- Actalent (Sunrise, FL)
- Actalent is hiring a Utilization Management Nurse ! Job Description The Utilization Management Nurse (UMN) collaborates closely with the interdisciplinary team to ... Milliman Commercial Guidelines + Medicaid + Medical management + Medicare + Managed care + Patient care + Medical...care Additional Skills & Qualifications + Current unrestricted Florida RN or LPN License. + Minimum of one year… more
- BayCare Health System (Largo, FL)
- …paperwork issues. + One UR will be responsible for a minimum of 100 Medicare Admissions per month. **Position details:** + **Location:** Hybrid - Largo, FL + ... Occasional + **On Call:** No **Certifications and Licensures:** + Required RN License - Florida + Preferred Case Management Certification **Education:** +… more
- Aveanna Healthcare (New Port Richey, FL)
- …physician orders and plan of care under the direction and supervision of the Registered Physical Therapist (PT). The PT will supervise the PTA in the performance of ... emotional condition to the patient's physician and to the RN on the case if applicable, on a timely...and proof of automobile insurance As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
- HCA Healthcare (Kissimmee, FL)
- …**What you will do in this role:** + You will work collaboratively with RN case managers, acute care nurses, physicians, insurance companies, and other staff members ... + You will maintain a thorough working knowledge of the rules of Medicare , Medicaid, and private payer regulations and processes. You will possess a thorough… more
- HCA Healthcare (St. Petersburg, FL)
- …What you will do in this role: + You will work collaboratively with RN case managers, acute care nurses, physicians, insurance companies, and other staff members to ... + You will maintain a thorough working knowledge of the rules of Medicare , Medicaid, and private payer regulations and processes. You will possess a thorough… more
- HCA Healthcare (Fort Pierce, FL)
- …What you will do in this role: + You will work collaboratively with RN case managers, acute care nurses, physicians, insurance companies, and other staff members to ... + You will maintain a thorough working knowledge of the rules of Medicare , Medicaid, and private payer regulations and processes. You will possess a thorough… more
- HCA Healthcare (Plantation, FL)
- …What you will do in this role: + You will work collaboratively with RN case managers, acute care nurses, physicians, insurance companies, and other staff members to ... + You will maintain a thorough working knowledge of the rules of Medicare , Medicaid, and private payer regulations and processes. You will possess a thorough… more
- Aveanna Healthcare (Naples, FL)
- …in the patient's physical or emotional condition to the patient's physician and to the RN on the case if applicable, on a timely basis. * Records clinical and ... in the state of practice * Valid CPR As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all… more
- HCA Healthcare (Tamarac, FL)
- …What you will do in this role: + You will work collaboratively with RN case managers, acute care nurses, physicians, insurance companies, and other staff members to ... + You will maintain a thorough working knowledge of the rules of Medicare , Medicaid, and private payer regulations and processes. You will possess a thorough… more
- Humana (Tallahassee, FL)
- …or related field + Clinical degree (eg MD, DO, PharmD, APRN, PA, NP, BSN, RN ) + Highly creative and able to think outside the box **Additional Information** To ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more