- MyFlorida (Orlando, FL)
- …at least 6 months of direct case management experience or a Florida Licensed Registered Nurse ( RN ) with 1-year of direct case management experience ... into additional databases or systems, following established guidelines for case management reimbursement, and ensuring compliance with Client Service Records… more
- Molina Healthcare (Jacksonville, FL)
- …materials and other related documentations. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of ...years in one or more of the following areas: utilization management , case management , care… more
- CenterWell (Tallahassee, FL)
- …Coordinate quality improvement activities to address high risk, high-utilizers/high-cost patient management through the utilization of the 5M's framework as ... will play a pivotal role in reducing acute care utilization for top 5% of complex patients and ensuring...highest need and complexity patients with care and case management services. The Director is response for the strategic… more
- Actalent (Sunrise, FL)
- Utilization Management Nurse !Job Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing service authorization ... present reports on department activities as assigned. Essential Skills + Clinical review + Utilization review + Utilization management + Interqual + Milliman… more
- CenterWell (Tampa, FL)
- …of our caring community and help us put health first** The Manager Care/Case Management in **Tampa area (** **_this is not a remote position_** **)** is responsible ... managing populations and coordinating care to reduce acute and post-acute care utilization . The Manager role is hybrid with travel requirements to preferred… more
- Cleveland Clinic (Stuart, FL)
- …Preferred qualifications for the ideal future caregiver include: + Masters degree + Registered Nurse ( RN ) + Certified Patient Safety Professional (CPPS) ... and behavioral standards. + Coordinate with cross functional stakeholders to ensure compliance with all standards and favorable performance on safety, quality, … more
- Humana (Hallandale Beach, FL)
- …+ Bachelor's degree in social work or behavioral health-related field + Active licensed Registered Nurse , RN in the state of Florida without disciplinary ... and engage formerly acquired skillsets to: + Perform care management of pediatric members (under 21) who utilize Applied...psycho-social health issues. + Monitor and maintain awareness of utilization and conducts outreach based on acuity to assess… more
- AdventHealth (Davenport, FL)
- …experience Current valid State of Florida or multi state license as a Registered Nurse **Preferred expertise and experience:** + Six (6) months experience ... central hub of tourism. **The role you'll contribute:** The Nurse Manager (NM) is a registered professional...resources to achieve quality performance, positive employee relations, and compliance with hospital guidelines. The NM is skilled in… more
- HCA Healthcare (Pensacola, FL)
- …* 3+ years of experience in a leadership role Preferred Licenses & Certifications * Registered Nurse - Currently licensed as a registered professional ... labor management , including position control, scheduling excellence, productivity management , and premium pay utilization . Maintains staffing to ensure… more
- MTC (Quincy, FL)
- …performing the duties of the position. 11. Practice advanced cost containment and utilization management for inmate care and facility operations. 12. Maintain ... leave + Opportunities for job advancement Impact lives with Management & Training Corporation (MTC)! At the **Gadsden Correctional...one (1) year supervisory experience. Must be a licensed registered nurse in the state of Florida… more