- Actalent (Sunrise, FL)
- Utilization Management Nurse !Job Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing service authorization requests to ... record Additional Skills & Qualifications + Current unrestricted Florida RN or LPN License. + Minimum of one year...experience. + Valid Florida Driver's License. + Knowledge of case management and utilization review concepts, including… more
- CVS Health (Tallahassee, FL)
- …TOC team will review prior claims to address potential impact on current case management and eligibility status. Focus assessments and/or questionnaires are ... impact on our members, who are enrolled in Care Management and present with a wide range of complex...nursing, or rehabilitative stay. Under the direction of a Registered /Licensed RN , the TOC Coach ensures the… more
- MyFlorida (Gainesville, FL)
- …for each department. Provides nursing assessment, planning, intervention, evaluation, management , and referral activities for students with acute /chronic ... disease or other conditions affecting school population to supervisor and appropriate agencies. Nurse will contact and collaborate with supervising RN as needed… more
- University of Miami (Miami, FL)
- …others, such as BLS, ACLS, PALS, Advanced Stroke Life Support (ASLS), Airway Management Principles and Practice (ACS), Acute Coronary Syndromes (ACS), Bedside ... Medical Training Lab at the Gordon Center is currently seeking a full time Nurse Educator - Medical Simulation and Education Lab to work in Miami, FL. The… more
- HCA Healthcare (Panama City, FL)
- …cart, blanket warmer checks, and other unit-specific quality indicators . Implements active case management of the patient's healthcare process for all patients ... **Description** **Introduction** We are seeking a(an) Nurse Manager Medical Surgical with HCA Florida Gulf...designated shift in collaboration with other members of the management team. Formulates staff schedule along with the department… more
- HCA Healthcare (Tallahassee, FL)
- …meet the legal, organizational, medical staff and regulatory agencies guidelines. Provide case management , education, group and individual therapy, and discharge ... We provide PHP and IOP outpatient treatment to stabilize individuals suffering from acute and/or chronic mental health and/or substance use disorders. PHP or IOP… more
- BayCare Health System (Largo, FL)
- …and Licensures:** + Required RN License - Florida + Preferred Case Management Certification **Education:** + Required associate's degree in nursing or ... Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and...nursing diploma **Experience:** + Required - One Year Case Management + Required - One Year… more
- MyFlorida (Bradenton, FL)
- …administration, special procedures, etc. according to state and local guidelines; acts as case manager for students with special acute and chronic conditions, ... SENIOR COMMUNITY HEALTH NURSE - 64080249 Date: Aug 8, 2025 The...is in session. The incumbent must possess a current RN license in the State of Florida. School Health… more
- HCA Healthcare (Fort Pierce, FL)
- …**In this position - you will:** + Work as a liaison for Inpatient Rehab & Case Management + Review & assess patient charts for approval of Inpatient Preadmit ... provides **What qualifications you will need:** + Current FL RN Licensure, or + Recognized Compact Licensure (subject to...input, reporting HCA Florida Lawnwood Hospital is a 380-bed acute -care hospital. Offering a full range of services. We… more
- Sedgwick (Tallahassee, FL)
- …: To perform clinical evaluations, consult providers and employees; to provide case direction; and to ensure medical information substantiates the need for absence ... + Provides clear and appropriate follow-up recommendations for ongoing medical management of claims; ensures appropriate recommendations are made on claims. +… more