- ChenMed (North Miami Beach, FL)
- …centers into acute and post-acute facilities, as well as, their home environments. The Nurse Case Manager 1 (RN) role also involves establishing ... of communication. + Introduces self to patient/family and explains Nurse Case Manager 's role and...experience required. + A minimum of 1 year of utilization review and/or case management, home health,… more
- CVS Health (Tallahassee, FL)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible… more
- AdventHealth (Wauchula, FL)
- **Registered Nurse Case Manager - AdventHealth Home Health** **All the benefits and perks you need for you and your family:** + Up to $10,000 Sign on Bonus + ... area. **The role you'll contribute:** The Home Health Registered Nurse (RN) Care Manager is a professional...experience in a Medicare-certified home health agency as a case - manager + Home Health Case -… more
- HCA Healthcare (Miami, FL)
- **Description** **Introduction** Do you have the career opportunities as a(an) Registered Nurse RN Case Manager PRN you want with your current employer? We ... colleagues. Do you want to work as a(an) Registered Nurse RN Case Manager PRN...2 years of critical care experience + Certification in case management or utilization review preferred +… more
- Elevance Health (Tampa, FL)
- **Telephonic Nurse Case Manager II** **Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person ... hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:** + Requires… more
- CVS Health (Tallahassee, FL)
- …professionals to influence appropriate member care. . Attends and participates in case rounds, including utilization management rounds for behavioral health and ... review, conducts comprehensive assessments of member's needs and recommends an approach to case resolution by meeting needs in alignment with their benefit plan and… more
- HCA Healthcare (Port St. Lucie, FL)
- …Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Registered Nurse Case Mgr RN with HCA Florida St. Lucie Hospital you ... our organization. We are looking for an enthusiastic Registered Nurse Case Mgr RN to help us...goals. Unlock your potential! **Job Summary and Qualifications** The Case Manager (CM) ensures high-quality, patient-centered care… more
- HCA Healthcare (Aventura, FL)
- …colleagues invested over 156,000 hours volunteering in our communities. As a(an) Registered Nurse Case Mgr RN PRN with HCA Florida Aventura Hospital you ... our organization. We are looking for an enthusiastic Registered Nurse Case Mgr RN PRN to help...goals. Unlock your potential! **Job Summary and Qualifications** The Case Manager (CM) ensures high-quality, patient-centered care… more
- AdventHealth (Tampa, FL)
- …The Utilization Management RN Supervisor reports directly to the Divisional Utilization Management RN Manager and assists in monitoring and performing the ... for the daily administrative tasks as assigned by the Utilization Management RN Manager . The Supervisor will...need to succeed:** Associates Degree in Nursing Required Registered Nurse (RN) License Required. 3 years of relevant work… more
- Trinity Health (Fort Lauderdale, FL)
- …Functions as a preceptor for case managers in the Observation Case Manager role.** Responsible for educating and communicating Physicians regarding ... (2) years acute hospital clinical experience is required.** Recent experience in case management, utilization review, discharge planning, ongoing monitoring and… more