- Actalent (Sunrise, FL)
- Actalent is hiring a Utilization Management Nurse ! Job Description The Utilization Management Nurse (UMN) collaborates closely with the interdisciplinary team to ... management + InterQual + Milliman Commercial Guidelines + Medicaid + Medical management + Medicare + Managed care + Patient care + Medical record + Case management +… more
- Aveanna Healthcare (West Palm Beach, FL)
- Registered Nurse (RN) - Pediatric Day Healthcare Center ApplyRefer a FriendBack Job Details Requisition #: 205589 Location: West Palm Beach, FL 33411 Category: ... $27.00 - $30.00 per hour Position Details PRN Registered Nurse (RN) - Pediatric Day Healthcare Center Work Location:...school, clinic, in-person, child, daycare As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
- Aveanna Healthcare (Melbourne, FL)
- Licensed Practical Nurse (LPN) - Pediatric Day Healthcare ApplyRefer a FriendBack Job Details Requisition #: 207151 Location: Melbourne, FL 32934 Category: LPN/LVN ... Salary: $22.00 - $26.00 per hour Position Details Licensed Practical Nurse (LPN) - Pediatric Day Healthcare Center Offering Paid Time Off (PTO) Benefits No… more
- Actalent (Miami, FL)
- Job Title: Clinical Review Nurse Job Description As a Clinical Review Nurse , you will perform concurrent reviews to assess members' overall health, review the ... in utilization management and utilization review + Experience with Interqual and Medicare + Expertise in medical, acute care, concurrent review, and prior… more
- CenterWell (Tallahassee, FL)
- …caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent critical thinking ... make an impact** **Required Qualifications** + Licensed Registered Compact Nurse license (RN) with no disciplinary action and ability...a related field + Health Plan experience + Previous Medicare /Medicaid Experience a plus + Call center or triage… more
- Aveanna Healthcare (Bradenton, FL)
- Home Health Registered Nurse RN 4-day weekend baylor ApplyRefer a FriendBack Job Details Requisition #: 206020 Location: Bradenton, FL 34208 Category: Nursing ... Real Difference-One Patient at a Time Now Hiring: Registered Nurse (RN), Home Health Full-time | Schedule: Fri to...med surge, ER or hospice As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
- Cleveland Clinic (Stuart, FL)
- …helping patients stay on track with their health goals. As an Assistant Nurse Manager in Care Management, you will assist with day-to-day operations, utilize ... clinical expertise and understanding of care management and Medicare regulations, contribute to the goals of cost containment and quality care and provide safe,… more
- Aveanna Healthcare (Melbourne, FL)
- Home Health Registered Nurse RN Part Time ApplyRefer a FriendBack Job Details Requisition #: 205892 Location: Melbourne, FL 32901 Category: Nursing Salary: $31.00 - ... Real Difference-One Patient at a Time Now Hiring: Registered Nurse (RN), Home Health Part-time weekly visits | Monday...med surge, ER or hospice As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
- BrightSpring Health Services (Lake City, FL)
- …City Coverage area: Field Schedule: Monday - Friday 9a-6p Are you a Registered Nurse looking for a new opportunity? Haven Hospice is seeking a passionate, dedicated ... comprehensive clinical assessments to determine eligibility for hospice based on Medicare /insurance guidelines + Coordinate the start of services (nursing, aides,… more
- Centene Corporation (Tallahassee, FL)
- …treatment needs and appropriate level of care preferred. Knowledge of Medicare and Medicaid regulations preferred. Knowledge of utilization management processes ... preferred. **License/Certification:** + LPN - Licensed Practical Nurse - State Licensure required + For Health Net of California: RN license required Pay Range:… more