- CVS Health (Tallahassee, FL)
- …Must have active current and unrestricted RN licensure in state of residence - Utilization management is a 24/7 operation. Work schedules will include weekend, ... med surg or specialty area - Managed Care experience preferred, especially Utilization Management - Preference for those residing in EST or CST zones… more
- Centene Corporation (Tallahassee, FL)
- …fresh perspective on workplace flexibility. NOTE: This fully remote oversees utilization management services for Florida's Children's Medical Services. ... home health, pediatric direct care, healthcare operational leadership, and utilization management . **Position Purpose:** Manages Prior Authorization, Concurrent… more
- MyFlorida (Chattahoochee, FL)
- REGISTERED NURSE SPECIALIST - 60006454 Date: Jan 9, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 843100 Agency: Children and Families Working Title: REGISTERED NURSE SPECIALIST - 60006454 Pay Plan: Career Service Position Number: 60006454… more
- MyFlorida (Tallahassee, FL)
- STATE OFFICE NURSE - 67016906 Date: Jan 10, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Agency for Persons with Disabilities Working Title: STATE OFFICE NURSE - 67016906 Pay Plan: Career Service Position Number:...dynamics. This position with APD will serve staff and management across the Agency. Your work will impact the… more
- MyFlorida (Chattahoochee, FL)
- REGISTERED NURSE SPECIALIST - F/C - 67056731 APD/ DDDP CHATTAHOOCHEE, FL Date: Jan 11, 2025 The State Personnel System is an E-Verify employer. For more information ... Agency: Agency for Persons with Disabilities Working Title: REGISTERED NURSE SPECIALIST - F/C - 67056731 APD/ DDDP CHATTAHOOCHEE,...dynamics. This position with APD will serve staff and management across the Agency. Your work will impact the… 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
- HCA Healthcare (Tallahassee, FL)
- …**Introduction** Do you have the PRN career opportunities as an Operating Room Nurse PRN-Surgery Center you want with your current employer? We have an exciting ... Do you want to work as an Operating Room Nurse PRN-Surgery Center where your passion for creating positive...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
- MTC (Quincy, FL)
- …record or other forms as appropriate. + Practice basic cost containment and utilization management for inmate care and facility operations. + Maintain absolute ... of Florida with an acceptable driving record required, unless waived by management . Management & Training Corporation (MTC) is an Equal Opportunity Employer. All… more
- Humana (Tallahassee, FL)
- …part of our caring community and help us put health first** The Compliance Nurse Auditor reviews utilization management activities and documentation to ... an acute care, skilled and/or rehabilitation clinical setting + Experience with utilization management , pre-service denials and/or quality assurance audits in… more
- Evolent (Tallahassee, FL)
- …for operational performance of physician, nursing, and shared services staff in the utilization management value chain + Owns clinical rationale for ... point of responsibility for all clinical operations inclusive of nurse , physician, and shared services performance. and core work...utilization management decisions made by all clinical staff + Ensures… more
- Centene Corporation (Tallahassee, FL)
- …abuse across the continuum of care. Experience with managed care, case management , utilization management , or quality improvement. **License/Certification:** ... staff, provider and member satisfaction + Serve as resource and liaison on utilization , quality improvement and case management activities + For NH Health… more
- YesCare Corp (Tallahassee, FL)
- **Experience & Requirements** + Active license + Registered Nurse required + Minimum of three (3) years of management experience in a healthcare setting. + ... new hire and annual orientation and training activities. + Ensures site utilization and compliance with allYesCareand applicable client systems and applications. +… more
- Humana (Tallahassee, FL)
- …professional development. Training programs may include, but not be limited to, Care Management , Utilization Management , and/or Compliance. RN licensure is ... Master of Science in Nursing with a focus on nursing education. + Licensed Registered Nurse (RN) in the state where you reside with no disciplinary action + 5 years… more