- Carnival Cruise Line (Miami, FL)
- …guests annually and employing over 160,000 crew members. **Essential Functions:** + ** Case Management Oversight** + Manage and review cases, including those ... This role reports to the Senior Manager of Case Management and oversees the daily operations of...Manager also escalates high-risk cases, conducts care coordination and utilization reviews. Operationally, the role supports shipboard medical teams,… more
- CenterWell (Ocala, FL)
- …action through the utilization of Performance Improvement principles. + Responsible for review of the appropriate number of Case Managers and clinical staff ... 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 (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... Case Manager on initial Plan of Care review with a focus on quality, utilization … more
- 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) ... Spectacular springs throughout the county **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social workers, nurses,… more
- Houston Methodist (FL)
- …- One year of clinical experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or Compact ... an acute care hospital setting is required; coding and utilization review experience preferred + For Medical...State Licensure within 60 days **OR** + RN -Temp - Registered Nurse -… 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 ... dignity, respect, responsibility and clinical excellence. **Home Care Supervisor, RN position details:** + **Location:** BayCare HomeCare Dunedin +... Case Manager on initial Plan of Care review with a focus on quality, utilization … more
- Molina Healthcare (Orlando, 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 Clinical Appeals Nurse ( RN ) provides support for internal...the specific programs supported by the plan such as utilization review , medical claims review ,… more
- HCA Healthcare (Tallahassee, FL)
- …options and costs to patient and patient families. **What qualifications you will need:** + Registered Nurse , or Advance Practice Registered Nurse (APRN) ... Performs admission certification screening for patients in accordance with Utilization Plan using ISD criteria, and performs concurrent stay...path, we encourage you to apply for our Manager Case Management opening. We review all applications.… more
- General Dynamics Information Technology (Hurlburt Field, FL)
- …certifying organization, ie Commission for Case Management Certification or American Nurse Credentialing Center. + Current RN license; full, active, and ... Yes **Job Description:** Seize your opportunity to make a personal impact as Nurse Case Manager supporting mission critical work on an exciting program.… more
- Battelle Memorial Institute (Tampa, FL)
- …Health Research and Analytics (HRA) business line is seeking a highly motivated, full-time ** Nurse Case Manager** to join our team in support of our government ... ensuring comprehensive support for those who serve. As a Nurse Case Manager, you will contribute to...professional parameters + Knowledge and skill in using pre-established utilization review criteria to recognize and report… more
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