- Trinity Health (Fort Lauderdale, FL)
- …with a sense of urgency and a drive** **Licensure** Current license as a Registered Nurse in the State of Florida.** BLS Required; ACLS Preferred** **_Position ... Time Position **Purpose:** **The goal of the Acute Care Manager is to coordinate and manage care to assist...of the interprofessional acute care, ambulatory and post-acute care management teams to improve communication across the continuum of… more
- HCA Healthcare (Fort Walton Beach, FL)
- …with physicians, patients, families, hospital staff, and outside agencies + Performs utilization management reviews and communicates information to third party ... join an organization that invests in you as a(an) RN Case Manager Evenings? At HCA Florida...preferred + BSN is preferred + Certification in Case Management , Nursing or Utilization Review is preferred… more
- HCA Healthcare (Fort Walton Beach, FL)
- …with physicians, patients, families, hospital staff, and outside agencies + Performs utilization management reviews and communicates information to third party ... **Introduction** Do you have the career opportunities as an RN Case Manager you want with your...preferred + BSN is preferred + Certification in Case Management , Nursing or Utilization Review is preferred… more
- BayCare Health System (Bradenton, FL)
- …care goals. + Knowledge of regulatory standards appropriate to position. **Requirements:** + RN ( Registered Nurse ) License + Driver's License, State of ... Career with BayCare HomeCare as a Home Care Supervisor, RN ! At BayCare, we are proud to be one...area of responsibility. + Ensure quality assurance program and utilization review is followed in accordance with Home Care… more
- NHS Management, LLC (Ocala, FL)
- …- Exceptional LOW cost gold medical plan! We are in search of a qualified RN Unit Manager : + Assists in maintaining resident care standards by supervising ... of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. + Receives physicians' instructions regarding resident care… more
- Molina Healthcare (Orlando, FL)
- …Chief Medical Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. + ... as may be required. + Serves as a clinical resource for Utilization Management , Chief Medical Officer, Physicians, and Member/Provider Inquiries/Appeals. +… more
- Cleveland Clinic (Port Saint Lucie, FL)
- …Education. + **For Registered Nurses:** Current and valid license to practice as a Registered Nurse ( RN ) in state of employment. + 3 years of experience ... either the Nursing or Social Work education requirements.** + ** Registered Nurse :** Bachelor of Science in Nursing...in utilization management , case management , or… more
- Molina Healthcare (Tampa, FL)
- …of payment decisions. + Serves as a clinical resource for Utilization Management , Chief Medical Officers, Physicians, and Member/Provider Inquiries/Appeals. ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
- AdventHealth (Daytona Beach, FL)
- …in an acute care setting. + State specific RN license if a nurse . **Preferred qualification:** + Registered Nurse : BSN Masters in related field. ... experiences you'll need to succeed:** **Minimum qualifications** : + Registered Nurse : BSN + or Social Worker:...of supervisory/lead/ manager level of responsibility experience. + RN -BC Certification in Care Management . + LCSW.… more
- HCA Healthcare (Fort Pierce, FL)
- …ICU, CVICU etc.) hospital nursing experience required + Certification in case management or utilization review preferred InterQual experience preferred HCA ... purpose and integrity. We care like family! Jump-start your career as a(an) RN Case Mgr today with HCA Florida Lawnwood Hospital. **Benefits** HCA Florida Lawnwood… more