- HCA Healthcare (Aventura, FL)
- **Description** **Introduction** We are seeking a RN Nurse Manager Med Surg with HCA Florida Aventura Hospital to promote growth and unlock possibilities. At HCA ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...vary by location._** We are seeking a RN Nurse Manager Med Surg for our team to be an… more
- CenterWell (Tallahassee, FL)
- …a part of our caring community and help us put health first** Utilization Management Administration Coordinator II , non-clinical, supports the UM operations ... smooth workflows and effective communication while handling the administrative side of utilization management . **Use your skills to make an impact** **Required… more
- MyFlorida (Chattahoochee, FL)
- …documents are timely and accurately filed in the resident charts. + Initiates appropriate management action to address and notify behavioral teams of any issues ... dynamics. This position with APD will serve staff and management across the Agency. Your work will impact the...as a role model for residents to reinforce the behavioral and social skills required to be successful in… more
- Elevance Health (Miami, FL)
- …to day clinical responsibilities means that the medical director is directly involved in Utilization Management and Case Management . + Daily case reviews for ... clients/ members. The medical director provides clinical expertise in all aspects of utilization review and case management . Provides input on the clinical… more
- Sharecare (Tallahassee, FL)
- …change techniques, the nurse helps to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is ... according to the disease management program intervention guidelines. A Disease Management Nurse is supervised by an Operations Manager (OM). All Sharecare… more
- CenterWell (Tallahassee, FL)
- …short-term interventions, and connection to community-based resources. This role brings behavioral health expertise and addresses social determinants of health to ... and outcomes. This role requires a deep understanding of how socio-economic, behavioral , and environmental factors impact a patient's ability to engage in healthcare… more
- Highmark Health (Tallahassee, FL)
- …Nursing **EXPERIENCE** **Required** + 7 years in any combination of clinical, case/ utilization management and/or disease/condition management experience, or ... and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create...first 6 months of employment. **Preferred** + Certification in utilization management or a related field +… more
- HCA Healthcare (Kissimmee, FL)
- …at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical ... in similar role with respect to Automated Dispensing Cabinet (ADU) inventory management including the maintenance of controlled substance inventory and handling the… more
- Elevance Health (Tampa, FL)
- …+ Provides guidance for clinical operational aspects of a program. + Perform utilization management reviews to determine medical necessity and appropriateness of ... State agency. **Preferred Qualifications:** + Bilingual- Spanish speaking preferred. + Utilization Management case review experience strongly preferred. +… more
- Sevita (Jacksonville, FL)
- …care, advocacy, stakeholder relations, regulatory compliance, staffing, training, financial management , and maintenance of the physical environment. **ESSENTIAL JOB ... be able to satisfactorily perform each essential function listed below._ **Staff Management :** 1. Recruitment & Hiring: May participate in hiring events as needed… more
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