- Molina Healthcare (Jacksonville, FL)
- …oversight and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs and chemical ... working closely with regional medical directors to standardize behavioral health utilization management policies and procedures to improve quality outcomes and… more
- Freshpoint (Pompano Beach, FL)
- …including cross-training of existing associates. Direct the proper selection and utilization of company assets in support of the delivery department. Coordinates ... required repairs with proper departments as necessary. Reviews delivery functions and productivity reporting; suggests efficiency ideas, cost reduction measures and assists with implementation of delivery changes. Interprets, trains and consistently enforces… more
- Community Health Systems (Naples, FL)
- Join us as a **Registered Nurse (RN) - Utilization Review position** at Physicians Regional Collier Unit: Utilization Review Shift: Mon-Fri (this is an onsite ... match & more available for Full and Part-Time roles **Job Summary** The Utilization Review Nurse - RN reviews hospital admissions, extended stays, and supporting… more
- Humana (Tallahassee, FL)
- …part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently… 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
- BayCare Health System (Clearwater, FL)
- …position ensures that the necessary information is gathered for timely and accurate utilization review and that requests for care or services are processed in ... and organized records for each referral or authorization case. + Assist Utilization Review Nurses or Specialists with follow-up tasks, including obtaining additional… more
- Devereux Advanced Behavioral Health (Viera, FL)
- **Description** Are you looking to advance your career in Admissions & Utilization Review? If you answered yes, then consider joining our team where you can take ... your career to the next level. **Being the Utilization Review Coordinator at Devereux has its Advantages!** Devereux Florida is a nonprofit behavioral health… more
- BayCare Health System (Largo, FL)
- …of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Coordinator(Homecare) responsibilities include:** + Coordinates utilization ... and admission documentation completeness. + Communicates to and educates staff regarding utilization and paperwork issues. + One UR will be responsible for a… more
- BayCare Health System (St. Petersburg, FL)
- …dignity, respect, responsibility and clinical excellence. **The Team Lead Utilization Review responsibilities include:** + Directing and coordinating the daily ... 3 years of Case Management or 3 years of Utilization Management or 6 years of clinical nursing **Certifications...Bachelors in Nursing **Experience:** + Required 3 years in Utilization Management or + Required 3 years in Case… more
- BayCare Health System (Tampa, FL)
- …of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior/RN responsibilities include:** + Functions as the ... necessity of outpatient observation and inpatient stays and the utilization of ancillary services + Perform other duties as...Nursing or Business **Experience:** + Required 2 years in Utilization Review or + Required 2 years in Case… more
