- AdventHealth (Orlando, FL)
- …Degree Nursing + Current valid State of Florida or multistate license as a Registered Nurse + 2 years of medical/ hospital nursing experience **Preferred ... of emergency cases: 89,018 **The role you'll contribute:** The RN Care Manager in collaboration with the...physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge… more
- AdventHealth (Daytona Beach, FL)
- …and experiences you'll need to succeed:** **Minimum qualifications** : + Associate's degree Nursing or RN Diploma degree + Registered Nurse ( RN ) + Two ... PKWY, Daytona Beach, 32117 **The role you'll contribute:** The RN Care Manager in collaboration with the...physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge… more
- AdventHealth (Palm Coast, FL)
- …and experiences you'll need to succeed:** **Minimum qualifications** : + Associates Degree Nursing or RN Diploma degree + Registered Nurse ( RN ) + Two ... PKWY, Palm Coast, 32164 **The role you'll contribute:** The RN Care Manager in collaboration with the...physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge… more
- AdventHealth (Wesley Chapel, FL)
- …Qualifications **The expertise and experiences you'll need to succeed:** Associates Degree Nursing or RN Diploma degree. Registered Nurse ( RN ). State ... west and central Pasco. **The role you'll contribute:** The RN Care Manager in collaboration with the...physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge… more
- AdventHealth (Ocala, FL)
- …Required + 2 years experience Required + 2 of medical/hospital nursing experience Required + RN - Registered Nurse - State Licensure and/or Compact State ... springs throughout the county **The role you'll contribute:** The RN Care Manager in collaboration with the...physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge… more
- CVS Health (FL)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... setting. + A Registered Nurse that holds an active, unrestricted...lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC… more
- Humana (Tallahassee, FL)
- …areas. **Use your skills to make an impact** **Required Qualifications** + An active, unrestricted Registered Nurse ( RN ) license in the state of Michigan. + ... caring community and help us put health first** The Manager , Utilization Management Nursing (LTSS Utilization...Previous experience in utilization management and/or utilization review .… more
- University of Miami (Miami, FL)
- …Department of UMHC SCCC Business Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote. The incumbent ... retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for… more
- University of Miami (Miami, FL)
- …review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Utilization Review Case Manager RN - Full ... University of Miami is currently seeking a Prior Authorization Nurse Case Manager . The incumbent purose is...forth by the payer or clinical guidelines + Accurate review of coverage benefits and payer policy limitations to… more
- CVS Health (FL)
- …non-compact states as needed. + 5+ years of acute experience as a Registered Nurse + 3+ years of Utilization Management experience + 3+ year(s) of Appeals ... that promote high-quality healthcare for members. **Position Summary** The Associate Manager is responsible for oversight of Utilization Management staff.… more
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