- Molina Healthcare (Miami, FL)
- …Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... / MCG guidelines. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). MULTI STATE / COMPACT… more
- Amergis (Gainesville, FL)
- …service delivery, and compliance with medical regime. Minimum Requirements: + Current RN licensure in state practicing + At least one year of Case Management ... Salary: $1800 / Week The RN Case Manager is responsible for coordinatingcontinuum of...at least 18 years of age + Experience with Utilization Review Benefits At Amergis, we firmly believe that… more
- Wellpath (Yulee, FL)
- …of care support. **How you make a difference** As a Health Services Administrator RN , you'll oversee and assess the Health Care Delivery Program, adhering closely to ... also meeting ACA, NCCHC, and State accreditation standards for comprehensive compliance . With your expertise, you'll navigate the complex landscape of healthcare… more
- Molina Healthcare (FL)
- …Medical, or ER unit. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). To all current Molina ... acute care/medical experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must… more
- AdventHealth (Orange City, FL)
- …hospital departments including surgery, rehabilitation and occupational therapy, nursing, case management , marketing, home health and others involved in the care of ... directed. Develops, facilitates, and monitors selected performance metrics and ensures compliance with all activities required to achieve and maintain a… more
- AdventHealth (Daytona Beach, FL)
- …in an acute care setting. + State specific RN license if a nurse . **Preferred qualification:** + Registered Nurse : BSN Masters in related field. ... with a focus on customer experience. + Ensures documentation compliance of the Care Management department (Discharge...experiences you'll need to succeed:** **Minimum qualifications** : + Registered Nurse : BSN + or Social Worker:… more
- United Therapeutics (Tallahassee, FL)
- …experience, including ICU and critical care of PAH, cardiology or pulmonology patients + Registered Nurse ( RN ) - State Licensure and/or Compact State ... Licensure RN - Registered Nurse - State Licensure and/or Compact...Demonstrated high competency in clinical understanding, team collaboration, team management , UT policies, and team/individual team compliance … more
- HCA Healthcare (Tampa, FL)
- …degree in Nursing, Health Administration, or Business Administration, preferred + Either Registered Nurse ( RN ) licensure, Licensed Clinical Social Worker ... organization that invests in you as a Director Case Management ? At HCA Florida South Tampa Hospital, you come...interdisciplinary teams and external stakeholders. The Director is a registered nurse with responsibility for all operational… more
- AdventHealth (Orlando, FL)
- …potential **The expertise and experiences you'll need to succeed:** **Minimum qualifications** : Registered Nurse : BSN or Social Worker: BSW Masters in related ... field 3 years in direct Care Management / Utilization Management experience in an...experience in an acute care setting **Preferred qualifications:** + Registered Nurse : BSN Masters in related field… more
- HCA Healthcare (Kissimmee, FL)
- …Master's degree in Nursing, Health Administration, or Business Administration, preferred + Either Registered Nurse ( RN ) licensure , Licensed Clinical Social ... actively engaging interdisciplinary teams and external stakeholders. The Director is a registered nurse with responsibility for all operational aspects of the… more