- Elevance Health (Miami, FL)
- …following standard procedures that do not require the training or skill of a registered nurse . **How You Will Make an Impact** Primary duties may include, ... Excel. + Previous clinical experience at a skilled nursing facility or utilization management experience strongly preferred. Please be advised that Elevance… more
- HCA Healthcare (Kissimmee, FL)
- …optimal care and appropriate resource utilization .** What qualifications you will need: + ( RN ) Registered Nurse + Nursing Diploma or Associate Degree in ... Manager for Case Management Services reports to the Case Management Director and is responsible for promoting patient-centered care by coordinating all… more
- HCA Healthcare (Largo, FL)
- …verbal instructions, PC skills **What qualifications you will need:** + Bachelors Degree + ( RN ) Registered Nurse , or (OT) Occupational Therapist, or (LPT) ... through clinical screenings and assessments in collaboration with both hospital Case Management and the Rehab Medical Director . The Clinical Rehabilitation… more
- Datavant (Tallahassee, FL)
- …job function as delegated by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade denials and ... of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of admissions for...expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well… more
- Elevance Health (Tampa, FL)
- **Medical Management Nurse ** **Location:** Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training ... **Must reside in the state of Florida** The **Medical Management Nurse ** will be responsible for review...treatment is medically necessary and provides consultation to Medical Director on cases that are unclear or do not… more
- Evolent (Tallahassee, FL)
- …+ Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse with a current, ... for performing precertification and prior approvals. Tasks are performed within the ** RN /LVN/LPN** scope of practice, under the Medical Director 's direction,… more
- HCA Healthcare (Tallahassee, FL)
- …through clinical screenings and assessments in collaboration with both hospital Case Management and the Rehab Medical Director . Job Duties and Responsibilities: ... + Functions as primary contact for external and internal case management and referring physician. Establishes and maintains effective working relationships with… more
- ChenMed (Plantation, FL)
- … management programs, clinical meetings and other meetings. The Nurse Practitioner will adhere to strict departmental goals/objectives, standards of performance, ... may require 50-75% of local travel **EDUCATION AND EXPERIENCE CRITERIA:** + Current RN licensure and Nurse Practitioner Certification in the State of practice… more
- Veterans Affairs, Veterans Health Administration (Daytona Beach, FL)
- …Internal Medicine trained physician with recent experience in VA outpatient PACT panel management to join our Primary Care Clinic team as a Complex PACT (COM-PACT) ... Patient Aligned Care Team (PACT) model and intensive case management to a panel of patients with complex chronic...urgent care or ED (VA or Non-VA). The COM-PACT RN will carry the phone during business hours and… more