- AdventHealth (Ocala, FL)
- …Qualifications **The expertise and experiences you'll need to succeed:** Associates Degree Nursing or RN Diploma degree Registered Nurse ( RN ) Two (2) ... transitions, patient satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily with the… more
- AdventHealth (Winter Park, FL)
- …experience *Experience in Case Management , Managed Care, Discharge Planning and Utilization Management *Case Management training *Specific knowledge and ... by the unit of work (see competencies) **LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:** * Registered Nurse Current valid Florida State Licensure as a RN… more
- MTC (Panama City, FL)
- …The Bay Correctional Facility located in Panama City, FL. is **now hiring a part-time Registered Nurse ( RN )** to join our team. **Primary duties:** + Attend ... forms as appropriate. + Practice basic cost containment and utilization management for inmate care and facility...HIPAA rules. + Accurately and promptly chart medical care. Review medical files to determine all provided services are… more
- Veterans Affairs, Veterans Health Administration (Sarasota, FL)
- …of the interdisciplinary team. The Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse ( RN ) is responsible for providing competent, ... orientation, competencies and providing quality improvement and enhance outcomes utilization . This nurse integrates outpatient nursing knowledge,...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- HCA Healthcare (Ocala, FL)
- …duties as assigned **What qualifications you will need:** + 2 year Associate Degree required + ( RN ) Registered Nurse + 2 years acute hospital RN ... join an organization that invests in you as an RN Case Manager PRN? At HCA Florida West Marion...4 year Bachelor Degree preferred + Certification in Case Management or Utilization Review preferred… more
- HCA Healthcare (Ocala, FL)
- …considered and aligned + Other duties as assigned **What qualifications you will need:** + ( RN ) Registered Nurse + Associate Degree + 2 years acute hospital ... over 156,000 hours volunteering in our communities. As an RN Case Manager with HCA Florida Ocala Hospital you...4 year Bachelor Degree preferred. + Certification in Case Management or Utilization Review preferred… more
- Adecco US, Inc. (Altamonte Springs, FL)
- …clinical care setting or equivalent. . Previous care management , utilization review or discharge planning experience. . RN License in FL . BLS ... Adecco Healthcare & Life Sciences is looking for an ** RN Case Manager** for our client in **Altamonte Springs,...thorough understanding of the cost consequences resulting from Care Management decisions through utilization of reports and… more
- HCA Healthcare (Tallahassee, FL)
- …is acceptable for position if current and compliant** + **Certification in Case Management , Nursing, or Utilization Review , preferred** + **Three years ... and assess observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to third party… more
- Evolent (Tallahassee, FL)
- …team focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies and ... work with a group of nurses, providing appeal intake review for one dedicated client. They interact with coordinators...Be Doing:** + Practices and maintains the principles of utilization management and appeals management … more
- CVS Health (Tallahassee, FL)
- …appropriate member care. . Attends and participates in case rounds, including utilization management rounds for behavioral health and physical health to ... status which has resulted in an inpatient admission. The Transition of Care (TOC) RN ensures the member experiences a seamless transition to their next care setting.… more