- HCA Healthcare (Gainesville, FL)
- … Case management experience preferred. + Certification in Case Management , Nursing or Utilization Review is preferred HCA Florida North Florida ... **Job Summary and Qualifications** We are seeking a dynamic Case Management RN to join our team....psycho-social, financial). + Participates in IDT rounds, + Conducts utilization review , evaluates clinical information, and communicates… more
- HCA Healthcare (Gainesville, FL)
- … Management is preferred + BSN is preferred + Certification in Case Management , Nursing or Utilization Review is preferred HCA Florida North Florida ... **Job Summary and Qualifications** We are seeking a dynamic Case Management RN to join our team....patients, families, hospital staff, and outside agencies + Performs utilization management reviews and communicates information to… more
- HCA Healthcare (Sanford, FL)
- … Management is preferred + BSN is preferred + Certification in Case Management , Nursing or Utilization Review is preferred HCA Florida Lake Monroe ... **Job Summary and Qualifications** We are seeking a dynamic Case Management RN to join our team....patients, families, hospital staff, and outside agencies + Performs utilization management reviews and communicates information to… more
- HCA Healthcare (Gainesville, FL)
- … Management is preferred + BSN is preferred + Certification in Case Management , Nursing or Utilization Review is preferred HCA Florida North Florida ... patients, families, hospital staff, and outside agencies + Performs utilization management reviews and communicates information to...compelling, we encourage you to apply for our RN Case Manager opening. We promptly review all… more
- HCA Healthcare (Fort Walton Beach, FL)
- …Management is preferred + BSN is preferred + Certification in Case Management , Nursing or Utilization Review is preferred HCA Florida Fort ... with physicians, patients, families, hospital staff, and outside agencies + Performs utilization management reviews and communicates information to third party… more
- Actalent (Sunrise, FL)
- …and experience. + Valid Florida Driver's License. + Knowledge of case management and utilization review concepts, including InterQual and Milliman ... assigned. Essential Skills + Clinical review + Utilization review + Utilization management + Interqual + Milliman Commercial Guidelines + Medicaid +… more
- HCA Healthcare (Gainesville, FL)
- …Offers clinical support for appeals and denials process, discharge planning, case management , and utilization review / management . + Consults with ... of quality and cost improvement and develops systems to review utilization of resources and objectively measure...the denial and appeals process, as requested by the Case Management Department and Patient Accounting Services.… more
- ChenMed (North Miami Beach, FL)
- …work experience required. + A minimum of 1 year of utilization review and/or case management , home health, hospital discharge planning experience ... to preferred providers. + Coordinates the integration of social services/ case management functions in the pre-acute, ER,...patients' progress and adjust and plan accordingly. + Understanding utilization review and how to leverage with… more
- Actalent (Orlando, FL)
- …Experience in utilization management , concurrent review , prior authorization, utilization review , case management , and discharge planning. + ... a team of nurses and communicate with doctors and case managers to make informed decisions and gather additional...Compact RN License, Compact LPN is okay too + Utilization Management /Concurrent Review experience. +… more
- University of Miami (Miami, FL)
- …disaster preparedness, critical care, quality improvement, case management , risk management , utilization review , etc. Risk Management + ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Department of… more