- HCA Healthcare (Kissimmee, FL)
- …monitor and improve the patient flow program effectiveness as it relates to utilization review , resource management , and discharge planning and care ... leader to physicians and employees as it relates to utilization review , resource management , patient...obtained within 30 days of employment start date + ( RN ) Registered Nurse + Associate… more
- Cleveland Clinic (Port Saint Lucie, FL)
- …school of professional nursing (ADN or BSN program) + Current state licensure as a Registered Nurse ( RN ) + Basic Life Support (BLS) certification through the ... of the most respected healthcare organizations in the world. RN Case Managers work collaboratively with inter-professional teams across...or AHA) + Two years of recent experience in utilization review , quality or care management… more
- Cleveland Clinic (Vero Beach, FL)
- …include: + Bachelor of science in nursing (BSN) + Current state licensure as a Registered Nurse ( RN ) + Basic Life Support (BLS) certification through the ... of the most respected healthcare organizations in the world. RN Case Managers work collaboratively with inter-professional teams across...or AHA) + 2 years of recent experience in utilization review , quality or care management… more
- Cleveland Clinic (Stuart, FL)
- …school of professional nursing (ADN or BSN program) + Current state licensure as a Registered Nurse ( RN ) + Basic Life Support (BLS) certification through the ... excellent medical facility and a home away from home. RN Case Managers work collaboratively with inter-professional teams across...or CCM) + Two years of recent experience in utilization review , quality or care management… more
- Molina Healthcare (Orlando, FL)
- For this position we are seeking a ( RN ) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity ... to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- Molina Healthcare (Miami, FL)
- …health, pharmacy, etc.), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION **Job Summary** The RN Clinical Appeals Nurse provides support... licensure, Diagnosis-Related Group (DRG) experience, 2 years of Utilization Review and/or Medical Claims Review… more
- BayCare Health System (Bradenton, FL)
- …care goals. + Knowledge of regulatory standards appropriate to position. **Requirements:** + RN ( Registered Nurse ) License + Driver's License, State of ... Career with BayCare HomeCare as a Home Care Supervisor, RN ! At BayCare, we are proud to be one...area of responsibility. + Ensure quality assurance program and utilization review is followed in accordance with… more
- CenterWell (Orlando, FL)
- …required + Home Health experience required + Two years as a Registered Nurse with at least one-year of management experience in a home care, preferred ... clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- BayCare Health System (Dunedin, FL)
- …with 1 year Home Health RN visit experience. **Required Credentials:** + RN ( Registered Nurse ) License + Diploma, Associate's or Bachelor's Nursing ... regulatory bodies within the area of responsibility + Ensure quality assurance program and utilization review is followed in accordance with Home Care protocol +… more
- CenterWell (Lake City, FL)
- …reliable transportation. + OASIS experience preferred + Two years as a Registered Nurse with at least one-year of management experience in a home care, ... clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more