- Adecco US, Inc. (Tampa, FL)
- …Tampa, FL. **Job Title:** **Acute Transitional Care Nurse ( RN ) - Telecommuter** **Department:** Comprehensive Clinical Management **Schedule:** ... Remote (Telecommute) Pay: 43-45/hr **Position Overview:** The Acute Transitional Care Nurse ( RN ) plays a critical role in ensuring seamless transitions of… more
- Centene Corporation (Tallahassee, FL)
- …and Family Therapist (LMFT) required or Licensed Mental Health Professional (LMHP) required or RN - Registered Nurse - State Licensure and/or Compact State ... abuse across the continuum of care. Experience with managed care, case management , utilization management , or quality improvement. **License/Certification:**… more
- CenterWell (Tallahassee, FL)
- …for managing populations and coordinating care to reduce acute and post-acute care utilization . The Divisional Director role is a hybrid with travel requirements to ... understanding and creating solutions that will lead to acute and post-acute care utilization reductions aligned with the PCO's objectives and goals. As a guideline,… more
- Highmark Health (Tallahassee, FL)
- …+ Master's degree in Business or Clinical field **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse ( RN ) or Pharmacist (Pharm D) or Physician ... **SKILLS** + Deep Clincal Expertise -extensive knowledge of clinical, quality, care, utilization , high-cost claim, and population health management . Must be a… more
- Lincoln Financial (Tallahassee, FL)
- …as indicated **What we're looking for** * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state where the ... **Alternate Locations:** Work from Home **Work Arrangement:** Remote : Work at home employee **Relocation assistance:**...Care, , Trauma , Disability, Workman's comp or case management or Utilization review **Application Deadline** **What's… more
- Actalent (Tampa, FL)
- …thinking skills under minimal supervision. + Commitment to quality and standards. + Utilization management experience. + Case management experience. + ... PAC Nurses!Job Description Actalent is looking for PAC Utilization Review Nurses that will work remote !... Management or Transition-of-care role. + Experience in Utilization Management and knowledge of URAC &… more
- Centene Corporation (Tallahassee, FL)
- …**Has strong acute care bedside nursing experience** + **Brings a background in Utilization Management /Review** + **Holds an active compact nursing license** + ... Description **Centene is Hiring!** **We're looking for a two Remote Concurrent Review Nurses to support our Ambetter Marketplace...and actions taken on member medical records in health management systems according to utilization management… more
- CenterWell (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Compliance Nurse 2 reviews utilization management activities and documentation to ensure ... RN license in the state(s) in which the nurse is required to practice + Ability to be...experience a plus + Previous experience in chronic disease management , utilization management , case … more
- Elevance Health (Miami, FL)
- …8am - 5pm EST The ** Nurse Case Manager I** is responsible for care management within the scope of licensure for members with complex and chronic care needs by ... Must reside in the Broward County, Florida area. 20% remote and 80% in the field. Mileage reimbursed. **Work...or service issues. + Assists with the development of utilization /care management policies and procedures. **Minimum Requirements:**… more
- Healthfirst (FL)
- **This position is 100% Remote **Duties/Responsibilities:** + Provides case management services for assigned member caseloads which includes: + Pre-certification ... Negotiates rates with non-partner providers, where applicable. Ensures appropriate access and utilization of a full continuum of network and community resources to… more