- AdventHealth (Orlando, FL)
- …+ Experience in Case Management , Managed Care, Discharge Planning and Utilization Management + Case Management training **LICENSURE, CERTIFICATION, OR ... The Hospitalist RN partners with the contracted Hospitalist MD/Provider and the Care Management Team to manage escalated issues and complex cases in an effort to… more
- Fresenius Medical Center (Venice, FL)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
- MTC (Graceville, FL)
- …record or other forms as appropriate. + Practice basic cost containment and utilization management for inmate care and facility operations. + Maintain absolute ... of Florida with an acceptable driving record required, unless waived by management . Management & Training Corporation (MTC) is an Equal Opportunity Employer. All… 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 ... and/or face to face assessing, planning, implementing, and coordinating all care management activities with members to evaluate the medical and behavioral health… more
- Humana (Tallahassee, FL)
- …will be a key enterprise leader, with responsibility for evolving Humana's Utilization Management of medical review by physician or nurse , with a focus on ... members. The Director, Physician leadership will lead Medical Directors performing utilization management for inpatient authorizations training medical director… more
- Matrix Providers (Jacksonville, FL)
- …ratios and fair, reliable schedules. Matrix Providers is hiring a Licensed Practical Nurse /Licensed Vocational Nurse - Pain Management to join our ... + Degree: Be a graduate from a Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN)...coordinating with the local Medical Home Port (MHP) clinic, utilization and Referral Management policies, and obtains… more
- Select Medical (Gainesville, FL)
- …focus on resource management . + Demonstrating compliance with facility-wide Utilization Management policies and procedures. + Coordinating UR compliance with ... **$10,000 Sign On Bonus** **_Clinical license as a registered nurse or respiratory therapist or master's in social work...growth of the department, including, but not limited to: Utilization Review (UR) and resource management , discharge… more
- United Therapeutics (Tallahassee, FL)
- …which transplant is not currently an option. Who you are You are experienced nurse who loves providing mentorship, coaching and motivational support to your team and ... make a difference. The Regional Field Director, RNS Program Management serves as a director of all clinical field...+ Plan, collaborate, create and produce the yearly Clinical Nurse Summit meeting for HCPS across the United States… more
- AdventHealth (Daytona Beach, FL)
- …or Social Worker: BSW Masters in related field + 3 years in direct Care Management / Utilization Management experience in an acute care setting. + State ... Daytona Beach, 32117 **The role you'll contribute:** The Care Management Manager is under the general leadership of the...specific RN license if a nurse . **Preferred qualification:** + Registered Nurse : BSN… more
- HCA Healthcare (Gainesville, FL)
- …Our HCA Florida North Florida Hospital team is looking for a(an) Manager Case Management . HCA Healthcare is an advanced healthcare network that has committed up to ... of care and save lives across the country? Apply today to our Manager Case Management and be a part of the innovation of ideas. **Job Summary and Qualifications**… more