- Molina Healthcare (St. Petersburg, FL)
- …of payment decisions. + Serves as a clinical resource for Utilization Management , Chief Medical Officers, Physicians, and Member/Provider Inquiries/Appeals. ... SKILLS & ABILITIES:** + Minimum 3 years clinical nursing experience. + Minimum one year Utilization Review and/or Medical Claims Review . + Minimum two years… more
- ChenMed (North Miami Beach, FL)
- …of 2 years' clinical work experience required. + A minimum of 1 year of utilization review and/or case management , home health, hospital discharge planning ... great people to join our team. The Acute Care Nurse (RN) is responsible for achieving positive patient outcomes...patients' progress and adjust and plan accordingly. + Understanding utilization review and how to leverage with… more
- Sharecare (Tallahassee, FL)
- …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting...and to take the pre and post tests to review competency during orientation. Yearly competency tests are required… more
- AdventHealth (Land O' Lakes, FL)
- …for one another and respect for each persons unique contributions, provides utilization review care that is non-judgmental and non-discriminatory. Consider ... frames on a specific group of patients.The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan … more
- MyFlorida (Chattahoochee, FL)
- REGISTERED NURSE SUPERVISOR - 60005446 Date: Aug 13, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 858609 Agency: Children and Families Working Title: REGISTERED NURSE SUPERVISOR - 60005446 Pay Plan: Career Service Position Number: 60005446… more
- MyFlorida (Land O' Lakes, FL)
- SENIOR LICENSED PRACTICAL NURSE - 50000083 1 Date: Aug 4, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 857808 Agency: Veterans Affairs Working Title: SENIOR LICENSED PRACTICAL NURSE - 50000083 1 Pay Plan: Career Service Position Number: 50000083… more
- AdventHealth (Port Charlotte, 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
- Veterans Affairs, Veterans Health Administration (Sarasota, FL)
- …orientation, competencies and providing quality improvement and enhance outcomes utilization . This nurse integrates outpatient nursing knowledge, skills, ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
- MyFlorida (Bunnell, FL)
- …recalls for client due for annual exams, implant removals and insertions. The Registered Nurse will provide case management for the sterilization program and the ... SENIOR REGISTERED NURSE - 64068640 Date: Aug 6, 2025 The...as delegated by the nursing supervisor. Participates in record review for quality assurance. Assists with outreach clinics for… more
- MyFlorida (Land O' Lakes, FL)
- SENIOR REGISTERED NURSE SUPV - 50000070 Date: Aug 12, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 858645 Agency: Veterans Affairs Working Title: SENIOR REGISTERED NURSE SUPV - 50000070 Pay Plan: Career Service Position Number: 50000070 Salary:… more