- Elevance Health (FL)
- …which would provide an equivalent background. + Current active unrestricted license such as RN LCSW LMSW LMHC or (as allowed by applicable state laws) LMFT to ... is a requirement for this position. + Previous experience in case utilization management with a broad range of experience with complex psychiatric/substance abuse… more
- HCA Healthcare (Lake City, FL)
- …to achieve savings. **What qualifications you will need:** + Currently licensed as a registered professional nurse in the state(s) of practice and/or has an ... established productivity guidelines. + Manages operating expenses, including the utilization of supplies and equipment. Identifies cost reduction opportunities and… more
- HCA Healthcare (Gainesville, FL)
- …Participates in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with Process and Quality Improvement ... and elevate our purpose to give people a healthier tomorrow."- Jane Englebright, PhD, RN CENP, FAAN Senior Vice President and Chief Nursing Executive If you find… more
- HCA Healthcare (Tallahassee, FL)
- …Prioritizes meeting commitments to referral sources. Develops a call-plan to prioritize utilization of time. + Assists in developing the annual strategic plan for ... Qualifications: + Licensed Professional in a clinical health care specialty ( RN , Physical Therapist, Occupational Therapist, or Speech Therapist). Current FL… more
- Elevance Health (Tampa, FL)
- …I** The Behavioral Health Care Manager I is responsible for conducting utilization management reviews for mental health and substance use disorder inpatient and ... provide an equivalent background. + Current active unrestricted license, such as ** RN LCSW** **LMSW LMHC** **LPC** (as allowed by applicable state laws) **LMFT**… more
- AdventHealth (Sebring, FL)
- …for individuals from at-risk populations from interdisciplinary team members (including physicians, RN Care Managers, staff nurses, and other members of the care ... to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care… more
- AdventHealth (Orange City, FL)
- …for individuals from at-risk populations from interdisciplinary team members (including physicians, RN Care Managers, staff nurses, and other members of the care ... to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care… more
- Veterans Affairs, Veterans Health Administration (Daytona Beach, FL)
- …prior to any planned trip to an urgent care or ED (VA or Non-VA). The COM-PACT RN will carry the phone during business hours and the phone will be held by the ... addressed as medically appropriate. Quality of care should meet professional standards. Utilization of all Virtual Care modalities is an expectation of this… more
- Elevance Health (Tampa, FL)
- **Telephonic Nurse Case Manager II** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... the assessment within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of… more
- AdventHealth (Sebring, FL)
- …for individuals from at-risk populations from interdisciplinary team members (including physicians, RN Care Managers, staff nurses, and other members of the care ... to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care… more