- Monte Nido (Miami, FL)
- …lives while providing the opportunity for people to realize their healthy selves. ** Utilization Review Clinician** **Monte Nido** **Remote - EST or CST hours** ... strategies to provide comprehensive care within an intimate home setting. The Utilization Review **Clinician** is responsible for conducting daily administrative… more
- CVS Health (Tallahassee, FL)
- …within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers ... + 1 year of varied UM ( utilization management ) experience within an **outpatient** setting, concurrent review...+ 1 year of varied UM ( utilization management ) experience within an inpatient, concurrent review … more
- AdventHealth (Tampa, FL)
- …leader for additional review as determined by department standards. The Utilization Management Nurse is accountable for a designated patient caseload and ... diseases. **The ro** **le you'll contribute:** The role of the Emergency Department Utilization Management (UM) Registered Nurse (RN) is to use clinical… more
- AdventHealth (Tampa, FL)
- …cancer and other diseases. **The role you'll contribute:** The role of the Utilization Management (UM) Registered Nurse (RN) is to use clinical expertise ... reviews within 24 hours of admission; and when warranted by length of stay, utilization review plan, and/or best practice guidelines, on a continuing basis.… more
- AdventHealth (Tampa, FL)
- …leader for additional review as determined by department standards. The Utilization Management Nurse is accountable for a designated patient caseload and ... other diseases. **The role you'll contribute:** The role of the Emergency Department Utilization Management (UM) Registered Nurse (RN) is to use clinical… more
- Select Medical (Gainesville, FL)
- …functions and professional growth of the department, including, but not limited to: Utilization Review (UR) and resource management , discharge planning, ... **Overview** **Critical Illness Recovery Hospital** **Director of Case Management ** **$10,000 Sign On Bonus** **_Clinical license as a registered nurse or… more
- HCA Healthcare (Gainesville, FL)
- …limits? Our HCA Florida North Florida Hospital team is looking for a(an) Manager Case Management . HCA Healthcare is an advanced healthcare network that has ... lives across the country? Apply today to our Manager Case Management and be a part of...psycho-social, financial). 1. Participates in IDT rounds, 1. Conducts utilization review , evaluates clinical information, and communicates… more
- HCA Healthcare (Kissimmee, FL)
- …provides satisfaction and personal growth, we encourage you to apply for our Director Case Management opening. We promptly review all applications. Highly ... care like family! Jump-start your career as a Director Case Management today with HCA Florida Osceola...to ensure continuity of care and optimal clinical resource utilization . The Director has oversight for all aspects of… more
- HCA Healthcare (Ocala, FL)
- …provides satisfaction and personal growth, we encourage you to apply for our Manager Case Management opening. We promptly review all applications. Highly ... Do you have the career opportunities as a(an) Manager Case Management you want with your current...Performs admission certification screening for patients in accordance with Utilization Plan using ISD criteria, and performs concurrent stay… more
- Healthfirst (FL)
- The Case Manager, Utilization Management coordinates the care plan for assigned members and conducts pre-certification, concurrent review , discharge ... planning, and case management as assigned. The Case Manager, Utilization Management is also responsible for efficient utilization of health… more