- Centers Plan for Healthy Living (Margate, FL)
- …Living is currently accepting applications for Full Time Registered Nurse without experience. The Utilization Management Clinical Reviewer works within ... or support in their home to improve their quality of life. Utilization Management Clinical Reviewer will assess and process all authorization requests to determine … more
- ERP International (Hurlburt Field, FL)
- **Overview** ERP International is seeking a full time ** Registered Nurse ( RN ) Case Manager** in support of the 1st Special Operations Medical Group at ... Management Specialist (CDMS) Association of Rehabilitation Nurses: Certified Rehabilitation Registered Nurse (CRRN) American Board for Occupational Health… more
- University of Miami (Miami, FL)
- …25% 1. Ensures that each clinic is well prepared consi sting of all medical records (print and electronic) are up to date with all pertinent tests received ... any abnormal results (non - critical values) to the nurse who in turn will contact the physician accordingly...physician accordingly 5. Ens ures that patients receive appropriate medical pre - op medical clearances 6.… more
- Humana (Tallahassee, FL)
- …of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require ... courses of action. As a Utilization Management RN working on the OneHome/Home Solutions UM ...+ Minimum of Associate Degree in nursing + Licensed Registered Nurse ( RN ) in a… more
- ERP International (Macdill AFB, FL)
- **Overview** ERP International is seeking ** Registered ** ** Nurse ( RN )** for Full-Time positions in **Case Management ** at MacDill AFB, FL. Apply online ... Management Specialist (CDMS) o Association of Rehabilitation Nurses: Certified Rehabilitation Registered Nurse (CRRN) o American Board for Occupational Health… more
- Molina Healthcare (Orlando, FL)
- For this position we are seeking a ( RN ) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity ... promote the Molina care model. * Adheres to utilization management ( UM ) policies and procedures. Required Qualifications...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- Molina Healthcare (FL)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... multidisciplinary teams to promote the Molina care model. * Adheres to utilization management ( UM ) policies and procedures. Required Qualifications * At least 2… more
- Evolent (Tallahassee, FL)
- …+ Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse with a current, ... precertification and prior approvals. Tasks are performed within the ** RN /LVN/LPN** scope of practice, under the Medical ...InterQual) + Minimum of one year of experience with medical management activities in a managed care… more
- Humana (Tallahassee, FL)
- …the design, implementation, and advancement of strategic initiatives within the Utilization Management ( UM ) function. This role is responsible for leveraging ... or program management . + Advanced degree or professional certification (eg, RN , LPN, MBA, PMP, ASA/FSA). + Experience with designing and implementing clinical… more
- University of Miami (Miami, FL)
- … Medical Training Lab at the Gordon Center is currently seeking a full time Nurse Educator - Medical Simulation and Education Lab to work in Miami, FL. The ... Nurse Educator provides clinical education to nursing and patient..., and critical thinking skills development. + Collaborates with medical providers, patient care staff, and unit management… more