- NHS Management, LLC (Daytona Beach, FL)
- …of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. + Receives physicians' instructions regarding resident ... the way. We are in search of a qualified Registered Weekend Nurse Supervisor: + Assists in...documentation of treatment and nursing observations. Qualifications: + Current RN license by State required with experience in the… more
- HCA Healthcare (Kissimmee, FL)
- …Master's degree in Nursing, Health Administration, or Business Administration, preferred + Either Registered Nurse ( RN ) licensure , Licensed Clinical Social ... interdisciplinary teams and external stakeholders. The Director is a registered nurse with responsibility for all operational...we encourage you to apply for our Director Case Management opening. We promptly review all applications.… more
- HCA Healthcare (Tallahassee, FL)
- …options and costs to patient and patient families. **What qualifications you will need:** + Registered Nurse , or Advance Practice Registered Nurse (APRN) ... in your career path, we encourage you to apply for our Manager Case Management opening. We review all applications. Qualified candidates will be contacted by… more
- Centene Corporation (Tallahassee, FL)
- …findings, discharge plans, and actions taken on member medical records in health management systems according to utilization management policies and ... preferred. Knowledge of Medicare and Medicaid regulations preferred. Knowledge of utilization management processes preferred. **License/Certification:** + LPN -… more
- Sharecare (Tallahassee, FL)
- …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting...with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the… more
- Elevance Health (Tampa, FL)
- …following standard procedures that do not require the training or skill of a registered nurse . **How you will make an impact** Primary duties may include ... a minimum of 2 years of clinical experience and/or utilization review experience. + Current active, valid...states. **Preferred Skills, Capabilities and Experience:** + Experience in Utilization Management and/or Long Term Care Services… more
- CVS Health (Tallahassee, FL)
- …clinical judgement as well as knowledge of internal systems. **Required Qualifications** - Registered Nurse ( RN ) with current unrestricted compact license ... position reports to the Potential Quality of Care (PQOC) nurse investigator team manager. This position is responsible for...care experience - Experience working Grievance cases - Case Management or Utilization Management experience… more
- CenterWell (Deland, FL)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- CVS Health (Tallahassee, FL)
- …years of acute experience as a Registered Nurse + 3+ years of Utilization Management experience + Must have experience using MS Office + Must be willing ... a successful level. The Associate Manager is also responsible for oversight of utilization management nurses including the organization and development of high… more
- Select Medical (Miami, FL)
- …of acute transfers and other CQI indicators. **Qualifications** **Minimum Qualifications** + Registered Nurse with valid state license. Legacy employees may ... documentation related to the hospital's CQI program. + Performs basic chart review activities with appropriate staff for outcome utilization , infection control… more