- AdventHealth (Minneola, FL)
- …years of Manager level (or above) experience in Care Management Leadership + For RN - Registered Nurse - State Licensure and/or Compact State Licensure ... staff as needed **Minimum qualifications** **:** + Bachelor's Degree Registered Nurse : BSN - Required _or_ Social...related field - Required + 3 years direct Care Management / Utilization Management experience in an… more
- AdventHealth (Orlando, FL)
- …in direct Care Management + State specific RN license if a nurse **Preferred qualifications:** + Registered Nurse : BSN + Social Worker: MSW + ... expertise and experiences youll need to succeed** **:** **Minimum qualifications** : + Registered Nurse : Associates Degree Nursing OR Social Worker: BSW + Two… more
- CenterWell (Deland, FL)
- …performance review and outcomes of care analysis to determine efficiency, the efficacy of case management system as well as any other systems and process. ... care to all patients served by the location. Receives case referrals. Reviews available patient information related to the...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- Prime Therapeutics (Tallahassee, FL)
- …Patient Programs. **Education & Experience** + Associates - Nursing + Bachelors - Nursing + RN - Registered Nurse , State and/or Compact State Licensure - ... for work visa or residency sponsorship. **Additional Qualifications** + Registered Nurse ( RN ). + 5...experience. + Experience in managed care, specialty drugs, care management and utilization review. + Meets Credentialing… more
- Actalent (Sunrise, FL)
- …behavioral, and substance use needs, including crisis intervention, discharge planning, and complex case management . + Engage with Medical Directors and care ... external organizations to coordinate care and resolve authorization issues. Essential Skills + Case management + Behavioral health + Care coordination + Chronic… more
- MyFlorida (Orlando, FL)
- …at least 6 months of direct case management experience or a Florida Licensed Registered Nurse ( RN ) with 1-year of direct case management ... including Community Based Organizations (CBO's). Incumbent reports directly to the Supervisor of Case Management . Staff will establish and maintain a caseload of… more
- Select Medical (Miami, FL)
- …of acute transfers and other CQI indicators. **Qualifications** **Minimum Qualifications** + Registered Nurse with valid state license. Legacy employees may ... **Location: Miami, FL** **$10,000 Sign-on Bonus** **Director of Quality Management ** **(DQM)** **Responsibilities** **Position Summary** Coordinates the Medical Quality… more
- Intermountain Health (Tallahassee, FL)
- …: Current valid State RN License is required + Three (3) experience as a Registered Nurse in an acute care setting or Social Worker in a community or acute ... **Job Description:** This position is responsible for providing management and oversight of daily care management activities provided in the Ambulatory/Community… more
- MyFlorida (Tallahassee, FL)
- …of maximum reimbursement allowances developed pursuant to s. 440.13(12), FS Consults with Registered Nurse Consultant as necessary to identify issues that may be ... for medical services billed to insurance companies and reimbursement and utilization disputes between health care providers and carriers, under the authority… more
- CVS Health (Tallahassee, FL)
- …- 5+ years of clinical experience required - 2+ years of experience as a Registered Nurse - Must have active, current and unrestricted RN licensure ... each and every day. **Position Summary** As a QM Nurse Consultant you will be responsible for the review...5:00pm in time zone of residence **Preferred Qualifications** - Utilization Management review - Managed Care experience… more