- CVS Health (Tallahassee, FL)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... from work._ **Required Qualifications** + 1 year of varied UM ( utilization management ) experience within an **outpatient** setting, concurrent review… more
- CVS Health (Tallahassee, FL)
- …Must have active current and unrestricted RN licensure in state of residence. + Utilization Management is a 24/7 operation and work schedules will include ... in med surg or specialty area. + Managed Care experience preferred, especially Utilization Management . + Preference for those residing in EST zones.… more
- CVS Health (Tallahassee, FL)
- …procedures/services or initiate a Medical Director referral as needed. + Assists management with training new nurse reviewers/business partners or vendors to ... meet quality and metric expectations. **Required Qualifications** + Registered Nurse (RN) - active license. + 3+ Years of...3+ Years of clinical experience. + 1+ Year of Utilization Review Management and/or Medical Management… more
- MyFlorida (Orlando, FL)
- …Bachelor's Degree in any other discipline with at least 6 months of direct case management experience or a Florida Licensed Registered Nurse (RN) with 1-year of ... HUMAN SERVICES PROGRAM CONSULTANT II - 64006362 Date: Aug 1, 2025...(CBO's). Incumbent reports directly to the Supervisor of Case Management . Staff will establish and maintain a caseload of… more
- MyFlorida (Largo, FL)
- …Facility, or other long-term care setting. + Regional experience as a clinical Nurse Consultant in an organization that delivers and/or monitors health care ... Paid holidays and personal day. Retirement package. REQUIREMENTS + Unencumbered Florida Registered Nurse License. + Must be willing and able to travel throughout all… more
- Veterans Affairs, Veterans Health Administration (West Palm Beach, FL)
- …who functions to initiate, modify or discontinue medication therapy and as a consultant for intensive medication therapy management services. This includes, but ... as physician consultation, patient monitoring, patient counseling and medication management services within the anticoagulation framework. The incumbent is… more
- Cleveland Clinic (Stuart, FL)
- …compliance with all standards and favorable performance on safety, quality, utilization , and experience metrics. + Participate in engraining the safety, quality, ... data and participate in improvement strategy development. + Act as a consultant in educating and evaluating clinical and support department staff regarding quality… more
- Trinity Health (Fort Lauderdale, FL)
- …with members of the interprofessional acute care, ambulatory and post-acute care management teams to improve communication across the continuum of care. * ... that have been documented in the medical record. * Serves as a consultant and educator with medical staff regarding status, placement, payer requirements, and … more