- Highmark Health (Tallahassee, FL)
- …Nursing **EXPERIENCE** **Required** + 7 years in any combination of clinical, case/ utilization management and/or disease/condition management experience, or ... and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create...first 6 months of employment. **Preferred** + Certification in utilization management or a related field +… more
- Elevance Health (FL)
- …in an ambulatory or hospital setting or minimum of 1 year of prior utilization management , medical management and/or quality management , and/or ... ** Nurse Reviewer I** **Location:** This role enables associates...required. **Preferred Experience, Skills, and Capabilities:** + Familiarity with Utilization Management Guidelines, ICD-9 and CPT-4 coding,… more
- CenterWell (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and ... an impact** **Required Qualifications** + Must be a licensed Registered Compact Nurse license ( RN )...volume and fast paced environment + Previous experience in utilization management + Education: BSN or bachelor's… more
- HCA Healthcare (Loxahatchee, FL)
- …to help us reach our goals. Unlock your potential! **Job Summary and Qualifications** The Manager for Case Management services reports to the Case Management ... of the interactions, documentation and assessments of the case management staff. The Manager for Case ...supporting a balance of optimal care and appropriate resource utilization . **What qualifications you will need:** + BSN Preferred… more
- Elevance Health (Tampa, FL)
- …solving with providers, claims or service issues. + Assists with development of utilization /care management policies and procedures. + Within the medical ... **Transplant Nurse II** **Location:** Virtual: This role enables associates...a health related field or certification as a care manager preferred. + Knowledge of medical management … more
- ChenMed (Bradenton, FL)
- … management programs, clinical meetings and other meetings. The Nurse Practitioner will adhere to strict departmental goals/objectives, standards of performance, ... may require 50-75% of local travel **EDUCATION AND EXPERIENCE CRITERIA:** + Current RN licensure and Nurse Practitioner Certification in the State of practice… more
- HCA Healthcare (St. Petersburg, FL)
- …a formal pre-admission assessment for acute inpatient rehab through their assigned case manager . + Once Case Management has completed the Patient Choice process ... clinical screenings and assessments in collaboration with both hospital Case Management and the Rehab Medical Director. The Clinical Rehabilitation Specialist works… more
- HCA Healthcare (Port Charlotte, FL)
- …a formal pre-admission assessment for acute inpatient rehab through their assigned case manager . + Once Case Management has completed the Patient Choice process ... clinical screenings and assessments in collaboration with both hospital Case Management and the Rehab Medical Director. The Clinical Rehabilitation Specialist works… more
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