- Actalent (Sunrise, FL)
- …Furthermore, the UMN provides education on issues related to utilization review and ensures smooth transitions of care , maintaining high provider and ... Job Title: Behavioral Health Utilization Review NurseJob Description The ...policy guidelines. + Promote safe and appropriate coordination of care and optimal utilization of resources. +… more
- Actalent (Fort Lauderdale, FL)
- Actalent is Hiring a Behavioral Health Utilization Review Nurse Job Description We are seeking a dedicated Utilization Management Nurse (UMN) who will work ... process development, and provide education to the team on utilization review -related issues. Responsibilities + Review...policy guidelines. + Promote safe and appropriate coordination of care and optimal utilization of resources. +… more
- BayCare Health System (Tampa, FL)
- …of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior/RN responsibilities include:** + Functions ... all other related parties to ensure appropriate level of care through comprehensive concurrent review for medical...Nursing or Business **Experience:** + Required 2 years in Utilization Review or + Required 2 years… more
- CVS Health (Tallahassee, FL)
- …that promote high-quality healthcare for members. **Position Summary** The Associate Manager is responsible for oversight of Utilization Management staff. ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Molina Healthcare (Tampa, FL)
- …(such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management), clinical pharmacy services ... (such as, therapeutic drug monitoring, drug regimen review , patient education, and medical staff interaction), and oversight (establishing and measuring performance… more
- Community Health Systems (Naples, FL)
- …** Comprehensive benefits (Medical, Dental, Vision) **Job Summary** The Care Manager - LPN supports effective utilization management and discharge planning ... care planning. + Ensures accurate and timely documentation of utilization review , discharge planning activities, and patient interactions in accordance… more
- AdventHealth (Winter Park, FL)
- …at the AdventHealth Orthopedic Institute **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social workers, nurses, ... care coordination and progression through the continuum of care . The RN Care Manager ...needed. + Actively participates in daily Multidisciplinary Rounds to review progression of care and discharge plan… more
- Cleveland Clinic (Port Saint Lucie, FL)
- …A caregiver in this role utilizes clinical expertise and understanding of utilization review requirements, discharge planning process, and Medicare regulations ... where you belong, here at Tradition Hospital. As a Manager of Care Management, you will supervise...in the development of department practices and procedures for utilization review and discharge planning, ensuring compliance… more
- AdventHealth (Winter Garden, FL)
- …GROVE BOULEVARD, Winter Garden, 34787** **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social workers, nurses, ... care coordination and progression through the continuum of care . The RN Care Manager ...BSN or Health-related Master's degree or MSN + Prior Care Management/ Utilization Management experience This facility is… more
- AdventHealth (Daytona Beach, FL)
- …MEMORIAL MEDICAL PKWY, Daytona Beach, 32117 **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social workers, nurses, ... care coordination and progression through the continuum of care . The RN Care Manager ...BSN + Health-related Master's degree or MSN + Prior Care Management/ Utilization Management experience ACM/CCM Certification This… more