- AdventHealth (Orlando, FL)
- …+ 3 years of experience in home health + 2 years of experience in management position. + Registered Nurse State Licensure and/or Compact State Licensure ... **Population Health Case Manager ( RN ) AdventHealth Home Health** **Population Health Case Manager...contribute:** The Population Health Case Manager (PHCM) ensures effective utilization and case management oversight activities as… more
- Humana (Hallandale Beach, FL)
- …+ Bachelor's degree in social work or behavioral health-related field + Active licensed Registered Nurse , RN in the state of Florida without disciplinary ... and requirements to achieve and/or maintain optimal wellness state in a remote telephonic environment. The Behavioral Health Care Manager guides members and/or… more
- Actalent (Sunrise, FL)
- Utilization Management Nurse !Job Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing service authorization ... activities as assigned. Essential Skills + Clinical review + Utilization review + Utilization management ...record Additional Skills & Qualifications + Current unrestricted Florida RN or LPN License. + Minimum of one year… more
- ChenMed (Miami, FL)
- …in area of specialty required; Master's degree in Nursing required. + Valid, active Registered Nurse license required + For NPs: Board certification by AANP or ... I, Care Line is responsible for diagnostic patient care primarily through virtual, remote consultation via video conference or telephone. The incumbent in this role… more
- Teleflex (Orlando, FL)
- …based Sales Representative, Anesthesia, is making connections with anesthesiologists, Certified Registered Nurse Anesthetist's (CRNA's), other members of the ... our world-class brands including: + LMA(R) and Rusch(R) airway management devices designed to help reduce the risk of...business plan. * Grow overall market share and increase utilization among existing accounts, while securing new users within… more
- Actalent (Orlando, FL)
- …Active Compact RN License, Compact LPN is okay too + Utilization Management /Concurrent Review experience. + ICU/ER experience. + Strong communication skills. ... ensure the successful completion of cases. Essential Skills + Experience in utilization management , concurrent review, prior authorization, utilization … 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 ... skills to make an impact** **Required Qualifications** + Licensed Registered Compact Nurse license ( RN )...mail order pharmacy practice environment + Previous experience in utilization management + Education: BSN or Bachelor's… more
- Centene Corporation (Tallahassee, FL)
- …staff and present findings and recommendation for areas of improvement to management + Under minimal supervision responsible for all aspects of difficult projects ... other duties as assigned + Complies with all policies and standards **This is remote position available to candidates located in eastern or central time zones. Ideal… more
- J&J Family of Companies (Jacksonville, FL)
- …TA and/or Immunology. + Must be familiar with Microsoft Word, Excel, PowerPoint, and utilization of computers and remote technologies. + Reside in or near ... identified OLs and health care providers (MD, PA, NP, RN , Pharm.D., biocoordinators) and developing and managing a geographical...their skills in agility, applying the competencies of Change Management , Time Management and Innovation. The Sr.… more