- Community Health Systems (Naples, FL)
- … skills to prioritize tasks in a dynamic environment. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State ... **Job Summary** The Care Manager - RN is responsible for coordinating and overseeing discharge...and overseeing discharge planning, transitions of care, and case management activities to ensure optimal patient outcomes. This role… more
- ChenMed (Opa Locka, FL)
- …We're rapidly expanding and we need great people to join our team. The Nurse Case Manager 1 ( RN ) is responsible for achieving positive patient outcomes ... into acute and post-acute facilities, as well as, their home environments. The Nurse Case Manager 1 ( RN ) role also involves establishing relationships with… more
- ChenMed (Pembroke Pines, FL)
- …We're rapidly expanding and we need great people to join our team. The Nurse Case Manager I position is responsible for achieving positive patient outcomes and ... manage quality of care across the continuum of care. The Nurse Case Manager I will first and foremost serve as an advocate for our patients. In this capacity, this… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Utilization Management Registered Nurse 2 utilizes clinical nursing skills to ... determination of the appropriate courses of action. The SNF Utilization Management Registered Nurse...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse ( RN )** in the… more
- CVS Health (Tallahassee, FL)
- …appropriate member care. . Attends and participates in case rounds, including utilization management rounds for behavioral health and physical health to ... in an inpatient admission. The Transition of Care (TOC) RN ensures the member experiences a seamless transition to...care to meet the member's goals. . Utilizes care management processes in compliance with regulatory and… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 +...skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license in… more
- Evolent (Tallahassee, FL)
- …with others. **Collaboration Opportunities:** + The Manager, Client Services oversees daily utilization management and directs the medical care of our members ... in a supporting role to the Director, Intake and Utilization Management Operations. + This individual will...of project resources. **Qualifications - Required and Preferred** + RN Licenses (Active and Unrestricted) - Required + Associate's… more
- Select Medical (Gainesville, FL)
- …cost attentive care via a focus on resource management . + Demonstrating compliance with facility-wide Utilization Management policies and procedures. + ... ** **$10,000 Sign On Bonus** **_Clinical license as a registered nurse or respiratory therapist or master's...growth of the department, including, but not limited to: Utilization Review (UR) and resource management , discharge… more
- Actalent (Sunrise, FL)
- Actalent is hiring a Utilization Management Nurse ! Job Description The Utilization Management Nurse (UMN) collaborates closely with the ... present reports on department activities as assigned. Essential Skills + Clinical review + Utilization review + Utilization management + InterQual + Milliman… more
- HCA Healthcare (Kissimmee, FL)
- …like you to be a part of our team. **Job Summary and Qualifications** The Registered Nurse ( RN ) CM is responsible for promoting patient-centered care by ... supporting a balance of optimal care and appropriate resource utilization . + Provides case management services for...**What qualifications you will need:** + (APRN) Advanced Practice Registered Nurse , or ( RN ) … more