- Veterans Affairs, Veterans Health Administration (Miami, FL)
- …Dialysis reports to the Nurse Manager or designee. The Dialysis Nurse provides comprehensive nursing care to patients with end-stage renal disease who ... for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care....package: VA Nurse Total Rewards The Dialysis Nurse position is located at Nursing , Ambulatory… more
- Sharecare (Tallahassee, FL)
- …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... program intervention guidelines. A Disease Management Nurse is supervised by an Operations Manager ...every 4th Saturday from 8am-4:30pm CT _ A compact nursing license is required for this position_ **Essential Job… more
- Actalent (Sunrise, FL)
- Utilization Management Nurse !Job Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing service authorization ... Working under the general supervision of the Director and/or Manager /Supervisor of Medical Management , and in collaboration...activities as assigned. Essential Skills + Clinical review + Utilization review + Utilization management … more
- CVS Health (Tallahassee, FL)
- …appropriate member care. . Attends and participates in case rounds, including utilization management rounds for behavioral health and physical health to ... and/or face to face assessing, planning, implementing, and coordinating all care management activities with members to evaluate the medical and behavioral health… more
- CVS Health (Tallahassee, FL)
- …- Emergency/critical care experience - Experience working Grievance cases - Case Management or Utilization Management experience - Managed care ... position reports to the Potential Quality of Care (PQOC) nurse investigator team manager . This position is...EST or CST zones. - Bachelor's of Science in Nursing **Education** Associates or Diploma nursing degree… more
- Molina Healthcare (Tampa, FL)
- …Chief Medical Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. + ... be required. + Serves as a clinical resource for Utilization Management , Chief Medical Officer, Physicians, and...Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management +… more
- ChenMed (Plantation, FL)
- … management programs, clinical meetings and other meetings. The Nurse Practitioner will adhere to strict departmental goals/objectives, standards of performance, ... travel **EDUCATION AND EXPERIENCE CRITERIA:** + ARNP or similar advanced degree in Nursing required + Current Nurse Practitioner Certification in the State of… more
- MyFlorida (Monticello, FL)
- …in at minimum, quarterly school health budget meetings with Community Health Nursing Director and Business Manager . Communicates to supervisor and business ... COMMUNITY HEALTH NURSE - 64005037 Date: Jul 23, 2025 The...(https://compcalculator.myflorida.com/) Your Specific Responsibilities: CLINICAL DUTIES : + Skilled Nursing Care : Ensures provision of skilled nursing… more
- AdventHealth (Palm Coast, FL)
- …Time **Shift** : Days **Location:** **The role you'll contribute:** The Home Health Registered Nurse (RN) Care Manager is a professional nurse who ... care based on individual patient needs. The RN Care Manager is responsible for independent management of...experience in a Medicare-certified home health agency as a case- manager o Bachelors degree in nursing o… 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 ... - 6pm EST and will include weekends. The **Medical Management Nurse ** will be responsible for review...nursing judgment and experience. + Collaborates with case management nurses on discharge planning, ensuring patient has appropriate… more