- Molina Healthcare (Tampa, 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
- Community Health Systems (Naples, FL)
- …problem-solving skills for addressing unit challenges and emergencies. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or ... repayment plan ** Comprehensive benefits (Medical, Dental, Vision) **Job Summary** The RN Charge oversees the operations of a nursing unit during assigned shifts,… more
- AdventHealth (Daytona Beach, FL)
- …+ Associate or Diploma in Nursing from an accredited school + Current Florida Registered Nurse license + Current Basic Life Support (BLS) certification + Current ... 32117 **The role you'll contribute:** The ANM is a registered professional nurse who supports the ...of the budget. Maintains staffing and scheduling, and resource utilization within budgeted targets for the unit. + Collaborates… more
- BayCare Health System (Tampa, FL)
- …Call:** No **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred ACM (Case Management ) + Preferred CCM (Case Manager) ... or + Required 2 years in Case Management or + Required 3 years Registered Nurse + Preferred experience in Critical Care or Emergency Service **Benefits:** +… more
- BayCare Health System (Clearwater, FL)
- …Call:** No **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred ACM (Case Management ) + Preferred CCM (Case Manager) ... or + Required 2 years in Case Management or + Required 3 years Registered Nurse + Preferred experience in Critical Care or Emergency Service **Benefits:** +… more
- AdventHealth (Tavares, FL)
- …+ Associate or Diploma in Nursing from an accredited school + Current Florida Registered Nurse license + Current Basic Life Support (BLS) certification + Current ... 32778 **The role you'll contribute:** The ANM is a registered professional nurse who supports the ...of the budget. Maintains staffing and scheduling, and resource utilization within budgeted targets for the unit. + **Technology**… more
- Molina Healthcare (Tampa, FL)
- …Chief Medical Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. + ... as may be required. + Serves as a clinical resource for Utilization Management , Chief Medical Officer, Physicians, and Member/Provider Inquiries/Appeals. +… more
- Centene Corporation (Tallahassee, FL)
- …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... in applied behavioral analytics (ABA). Additional Details: * Department: Behavioral Health Utilization Management * Business Unit: Corporate / Florida *… more
- Centene Corporation (Tallahassee, FL)
- …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... be located in eastern or central time zone with experience in utilization management .** **Education/Experience:** Requires Graduate of an Accredited School… more
- HCA Healthcare (Kissimmee, FL)
- …like you to be a part of our team. **Job Summary and Qualifications** The Registered Nurse ( RN ) CM is responsible for promoting patient-centered care by ... supporting a balance of optimal care and appropriate resource utilization . + Provides case management services for...**What qualifications you will need:** + (APRN) Advanced Practice Registered Nurse , or ( RN ) … more