- Molina Healthcare (FL)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... and cost-effective member care. The candidate must have a RN licensure and experience with medical surgical,...intensive care unit, or in a telemetry type setting. UM medical review experience highly preferred. Work… more
- Molina Healthcare (Orlando, FL)
- …health, pharmacy, etc.), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse ( RN ) provides support for internal...required. * Serves as a clinical resource for utilization management , chief medical officer, physicians, and member/provider… 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)
- …sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . CORE JOB SUMMARY The Registered Nurse 2 delivers patient-family centered ... safety, and service while ensuring population-specific patient care. The Registered Nurse 2 oversees nurses and allied...Adapts to changing work demands and environment. Safely operates medical equipment. Serves as a preceptor and assists new… 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
- 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
- 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) ... medical review request and /or denial activities to management as needed. **What you will do in this...care contracting, experienced preferred. + Currently licensed as a registered nurse ( RN ) in the… 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 (St. Petersburg, FL)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... member care. We are seeking a candidate with a RN licensure that has previous UM and...promote the Molina care model. * Adheres to utilization management ( UM ) policies and procedures. **Required Qualifications**… more