- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse ( RN )** in the… more
- Cognizant (Tallahassee, FL)
- …have to be considered** + Educational background - Registered Nurse ( RN ) + 2-3 years combined clinical and/or utilization management experience with ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations + Experience in utilization management to include Clinical Appeals and… more
- Select Medical (Lake Worth, FL)
- …functions and professional growth of the department, including, but not limited to: Utilization Review (UR) and resource management , discharge planning, ... of Case Management ** **$10,000 Sign On Bonus** **_Clinical license as a registered nurse or respiratory therapist or master's in social work and minimum… more
- Select Medical (Gainesville, FL)
- …functions and professional growth of the department, including, but not limited to: Utilization Review (UR) and resource management , discharge planning, ... Sign On Bonus** **Full Time: Monday - Friday 8-5pm** **_Clinical license as a registered nurse or respiratory therapist or master's in social work and minimum… more
- Centers Plan for Healthy Living (Margate, FL)
- …applications for Full Time Registered Nurse without experience. The Utilization Management Clinical Reviewer works within a multidisciplinary team to ... in their home to improve their quality of life. Utilization Management Clinical Reviewer will...education, and preventative interventions are maintained. Qualifications: + Active RN license, entry level RN welcome +… more
- Community Health Systems (Naples, FL)
- …Management is responsible for the planning, coordination, and oversight of care management services, including utilization review , discharge planning, and ... effectively, and in compliance with organizational standards. + Oversees utilization review and discharge planning processes to...systems, and data analysis tools. **Licenses and Certifications** + RN - Registered Nurse -… more
- HealthTrust Workforce Solutions (Bradenton, FL)
- …access to more than 200,000 jobs nationwide. **_JOB SUMMARY_** The Interim Leader of Case Management Services is a Registered Nurse who participates as an ... management , cost control, contract compliance, quality improvement, utilization management , denials management and...that the following functions of the role are completed: Utilization Review for medical necessity of admission… more
- HCA Healthcare (Aventura, FL)
- …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Registered Nurse Case Mgr RN PRN with HCA Florida Aventura ... in our organization. We are looking for an enthusiastic Registered Nurse Case Mgr RN ...years of critical care experience + Certification in case management or utilization review preferred… more
- Adecco US, Inc. (Tallahassee, FL)
- …Overview** A large acute care hospital is seeking an experienced ** Registered Nurse Case Manager** to join its Case Management team. This role focuses ... **Position Title:** Case Manager RN **Location:** Tallahassee, FL 32310 **Position Type:** Nursing...APRN license accepted if current and compliant + Case Management , Nursing, or Utilization Review … more
- MTC (Graceville, FL)
- …medical team who are dedicated to improving people's lives. We are seeking an **On-Call Registered Nurse ( RN )** to join our team. **Primary duties:** + ... 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