- Molina Healthcare (Tampa, 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
- Ascension Health (Pensacola, FL)
- …coordinate compliance to federally mandated and third party payer utilization management rules and regulations. **Requirements** Licensure / Certification / ... **Details** + **Department: Utilization Management ** + **Schedule: Full time...Registration: + Licensed Registered Nurse credentialed from the Florida Board… 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 (Winter Haven, FL)
- …Home Health visits in the Polk County area. **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional nurse ... care patient's care based on individual patient needs. The RN Care Manager is responsible for independent management...of professional nursing + 1 year of relevant clinical RN experience + Registered 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
- 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 - 50000070 Date:...current status and providing supervision and guidance to the RN , LPN, CNA and other Allied Health Care Professionals.… more
- MyFlorida (St. Augustine, FL)
- …that all verbal orders, including telephone orders from attending physicians are reviewed by a registered nurse . If no RN is available, receive all telephone ... SENIOR REGISTERED NURSE SUPV - 50950032 Date:...resident's status, and providing supervision and guidance to the RN , LPN, CNA and other Allied Health Care Professionals.… more
Recent Searches
- Collections Rep Ii (United States)
- Technician B C (United States)
- Excel Vba Data (United States)
- Undergraduate Internships (United States)
Recent Jobs
-
Automotive OEM Senior Electrical and Electronics Sourcing Engineer
- ITW (Mokena, IL)
-
Employee Benefits Support Specialist
- HUB International (Dallas, TX)
-
Sr. Product Marketing Manager, Software & Services, eero Marketing
- Amazon (San Francisco, CA)
-
Director of Sales and Marketing - Skirvin a Hilton Hotel
- Hilton (Oklahoma City, OK)