- Molina Healthcare (FL)
- …and monitoring clinical and non-clinical team activities to facilitate integrated, proactive utilization management , ensuring compliance with regulatory and ... and Monitoring team responsible for prior authorizations, inpatient/outpatient medical necessity/ utilization review, and/or other utilization management … more
- AdventHealth (Port Charlotte, FL)
- …. 1 years of experience in RN Care Management . Associate's degree Nursing or RN Diploma degree . Registered Nurse ( RN ) . Two (2) years of ... transitions, patient satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily with the… more
- AdventHealth (Tampa, FL)
- …Qualifications The expertise and experiences you'll need to succeed: .Associate Degree Nursing or RN Diploma degree. .Florida Registered Nurse ( RN ) ... satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily....Two (2 ) years of medical/hospital Registered Nurse experience This facility is an equal opportunity employer… more
- AdventHealth (Orlando, FL)
- …documents avoidable days, and facilitates progression of care. Collaborates with Utilization Management staff for collaboration on patient status changes ... valid State of Florida or multistate license as a Registered Nurse + 2 years of medical/...+ Health-related masters degree or MSN + Prior Care Management / Utilization Management experience +… more
- AdventHealth (Ormond Beach, FL)
- ** Registered Nurse RN Care...care patient's care based on individual patient needs. The RN Care Manager is responsible for independent management ... South Volusia County (S. Daytona to Edgewater) **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional nurse … more
- Evolent (Tallahassee, FL)
- …and as an RN - **Required** + Minimum of 5 years in Utilization Management , health care Appeals, compliance and/or grievances/complaints in a quality ... appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and...part of the application process. This is collected for compliance and security purposes and only reviewed if an… more
- AdventHealth (Palm Coast, FL)
- …Full Time **Shift** : Days **Location:** **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional nurse ... and directs the home care patient's care based on individual patient needs. The RN Care Manager is responsible for independent management of the Home Health… more
- Fresenius Medical Center (Venice, FL)
- …appropriate training according to FMS policy, including training to ensure ongoing compliance with all FMS risk management initiatives. + Provides opportunities ... vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure… more
- MyFlorida (Land O' Lakes, FL)
- …that all verbal orders, including telephone orders from attending physicians are received by a registered nurse . If no RN is available, receive all telephone ... SENIOR REGISTERED NURSE SUPV - 50000071 Date:...current status and providing supervision and guidance to the RN , LPN, CNA and other Allied Health Care Professionals.… more
- MyFlorida (Orlando, FL)
- …that all verbal orders, including telephone orders from attending physicians, are reviewed by a registered nurse . + If no RN is available, receive all ... resident's status, and providing supervision and guidance to the Registered ( RN ), Licensed Practical Nurse ...staff calls off, and coordinates assignments to maintain regulatory compliance and meet the needs of the residents. +… more