- Elevance Health (Miami, FL)
- …a related field, including prior management experience and clinical, quality, and/or utilization management experience in a managed care setting; or any combination ... be able to demonstrate agility and resilience when managing stressful situations. + RN , LSW, or LPN/LVN licensed strongly preferred. Please be advised that Elevance… more
- AdventHealth (Kissimmee, 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 (Orlando, 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 (Tampa, 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
- University of Miami (North Miami, FL)
- …and applicable certifications and professional practice standards. Responsible for the utilization and maintenance of appropriate nursing care plans and assessment ... Moderate Sedation and IV certifications preferred. Accredited school of nursing. Minimum RN with Baccalaureate Degree, BSN required. Three years recent experience in… 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
- 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 (Celebration, 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 (Orlando, 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 (Maitland, FL)
- …as appropriate, and health care and community resources. Works collaboratively with nurse care managers, physicians, staff and other health care professionals within ... team who works to ensure members with complex issues or high utilization , navigate through the health care continuum while improving member/family experience and… more
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