- HCA Healthcare (Largo, FL)
- …Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Utilization Review RN with HCA Florida Largo West Hospital you can be a ... in our organization. We are looking for an enthusiastic Utilization Review RN to help us reach our goals....**Job Summary and Qualifications** We are currently seeking a Utilization Review RN to join our team. As our… more
- Universal Health Services (Panama City, FL)
- Responsibilities Utilization Review Manager Opportunity Emerald Coast Behavioral Hospital provides inpatient treatment services to children, adolescents and adults ... for chronic depression. Visit us on-line at: https://emeraldcoastbehavioral.com/ The Utilization Review Manager is responsible for oversight of authorization,… more
- CVS Health (Plantation, FL)
- …assure medical necessity, applies clinical expertise to assure appropriate benefit utilization , facilitates safe and efficient discharge planning and works closely ... skills to coordinate, document and communicate all aspects of the utilization /benefit management program. -Utilizes clinical experience and skills in a collaborative… more
- Humana (Tallahassee, FL)
- …our caring community and help us put health first** The Manager Utilization Management Nursing utilizes clinical nursing skills to support the coordination, ... of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within specific guidelines and procedures;… more
- Elevance Health (Miami, FL)
- Senior RN Utilization Review/Management (Acute InPatient) JR116937 **Location:** Must be within 50 miles / 1 hour commute of Tampa or Miami, FL offices. This is ... of Florida. + Requires minimum of 5 years acute care clinical experience, utilization management or managed care experience; or any combination of education and… more
- Elevance Health (Miami, FL)
- **Clinical Operations Medical Director** ** Utilization Management of Medical Oncology Benefits** **Carelon Benefits Management** **$20,000 Sign On Bonus** ... nurses and other staff in understanding the principles behind appropriate utilization of covered treatments and genetic testing. + Participate in periodic… more
- CVS Health (Tallahassee, FL)
- …opportunities to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and lends expertise to other internal and external ... constituents in the coordination and administration of the utilization /benefit management function. + Typical office working environment with productivity and… more
- CVS Health (Tallahassee, FL)
- …opportunities to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and lends expertise to other internal and external ... constituents in the coordination and administration of the utilization /benefit management function. + Typical office working environment with productivity and… more
- Universal Health Services (Jacksonville, FL)
- …whole. We are pleased to announce the following available position: PRN Utilization Review Coordinator This position is responsible for monitoring the treatment ... Nurse, LPN or Master's level Social Worker with experience in Utilization Management, preferred. Good communication (verbal and written) skills are essential.… more
- Prime Therapeutics (Tallahassee, FL)
- …decision we make. **Job Posting Title** Senior Project Solution Manager ( Utilization Management) - Remote **Job Description Summary** Responsible for the management ... of a variety of projects for corporate and/or strategic business unit (SBU). Provides support through the planning and execution of these projects. Support may include establishing deadlines, assigning resources/responsibilities and monitoring and summarizing… more