- AdventHealth (Orange City, FL)
- …key hospital departments including surgery, rehabilitation and occupational therapy, nursing, case management, marketing, home health and others involved in the care ... of the patient. Regularly collects data through chart review and computer generated reports. Presents data and reports to Orthopedic Governance Committee and other… more
- Cleveland Clinic (Port Saint Lucie, FL)
- …Education. + **For Registered Nurses:** Current and valid license to practice as a Registered Nurse ( RN ) in state of employment. + 3 years of experience ... A caregiver in this role utilizes clinical expertise and understanding of utilization review requirements, discharge planning process, and Medicare regulations… more
- Prime Therapeutics (Tallahassee, FL)
- …Patient Programs. **Minimum Qualifications** + Associates - Nursing + 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
- Molina Healthcare (St. Petersburg, FL)
- …identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... performing one or more of the following activities: care review / utilization management (prior authorizations, inpatient/outpatient medical necessity,... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of … 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
- AdventHealth (Winter Park, FL)
- …of experience in direct Care Management + State specific RN license if a nurse **Preferred qualifications:** + Registered Nurse : BSN + Social Worker: MSW ... expertise and experiences you'll need to succeed** **:** **Minimum qualifications** : + Registered Nurse : Associates Degree Nursing **_OR_** Social Worker: BSW +… more
- Sharecare (Tallahassee, FL)
- …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants for identification… 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 (Kissimmee, FL)
- …to determine need for immediate intervention/family support + Works collaboratively with RN case managers, acute care nurses, physicians, insurance companies, ... injuries which includes discharge planning and psychosocial needs. + Review of patient notes to help identify psychosocial needs...planning or psychosocial needs. + Obtains input from the RN case manager to ensure the discharge… more
- HCA Healthcare (Tallahassee, FL)
- …The Clinical Rehabilitation Specialist is responsible for establishing relationships with case managers, physicians, payers, and other referral sources. The Clinical ... through clinical screenings and assessments in collaboration with both hospital Case Management and the Rehab Medical Director. Job Duties and Responsibilities:… more