- Elevance Health (Tampa, FL)
- …regarding case and determines appropriate area to refer or assign case ( utilization management, case management, QI, Med Review ). + Provides information ... reports and documents all actions. + Responsibilities exclude conducting any utilization management review activities which require interpretation of clinical… more
- MyFlorida (Tallahassee, FL)
- …Profile (application) must be complete in its entirety. + Work History (in easy to review chronological order) Consists of: + + Any position held by a State of ... your packet may be held up at the final review step. NOTE: Responses to qualifying questions must be...a direct report to the VPK Early Learning Program Manager . Experience in and/or knowledge of early learning programs… more
- HCA Healthcare (Aventura, FL)
- …etc.) hospital nursing experience required + Certification in case management or utilization review preferred + InterQual experience preferred HCA Florida ... continue to learn! **Job Summary and Qualifications** The Case Manager (CM) ensures high-quality, patient-centered care by...our RN Case Mgr opening. Our team will promptly review your application. Highly qualified candidates will be contacted… more
- HCA Healthcare (Margate, FL)
- …years of critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred + This position may be ... your knowledge and expertise! **Job Summary and Qualifications** The Case Manager (CM) ensures high-quality, patient-centered care by managing Rehabilitative… more
- HCA Healthcare (Margate, FL)
- …years of critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred + This position may be ... you to apply! **Job Summary and Qualifications** The Case Manager (CM) ensures high-quality, patient-centered care by...for our RN case Mgr PRN opening. We promptly review all applications. Highly qualified candidates will be directly… more
- ChenMed (Plantation, FL)
- …the ability to function both independently and in collaboration with other health care professionals. Consults with the manager , physician, and medical director ... and explain nurse practitioner role. + Facilitates patient/family conferences to review treatment goals, optimize resource utilization , provide family education… more
- HCA Healthcare (Fort Pierce, FL)
- …etc.) hospital nursing experience required + Certification in case management or utilization review preferred + InterQual experience preferred HCA Florida ... at HCA Florida Lawnwood Hospital! **Job Summary and Qualifications** The Case Manager (CM) ensures high-quality, patient-centered care by managing Rehabilitative… more
- Cardinal Health (Tallahassee, FL)
- …company connecting patients, providers, payers, pharmacists and manufacturers for integrated care coordination and better patient management. Backed by nearly 100 ... strategy to seize the identified opportunity, execute strategy. Resulting in additional utilization of the Cardinal Service offering. + Prepare and present Quarterly… more
- Elevance Health (Tampa, FL)
- …or equivalent. + Requires a minimum of 2 years of clinical experience and/or utilization review experience. + Current active, valid and unrestricted LPN/LVN or ... in multiple states. **Preferred Skills, Capabilities and Experience:** + Experience in Utilization Management and/or Long Term Care Services Strongly Preferred.… more
- Elevance Health (Tampa, FL)
- …necessity of requests using clinical criteria. + Performs physician-level case review of musculoskeletal utilization requests. + Conducts peer-to-peer ... advanced practice nurses regarding established guidelines and accepted standards of care as it relates to treatments, surgical procedures, imaging and appropriate… more