- AdventHealth (Orlando, FL)
- …of experience in home health + 2 years of experience in management position. + Registered Nurse State Licensure and/or Compact State Licensure + Cert for Oasis ... **Population Health Case Manager ( RN ) AdventHealth Home Health**...FL, 32804 **The role you'll contribute:** The Population Health Case Manager (PHCM) ensures effective utilization and… more
- CVS Health (Tallahassee, FL)
- …demonstrated ability to make thorough, independent decisions using clinical judgement. + A Registered Nurse that must hold an unrestricted license in their state ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible… more
- Actalent (Sunrise, FL)
- …of education and experience. + Valid Florida Driver's License. + Knowledge of case management and utilization review concepts, including InterQual and ... Utilization Management Nurse !Job Description The ...on department activities as assigned. Essential Skills + Clinical review + Utilization review +… more
- Amergis (Gainesville, FL)
- Salary: $1800 / Week The RN Case Manager is responsible for coordinatingcontinuum of care activities for assigned patients and ensuring optimumutilization of ... and compliance with medical regime. Minimum Requirements: + Current RN licensure in state practicing + At least one...at least 18 years of age + Experience with Utilization Review Benefits At Amergis, we firmly… 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 ... for: 701 W PLYMOUTH AVE, Deland, 32720 The role you'll contribute: The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians… more
- Molina Healthcare (St. Petersburg, FL)
- …SKILLS & ABILITIES:** + Minimum 3 years clinical nursing experience. + Minimum one year Utilization Review and/or Medical Claims Review . + Minimum two years ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… 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 ... Managed Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support,… more
- BayCare Health System (Lakeland, 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 (Riverview, FL)
- …Qualifications **The expertise and experiences you'll need to succeed:** Associates Degree Nursing or RN Diploma degree Registered Nurse ( RN ) State ... digestive, urology, orthopedic and womens care. **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social workers, nurses,… more
- HCA Healthcare (Kissimmee, FL)
- …Master's degree in Nursing, Health Administration, or Business Administration, preferred + Either Registered Nurse ( RN ) licensure , Licensed Clinical Social ... interdisciplinary teams and external stakeholders. The Director is a registered nurse with responsibility for all operational...growth, we encourage you to apply for our Director Case Management opening. We promptly review all… more