- HCA Healthcare (Fort Pierce, FL)
- …PCU, ICU, CVICU etc.) hospital nursing experience required + Certification in case management or utilization review preferred + InterQual experience ... apply for our RN Case Mgr opening. Our team will promptly review your application. Highly qualified candidates will be contacted for interviews. **Unlock the… more
- HCA Healthcare (Miami, FL)
- …PCU, ICU, CVICU etc.) hospital nursing experience required + Certification in case management or utilization review preferred + InterQual experience ... collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. The CM coordinates efforts...we encourage you to apply for our Case Mgr RN opening. We review all applications. Qualified… 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 ... 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
- CenterWell (Daytona Beach, FL)
- …the strategic intent + Overseeing other clinicians which includes Physicians, Advanced Registered Nurse Practitioners (ARNP), and Physicians Assistants (PA) + ... inquiries, requests, and complaints from patients + Ongoing chart review / audit of clinical staff to ensure quality...+ Identifying trends and areas of opportunity in pharmacy utilization (pharmacy management ) to impact Part D… more
- Elevance Health (FL)
- …Licensure is a requirement for this position. + Previous experience in case utilization management with a broad range of experience with complex ... facility-based and outpatient professional treatment health benefits through telephonic or written review . The BH Care Manager (UM) job progression is primarily a… more
- Elevance Health (Tampa, FL)
- …criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members with complex and chronic care ... **Telephonic Nurse Case Manager II** **Location:** This role enables...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum requirements:**… more
- Elevance Health (Miami, FL)
- …The **Telephonic Nurse Case Manager Senior** is responsible for care management within the scope of licensure for members with complex and chronic care ... **Telephonic Nurse Case Manager Senior** **Location:** This role enables...claims or service issues. + Assists with development of utilization /care management policies and procedures, chairs and… more
- Elevance Health (Tampa, FL)
- …required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members with complex and chronic care ... **Telephonic Nurse Case Manager II** **Location: This role enables...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
- BayCare Health System (Sarasota, 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