- CenterWell (Tallahassee, FL)
- … RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to ... put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care givers...DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous… more
- CenterWell (Tallahassee, FL)
- …+ Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... as a whole. Conviva Care Solutions is seeking a RN who will collaborate with other health care givers...procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous… 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
- AdventHealth (Riverview, FL)
- …Qualifications **The expertise and experiences you'll need to succeed:** Associates Degree Nursing or RN Diploma degree Registered Nurse ( RN ) State ... transitions, patient satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily with the… more
- HCA Healthcare (Kissimmee, FL)
- …million dollars to charitable organizations. Apply Today! **Job Summary and Qualifications** The Registered Nurse ( RN ) CM is responsible for promoting ... supporting a balance of optimal care and appropriate resource utilization . + Provides case management services for...and Value Statement." **What qualifications you will need:** + ( RN ) Registered Nurse + … more
- HCA Healthcare (Pensacola, FL)
- …patient safety. + Other duties as assigned. **What qualifications you will need:** + ( RN ) Registered Nurse + Associate Degree + Bachelor's in Nursing ... + 1+ year of prior case management experience + Registered Nurse ...personal growth, we encourage you to apply for our RN Case Manager PRN opening. We review … more
- AdventHealth (Deland, FL)
- …expertise and experiences you'll need to succeed: Minimum qualifications: + Associate's degree Nursing or RN Diploma degree + Registered Nurse ( RN ) + Two ... + BSN + Health-related Master's degree or MSN + Prior Care Management / Utilization Management experience ACM/CCM Certification This facility is… more
- Molina Healthcare (St. Petersburg, FL)
- …of payment decisions. + Serves as a clinical resource for Utilization Management , Chief Medical Officers, Physicians, and Member/Provider Inquiries/Appeals. ... SKILLS & ABILITIES:** + Minimum 3 years clinical nursing experience. + Minimum one year Utilization Review and/or Medical Claims Review . + Minimum two years… more
- HCA Healthcare (Kissimmee, FL)
- …after relocation. + BLS-AHA Provider issued card required within 30 days of start + Registered Nurse Diploma + Associates Degree in Nursing or Diploma in Nursing ... stay, managing the length of stay, ensuring appropriate resource management and developing a safe appropriate discharge plan in...personal growth, we encourage you to apply for our RN Case Manager opening. We promptly review … more
- Molina Healthcare (Tampa, FL)
- **JOB DESCRIPTION** For this position we are seeking a ( RN ) Registered Nurse who must be licensed for the state they reside This position will support ... Chief Medical Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. +… more