- Elevance Health (Tampa, FL)
- ** Nurse Demand Management ** **Sign On Bonus:$3,000** Carelon Health is a proud member of the Elevance Health family of brands, offering clinical programs and ... - 7AM EST & Friday - Sunday 7PM - 7:30AM EST** The ** Nurse Demand Management ** is responsible for telephone triage to assess caller's needs and provide relevant… more
- Sharecare (Tallahassee, FL)
- …for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting the goals and ... and cost-effective manner while ensuring high quality care. The Disease Management Nurse works with participating members to become empowered and active… more
- Elevance Health (Miami, FL)
- **Medical Management Nurse ** **Location:** Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training ... position are 7am - 6pm EST and will include weekends. The **Medical Management Nurse ** will be responsible for review of the most complex or challenging cases… more
- Actalent (Sunrise, FL)
- Actalent is hiring a Utilization Management Nurse ! Job Description The Utilization Management Nurse (UMN) collaborates closely with the interdisciplinary ... Skills + Clinical review + Utilization review + Utilization management + InterQual + Milliman Commercial Guidelines + Medicaid...InterQual + Milliman Commercial Guidelines + Medicaid + Medical management + Medicare + Managed care + Patient care… more
- CVS Health (Tallahassee, FL)
- …that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team. **Key ... Inc. (AHH), a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost-effective care … more
- Cleveland Clinic (Stuart, FL)
- …to 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 ... organizations in the world. The Cleveland Clinic Florida Care Management team is made up of health care professionals...professional nursing. * Current state FL licensure as Registered Nurse (RN). * Professional certification as a Case Manager… more
- AdventHealth (Tampa, FL)
- …cancer and other diseases. **The role you'll contribute:** The role of the Utilization Management (UM) Registered Nurse (RN) is to use clinical expertise by ... align with the physician order or a status conflict is indicated, the UM nurse is responsible for escalation to the Physician Advisor or designated leader for… more
- AdventHealth (Ocala, FL)
- …: Associates Degree Nursing OR Social Worker: BSW + 2 experience in direct Care Management + RN - Registered Nurse - State Licensure and/or Compact State ... throughout the county **The role you'll contribute:** The Care Management Supervisor is under the general leadership of the...Licensure State specific license if a nurse This facility is an equal opportunity employer and… more
- AdventHealth (Land O' Lakes, FL)
- …of patients.The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management and financial ... and perform the following seven essential activities of Case Management : Appropriateness of Setting, Assessment, Planning, Implementation, Coordination, Monitoring… more
- AdventHealth (Port Charlotte, FL)
- …patient satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily with the interdisciplinary team ... this role. The RN Care Manager facilitates the collaborative management of patient care across the continuum, intervening to...Associate's degree Nursing or RN Diploma degree . Registered Nurse (RN) . Two (2) years of medical/hospital nursing… more