- MTC (Panama City, FL)
- …record or other forms as appropriate. + Practice basic cost containment and utilization management for inmate care and facility operations. + Maintain absolute ... Panama City, FL. is **now hiring a part-time Registered Nurse (RN)** to join our team. **Primary duties:** +...HIPAA rules. + Accurately and promptly chart medical care. Review medical files to determine all provided services are… more
- AdventHealth (Ocala, FL)
- …patient satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily with the interdisciplinary team ... core competencies of this role. The RN Care Manager facilitates the collaborative management of patient care across the continuum, intervening to remove barriers to… more
- AdventHealth (Zephyrhills, FL)
- …patient satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily with the interdisciplinary team ... core competencies of this role. The RN Care Manager facilitates the collaborative management of patient care across the continuum, intervening to remove barriers to… more
- AdventHealth (Kissimmee, 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
- 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 (Quincy, FL)
- …record or other forms as appropriate. + Practice basic cost containment and utilization management for inmate care and facility operations. + Maintain absolute ... HIPAA rules. + Accurately and promptly chart medical care. Review medical files to determine all provided services are...with an acceptable driving record required, unless waived by management . Management & Training Corporation (MTC) is… more
- Humana (Tallahassee, FL)
- …leader, with responsibility for evolving Humana's Utilization Management of medical review by physician or nurse , with a focus on our 5+ million Medicare ... members. The Director, Physician leadership will lead Medical Directors performing utilization management for inpatient authorizations training medical director… more
- Molina Healthcare (South Florida, FL)
- …3-5 years clinical practice with managed care, hospital nursing or utilization management experience. **Preferred License, Certification, Association** Active, ... Any of the following: Completion of an accredited Registered Nurse (RN), Licensed Vocational Nurse (LVN) or...unrestricted Utilization Management Certification (CPHM). To all current Molina employees: If… more
- Molina Healthcare (Miami, FL)
- …Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG ... meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN). **Required Experience** 1-3 years of hospital or medical… more