- Deloitte (Tampa, FL)
- …as clinical registered nurse , physician, physician assistant, case manager, clinical documentation specialist, utilization review , informatics ... Bachelor's degree in nursing, medical degree, or physician assistant required + Current Registered Nurse ( RN ) license required + Certified Clinical… more
- Prime Therapeutics (Tallahassee, FL)
- …provided by the Manager, Patient Programs. **Minimum Qualifications** + Bachelors - Nursing + RN - Registered Nurse , State and/or Compact State Licensure - ... for work visa or residency sponsorship **Additional Qualifications** + Registered Nurse ( RN ). + 5...Experience in managed care, specialty drugs, care management and utilization review . + Meets Credentialing criteria. +… more
- HCA Healthcare (Kissimmee, FL)
- …Cardiac Life Support must be obtained within 30 days of employment start date + ( RN ) Registered Nurse + Associate Degree, or Bachelors Degree Preferred HCA ... and improve the patient flow program effectiveness as it relates to utilization review , resource management, and discharge planning and care coordination.… more
- HCA Healthcare (Largo, FL)
- …verbal instructions, PC skills **What qualifications you will need:** + Bachelors Degree + ( RN ) Registered Nurse , or (OT) Occupational Therapist, or (LPT) ... The Clinical Rehabilitation Specialist is responsible for establishing relationships with case managers, physicians, payors and other referral sources. The Clinical… more
- Elevance Health (Miami, FL)
- …complex case types that do not require the training or skill of a registered nurse . Acts as a resource for more junior Clinicians. **How You Will Make ... a minimum of 6 years of clinical experience and/or utilization review experience. + Current active, valid...experience. + Current active, valid and unrestricted LPN/LVN or RN license and/or certification to practice as a health… more
- Elevance Health (Miami, FL)
- …complex case types that do not require the training or skill of a registered nurse . Acts as a resource for more junior Clinicians. **How you will make ... Med Management Clinician Senior- Licensed Nurse **Location:** Miami, FL **Hybrid 1** : This...a minimum of 4 years of clinical experience and/or utilization review experience. Current active, valid and… more
- Highmark Health (Tallahassee, FL)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. ... **EXPERIENCE** **Required** + 7 years in any combination of clinical, case / utilization management and/or disease/condition management experience, or provider… more
- Select Medical (Miami, FL)
- …of acute transfers and other CQI indicators. **Qualifications** **Minimum Qualifications** + Registered Nurse with valid state license. Legacy employees may ... documentation related to the hospital's CQI program. + Performs basic chart review activities with appropriate staff for outcome utilization , infection control… more
- HCA Healthcare (Port Charlotte, FL)
- …and off-site review of patients in designated facilities to assist Case Management in identifying patients that could clinically benefit from rehab services. + ... The Clinical Rehabilitation Specialist is responsible for establishing relationships with case managers, physicians, payors, and other referral sources. The Clinical… more
- HCA Healthcare (St. Petersburg, FL)
- …and off-site review of patients in designated facilities to assist Case Management in identifying patients that could clinically benefit from rehab services. + ... The Clinical Rehabilitation Specialist is responsible for establishing relationships with case managers, physicians, payors, and other referral sources. The Clinical… more