- 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
- University of Miami (Miami, FL)
- …please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Utilization Review Case Manager ... of Miami is currently seeking a Prior Authorization Nurse Case Manager . The incumbent purose is to...forth by the payer or clinical guidelines + Accurate review of coverage benefits and payer policy limitations to… 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 ... an organization that invests in you as a(an) RN Case Manager PRN? At HCA Florida Capital...supporting a balance of optimal care and appropriate resource utilization . The RN CM Care Coordinator will identify potential… more
- Molina Healthcare (Orlando, 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
- 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...path, we encourage you to apply for our RN Case Manager opening. We 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 ... stakeholders, supporting disability claims, and facilitating return-to-work planning. The Manager also escalates high-risk cases, conducts utilization reviews,… more
- HCA Healthcare (Kissimmee, FL)
- …opportunity compelling, we encourage you to apply for our RN Case Manager PRN opening. We promptly review all applications. Highly qualified candidates will ... each individual is recognized. Submit your application for the opportunity below:RN Case Manager PRNHCA Florida Poinciana Hospital **Benefits** HCA Florida… more
- HCA Healthcare (Pensacola, FL)
- …provides satisfaction and personal growth, we encourage you to apply for our RN Case Manager PRN opening. We review all applications. Qualified candidates ... you have the PRN career opportunities as an RN Case Manager PRN you want with your...supporting a balance of optimal care and appropriate resource utilization . Identify potential barriers to patient throughput and quality… more
- HCA Healthcare (Gainesville, FL)
- …in Case Management is preferred + BSN is preferred + Certification in Case Management, Nursing or Utilization Review is preferred HCA Florida North ... supporting a balance of optimal care and appropriate resource utilization . You would be part of a phenomenal team...you to apply for our RN Case Manager PRN opening. We promptly review all… more