- Centene Corporation (Tallahassee, FL)
- …of this position. **License/Certification:** + Current state's clinical license preferred + For CMS Florida licensed practical nurse with a minimum of four years ... experience _** **Position Purpose:** Assesses, plans, implements, and coordinates care management activities based on member needs to provide quality, cost-effective… more
- Cleveland Clinic (Vero Beach, FL)
- …of the accrediting bodies, state mandated revised code and the CMS Conditions of Participation. + Promote interprofessional synchronization throughout the acute ... nursing (BSN) + Current state licensure as a Registered Nurse (RN) + Basic Life Support (BLS) certification through...of recent experience in utilization review, quality or care management + Knowledge of acute care and accreditation requirements… more
- HCA Healthcare (Tallahassee, FL)
- …General direction for these activities is provided by the VP of Quality Management ; however, this position operates with a high degree of independence and awareness ... measured by the quarterly Inter-rater reliability exercise and any CMS Data Validation reviews as the hospital is chosen...within 90 days of hire + Advanced Practice Registered Nurse license is acceptable for position if current and… more
- HCA Healthcare (Lake City, FL)
- …with core measures indicators. + Demonstrates and facilitates compliance with JCAHO, CMS , AHCA requirements regarding timeliness of submission of data + Exhibits ... + AS degree in Nursing + Current State of Florida license for Registered Nurse or appropriate compact licensure. If compact license held, active FL RN license… more