- HCA Healthcare (St. Petersburg, FL)
- …charitable organizations. Apply Today! **Job Summary and Qualifications** We are seeking a Registered Nurse Case Manager. You will provide clinical expertise to ... like family! Jump-start your career as a(an) Case Manager RN PRN today with HCA Florida St. Petersburg Hospital....will promote cost effectiveness through the integration of case management , utilization review management and… more
- HCA Healthcare (Tampa, FL)
- …do. We want you to apply! **Job Summary and Qualifications** We are seeking a Registered Nurse Case Manager. You will provide clinical expertise to ensure all ... vary by location._** We are seeking a(an) Case Manager RN for our team to ensure that we continue...will promote cost effectiveness through the integration of case management , utilization review management and… more
- HCA Healthcare (Largo, FL)
- …do. We want you to apply! **Job Summary and Qualifications** We are seeking a Registered Nurse Case Manager. You will provide clinical expertise to ensure all ... vary by location._** We are seeking a(an) Case Manager RN for our team to ensure that we continue...will promote cost effectiveness through the integration of case management , utilization review management and… more
- Molina Healthcare (Miami, FL)
- …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... Experience Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual… more
- Prime Therapeutics (Tallahassee, FL)
- …Patient Programs. **Education & Experience** + Associates - Nursing + Bachelors - Nursing + RN - Registered Nurse , State and/or Compact State Licensure - ... for work visa or residency sponsorship. **Additional Qualifications** + Registered Nurse ( RN ). + 5...experience. + Experience in managed care, specialty drugs, care management and utilization review. + Meets Credentialing… more
- Cleveland Clinic (Vero Beach, FL)
- …include: + Bachelor of science in nursing (BSN) + Current state licensure as a Registered Nurse ( RN ) + Basic Life Support (BLS) certification through the ... of the most respected healthcare organizations in the world. RN Case Managers work collaboratively with inter-professional teams across...or AHA) + 2 years of recent experience in utilization review, quality or care management +… more
- Evolent (Tallahassee, FL)
- …Doing:** As a Clinical Reviewer, Nurse , you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference ... Clinical Reviewers are supported by Field Medical Directors (MDs) in the utilization management determination process. + Reviews charts and analyzes clinical… more
- University of Miami (Miami, FL)
- …necessary. Core Qualifications: Education: Bachelor's degree in nursing Certification and Licensing: Registered Nurse Licensure ( RN ) State of Florida ... University of Miami/UHealth Palmetto Bay has an exciting opportunity for a Nurse Manager. The Manager, Nursing promotes and restores patients' health by developing… more
- Bluestone Physician Services (Tampa, FL)
- …with primary care teams to ensure high quality team-based care + Use utilization management tools to facilitate appropriate transitional care management ... with providers to identify high risk patients Qualifications : Education/Certification/Experience + Registered Nurse or Degree in Social Work, Licensed Social… more
- Humana (Miramar, FL)
- …providers to ensure cohesive and evidence-based care. - Oversee and optimize utilization management processes within the organization. - Ensure resource ... put health first** The Home Health Wound Ostomy Care RN is a specialized nursing position primarily focused on...practices in wound care but also aim at controlling utilization to improve patient outcomes. The expertise of a… more