- Molina Healthcare (St. Petersburg, FL)
- …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing....Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and… more
- ChenMed (North Miami Beach, FL)
- …RN with bachelor's degree in a related clinical field preferred. + A valid, active Registered Nurse ( RN ) license in State of employment required. + A ... great people to join our team. The Acute Care Nurse ( RN ) is responsible for achieving positive...experience required. + A minimum of 1 year of utilization review and/or case management ,… more
- AdventHealth (Port Charlotte, FL)
- …. 1 years of experience in RN Care Management . Associate's degree Nursing or RN Diploma degree . Registered Nurse ( RN ) . Two (2) years of ... transitions, patient satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily with the… more
- AdventHealth (Land O' Lakes, FL)
- …for one another and respect for each person's unique contributions, provides utilization review care that is non-judgmental and non-discriminatory. .Consider ... specific group of patients.The Case Manager is responsible for utilization reviews and resource management , discharge planning,...(2) years of hospital nursing experience .Current license of registered nurse in Florida or licensure from… more
- AdventHealth (Tampa, FL)
- …Qualifications The expertise and experiences you'll need to succeed: .Associate Degree Nursing or RN Diploma degree. .Florida Registered Nurse ( RN ) ... satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily....Two (2 ) years of medical/hospital Registered Nurse experience This facility is an equal opportunity employer… more
- AdventHealth (Orlando, FL)
- …documents avoidable days, and facilitates progression of care. Collaborates with Utilization Management staff for collaboration on patient status changes ... valid State of Florida or multistate license as a Registered Nurse + 2 years of medical/...+ Health-related masters degree or MSN + Prior Care Management / Utilization Management experience +… more
- Molina Healthcare (Tampa, FL)
- …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing....Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and… more
- AdventHealth (Riverview, FL)
- …area, such as surgery, digestive health platform or data collection within a healthcare setting. Registered Nurse ( RN ) Licensed Practical Nurse (LPN) or ... pathways through Bariatrics, General Surgery, Colorectal, Gastroenterology, and Reflux management , with utilization of a multidisciplinary approach. Program… more
- CVS Health (Tallahassee, FL)
- …work._ **Required Qualifications** + 1 year of varied UM ( utilization management ) experience within an **outpatient** setting, concurrent review or prior ... make thorough, independent decisions using clinical judgement. + A Registered Nurse that must hold an unrestricted...+ 1 year of varied UM ( utilization management ) experience within an inpatient, concurrent review … more
- Fresenius Medical Center (Venice, FL)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more