ESSENTIAL RESPONSIBILITIES** + Implement care management review processes that are consistent with established… more
- Centene Corporation (Tallahassee, FL)
- …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... assess ABA Treatment Plans preferred. + Knowledge of ABA services and BH utilization review process preferred. + Experience working with providers and healthcare… more
- Centene Corporation (Tallahassee, FL)
- … utilization management team. + Monitors behavioral health (BH) utilization review clinicians and ensures compliance with applicable guidelines + Monitors ... of Florida **Position Purpose:** Supervises the behavioral health (BH) utilization review clinicians to ensure appropriate care...+ Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse -… more
- CVS Health (Tallahassee, FL)
- …reside in Florida + Licensed Independent Behavioral Health clinician or an unrestricted Registered Nurse ( RN ) license in Florida with psychiatric specialty ... convenient and affordable. **Position Summary** This is a full-time remote Utilization Management Clinical Consultant opportunity for candidates residing in… more
- Guardian Life (Tallahassee, FL)
- …services. Act as a liaison between all parties required in case management to facilitate collaboration toward RTW goals. Utilization of independent ... **Position Summary** The RN Clinical Consultant serves as a clinical resource...issues, when possible, to enhance the customer experience. **Activity** Review and assess claimant subjective reports and objective medical… more
- HCA Healthcare (Tallahassee, FL)
- …options and costs to patient and patient families. **What qualifications you will need:** + Registered Nurse , or Advance Practice Registered Nurse (APRN) ... in your career path, we encourage you to apply for our Manager Case Management opening. We review all applications. Qualified candidates will be contacted by… more
- Centene Corporation (Tallahassee, FL)
- …and Family Therapist (LMFT) required or Licensed Mental Health Professional (LMHP) required or RN - Registered Nurse - State Licensure and/or Compact State ... providers regarding clinical information from the Operations and Medical Management teams. Assesses and performs review of...the continuum of care. Experience with managed care, case management , utilization management , or quality… more
- HCA Healthcare (Tallahassee, FL)
- …and personal growth, we encourage you to apply for our Operating Room Nurse PRN-Surgery Center opening. We review all applications. Qualified candidates will ... have the PRN career opportunities as an Operating Room Nurse PRN-Surgery Center you want with your current employer?...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
- HCA Healthcare (Tallahassee, FL)
- …Center have the opportunity to make a real impact. As an Operating Room Nurse - Surgery Center you can be a part of change. **Benefits** Tallahassee Outpatient ... location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more