- University of Miami (Miami, FL)
- …System Department of UMHC SCCC Business Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote. ... and retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team… more
- BayCare Health System (St. Petersburg, FL)
- …trust, dignity, respect, responsibility and clinical excellence. **The Team Lead Utilization Review responsibilities include:** + Directing and coordinating the ... RN (Registered Nurse) + Preferred ACM ( Case Management) + Preferred CCM ( Case Manager ) **Education:** + Required Associates in Nursing or + Preferred… more
- BayCare Health System (Tampa, FL)
- …Preferred Masters in Nursing or Business **Experience:** + Required 2 years in Utilization Review or + Required 2 years in Case Management or + Required 3 ... of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior/RN responsibilities include:** + Functions… more
- Deloitte (Tampa, FL)
- …Experience as clinical registered nurse, physician, physician assistant, case manager , clinical documentation specialist, utilization review , informatics ... skills to collaborate with clinicians, physicians, NP/PAs, ancillary departments, Quality, Case Management, Finance, Revenue Cycle, and Coders + Other skills include… more
- HCA Healthcare (Tallahassee, FL)
- …license is acceptable for position if current and compliant** + **Certification in Case Management, Nursing, or Utilization Review , preferred** + **Three ... supporting a balance of optimal care and appropriate resource utilization . The RN CM Care Coordinator will identify potential...you to apply for our RN Case Manager Part Time opening. We promptly review … more
- Carnival Cruise Line (Miami, FL)
- This role reports to the Senior Manager of Case Management and oversees the daily operations of crew case management. The Manager leads a team of ... and employing over 160,000 crew members. **Essential Functions:** + ** Case Management Oversight** + Manage and review ...schedule for crew medical support. + Support the Senior Manager of Case Management in developing and… more
- HCA Healthcare (Tallahassee, FL)
- …license is acceptable for position if current and compliant** + **Certification in Case Management, Nursing, or Utilization Review , preferred** + **Three ... opportunity to make a real impact. As a(an) RN Case Manager you can be a part...supporting a balance of optimal care and appropriate resource utilization . The RN CM Care Coordinator will identify potential… more
- HCA Healthcare (Tallahassee, FL)
- …Nurse license is acceptable for position if current and compliant + Certification in Case Management, Nursing, or Utilization Review , preferred + Three years ... an organization that invests in you as an RN Case Manager ? At HCA Florida Capital Hospital,...supporting a balance of optimal care and appropriate resource utilization . The RN CM Care Coordinator will identify potential… more
- Carnival Cruise Line (Miami, FL)
- This role reports to the Senior Manager of Case Management and oversees the daily operations of crew case management. The Manager leads a team of ... stakeholders, supporting disability claims, and facilitating return-to-work planning. The Manager also escalates high-risk cases, conducts utilization reviews,… 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 services… more