- CVS Health (Tallahassee, FL)
- …for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team. **Key Responsibilities** + Apply critical ... a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM...are not permitted. **Required Qualifications** + Active unrestricted state Registered Nurse licensure in state of residence… more
- ChenMed (Miami, FL)
- …rapidly expanding and we need great people to join our team. The Registered Nurse , Telehealth is responsible for providing telephonic triage directional patient ... issues, client counseling, patient advocacy, health education and referral and resource management to ChenMed patients and their families. The incumbent in this role… more
- AdventHealth (Altamonte Springs, FL)
- …injuries and rehabilitation is essential **LICENSURE, CERTIFICATION, OR REGISTRATION REQUIRED:** + Active Registered Nurse ( RN ) license in the state of ... **Location:** Remote **The role you'll contribute:** A Workers Comp Support Registered Nurse is responsible for providing telephonic medical case … more
- CVS Health (Tallahassee, FL)
- …care. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience ... is URAC accredited in Case Management , Disease Management and Utilization Management . AHH...in a hospital setting. + A Registered Nurse that holds an active, unrestricted… more
- CVS Health (Tallahassee, FL)
- …care - Perform medical necessity reviews **Required Qualifications** - 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience in ... is URAC accredited in Case Management , Disease Management and Utilization Management . AHH...a hospital setting - A Registered Nurse that holds an active, unrestricted… more
- ChenMed (Winter Park, FL)
- …or RN with Bachelor's Degree in related field preferred. + Must be a Registered Nurse with over three (3) years of clinical experience. + Compact license ... to join our team. The Supervisor, Intensive Community Care, RN is a multi-market leadership position responsible for leading...state. + A minimum of 2 years' onsite case management at ChenMed and/or utilization review or… more
- MyFlorida (Tallahassee, FL)
- OPS REGISTERED NURSE - 64937233 Date: Jul...is supervised by a School Health Nursing Director. Case Management Provide in-person and remote case ... . Requisition No: 854396 Agency: Department of Health Working Title: OPS REGISTERED NURSE - 64937233 Pay Plan: Health Care Practice Position… more
- CVS Health (Tallahassee, FL)
- …without personal distractions to meet quality and metric expectations. **Required Qualifications** + Registered Nurse ( RN ) - active license. + 3+ Years ... or initiate a Medical Director referral as needed. Assists management with training new nurse reviewers/business partners...of clinical experience. + 1+ Year of Utilization Review Management and/or Medical … more
- CVS Health (Tallahassee, FL)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... from work._ **Required Qualifications** + 1 year of varied UM ( utilization management ) experience within an **outpatient** setting, concurrent review… more
- Centene Corporation (Tallahassee, FL)
- …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... in applied behavioral analytics (ABA). Additional Details: * Department: Behavioral Health Utilization Management * Business Unit: Corporate / Florida *… more