- University of Miami (Miami, FL)
- …necessary. Core Qualifications: Education: Bachelor's degree in nursing Certification and Licensing: Registered Nurse Licensure ( RN ) State of Florida ... Miami/UHealth Palmetto Bay has an exciting opportunity for a Nurse Manager. The Manager, Nursing promotes and restores patients'...both internal and external to the clinical operation and review Risk Management events consistently to identify… more
- HCA Healthcare (Ocala, FL)
- …and costs to patient and patient families. What qualifications you will need: + Registered Nurse + Associate Degree HCA Florida Ocala Hospital is a 323-bed ... and personal growth, we encourage you to apply for our Manager Case Management opening. We promptly review all applications. Highly qualified candidates will… more
- Humana (Tallahassee, FL)
- …for either shift._ **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in either Florida or a compact state ... CMS Guidelines, MCG and/or InterQual guidelines. + 2+ years of Utilization Management (UM), Pre-Auth, and/or other managed care review experience. + 1+ years… more
- Evolent (Tallahassee, FL)
- …quality and cost effective care delivery. **What You'll Be Doing:** + Performs utilization review of outpatient procedures and ancillary services. + Fulfills on ... + Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse with a current,… more
- MyFlorida (Largo, FL)
- …leave. Paid holidays and personal day. Retirement package. REQUIREMENTS + Unencumbered Florida Registered Nurse License. + Must be willing and able to travel ... (4) or more years of experience as a Licensed Registered Nurse in Long-Term Care facility. +...care activities. POSITION DESCRIPTION Overview: The direct leadership and management of clinical processes and systems to assure positive… more
- MyFlorida (Miami, FL)
- …activities. Skilled in the techniques of oral communication and methods of utilization review ; knowledge of complex medical terminology; ability to ambulate, ... Florida Statutes. Minimum Qualifications: + Clear and active Florida Registered Nurse license with no disciplinary action...+ Two (2) years of experience in medical records utilization review , including surgical chart abstraction; AND… more
- Cleveland Clinic (Stuart, FL)
- …Preferred qualifications for the ideal future caregiver include: + Masters degree + Registered Nurse ( RN ) + Certified Patient Safety Professional (CPPS) ... compliance with all standards and favorable performance on safety, quality, utilization , and experience metrics. + Participate in engraining the safety, quality,… more
- Humana (Hallandale Beach, FL)
- …+ Bachelor's degree in social work or behavioral health-related field + Active licensed Registered Nurse , RN in the state of Florida without disciplinary ... and engage formerly acquired skillsets to: + Perform care management of pediatric members (under 21) who utilize Applied...psycho-social health issues. + Monitor and maintain awareness of utilization and conducts outreach based on acuity to assess… more
- HCA Healthcare (Gainesville, FL)
- …physical, psycho-social, financial). 1. Participates in IDT rounds, 1. Conducts utilization review , evaluates clinical information, and communicates findings to ... on a timely basis in accordance with the NFRMC Utilization Review Plan and managed care contractual...(list required and preferred separately) Currently licensed as a registered professional nurse in the state(s) of… more
- MTC (Quincy, FL)
- …performing the duties of the position. 11. Practice advanced cost containment and utilization management for inmate care and facility operations. 12. Maintain ... leave + Opportunities for job advancement Impact lives with Management & Training Corporation (MTC)! At the **Gadsden Correctional...one (1) year supervisory experience. Must be a licensed registered nurse in the state of Florida… more