- CVS Health (Tallahassee, FL)
- …status which has resulted in an inpatient admission. The Transition of Care (TOC) RN ensures the member experiences a seamless transition to their next care setting. ... appropriate member care. . Attends and participates in case rounds, including utilization management rounds for behavioral health and physical health to obtain… more
- AdventHealth (Sebring, FL)
- …and hiking trails The role you'll contribute: The Inpatient Wound Care RN will be responsible for Inpatient Wound Care oversight, wound/ostomy consultation and ... wound Care/Hyperbarics programs.This includes, but is not limited to, utilization of skills in organization, planning, implementing, evaluating, and providing… more
- AdventHealth (Ocala, FL)
- …in the Wound care center. This includes, but is not limited to, utilization of skills in organization, planning, implementing, evaluating, and providing care through ... and experiences you'll need to succeed:** Completion of Nursing Program Active Florida RN License Current BLS This facility is an equal opportunity employer and… more
- MTC (Quincy, FL)
- …of nursing skills all in one package!** Are you a dedicated and skilled RN looking for a meaningful opportunity to provide exceptional care? We're hiring passionate ... or other forms as appropriate. + Practice basic cost containment and utilization management for inmate care and facility operations. + Maintain absolute security… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Utilization Management Registered Nurse 2 utilizes clinical nursing skills to ... determination of the appropriate courses of action. The SNF Utilization Management Registered Nurse 2...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse ( RN )** in the… more
- Trinity Health (Fort Lauderdale, FL)
- **Employment Type:** Full time **Shift:** **Description:** Functions as Primary Nurse Reviewer for Observation services. * Maintains a working relationship with ... ensure authorization for hospital stay. Hybrid Position **_Position Purpose:_** ** Utilization Review (UR) Nurses play a vital role in...of care. If the patient meets Inpatient criteria, the Nurse will obtain a physician order to change the… more
- AdventHealth (Tampa, FL)
- …**The expertise and experiences you'll need to succeed:** Associates Degree in Nursing Required Registered Nurse ( RN ) License Required. 3 years of relevant ... as heart failure, cancer and other diseases. **The role you'll contribute:** The Utilization Management RN Supervisor reports directly to the Divisional … more
- CVS Health (Tallahassee, FL)
- …demonstrated ability to make thorough, independent decisions using clinical judgement. + A Registered Nurse that must hold an unrestricted license in their state ... AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support… more
- CVS Health (Tallahassee, FL)
- …+ Active and good standing Arizona clinical and/or counseling license, specifically RN ( Registered Nurse ), LPC (Licensed Professional Counselor), LAC ... skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and knowledge in clinically… more
- CVS Health (Tallahassee, FL)
- …Must reside in EST or CST (preferably EST) - 2+ years of experience as a Registered Nurse in adult acute care/critical care setting - Must have active current ... and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening… more