- HCA Healthcare (Gainesville, FL)
- …that invests in you as a Inpatient Authorization Review Services Behavioral Health Registered Nurse ( RN ) or Licensed Mental Health Counselor (LMHC) or ... our team. **Job Summary and Qualifications** The Inpatient Authorization Review Services Behavioral Health Registered Nurse... contracting, experienced preferred. + Currently licensed as a registered nurse ( RN ) in the… more
- BayCare Health System (St. Petersburg, FL)
- …Utilization Management or 6 years of clinical nursing **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred ACM (Case Management) + ... area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians.… more
- Community Health Systems (Naples, FL)
- …planning by coordinating patient care activities under the supervision of a Registered Nurse or physician. This role involves reviewing medical records for ... repayment plan ** Comprehensive benefits (Medical, Dental, Vision) **Job Summary** The Care Manager - LPN supports effective utilization management and discharge… more
- Datavant (Tallahassee, FL)
- …with clinical knowledge and expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade ... by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well...bring to the table:** + Two (2) years managed care experience in UM /CM/CDI Department preferred +… more
- Elevance Health (FL)
- …disorder facility-based and outpatient professional treatment health benefits through telephonic or written review . The BH Care Manager ( UM ) job progression ... **JR169828 Behavioral Health Care Manager II** Responsible for managing psychiatric and...behavioral healthcare in a cost-effective setting in accordance with UM Clinical Guidelines and contract. + Refers cases to… more
- Highmark Health (Tallahassee, FL)
- …and/or triaging members to appropriate resources for additional support. + Implement care management review processes that are consistent with established ... in a clinical setting **Preferred** + 5 years in UM /CM/QA/Managed Care + 1 year in advanced...in addressing targeted populations **LICENSES or CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Evolent (Tallahassee, FL)
- …people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care ... system and ensure people get the same level of care and compassion we would want for our loved...Stay for the culture. **What You'll Be Doing:** The Nurse Practitioner/Physician Assistant (ARNP/NP/PA) Cardiology is responsible for support… more
- University of Miami (Miami, FL)
- …students, residents, and practicing healthcare professionals, including nurses and allied health care professionals. The Simulation Nurse Educator also serves as ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The University of… more
- University of Miami (Coral Gables, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... as: nerve blocks, spinals, emergency intubation + Use available RN resources when questions arise. + Takes action in...equipment that will be needed to control emergency patient care situations. + Understands and uses equipment properly, after… more