- University of Miami (Miami, FL)
- …and utilization of data used by all levels of management within the organization.5. Interacts, communicates, and intervenes with multidisciplinary healthcare ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Department of… more
- HCA Healthcare (Pensacola, FL)
- … + Associate Degree + Bachelor's in Nursing + 1+ year of prior case management experience + Registered Nurse - Currently licensed as a registered professional ... care, medical necessity, admission status, level of care, and resource management . Responsible for coordinating activities that promote quality outcomes and patient… more
- Sedgwick (Tallahassee, FL)
- …narcotic use contract with client. + Maintains accurate record system of pharmacy utilization review and complex pharmacy reviews to include cost savings, ... needed; performs complex review of cases to identify referral for case management as needed. + Participates in client meetings and phone calls to explain program… more
- CVS Health (Tallahassee, FL)
- …You can have life-changing impact on our members, who are enrolled in Care Management and present with a wide range of complex health and social challenges. With ... exciting opportunity as we grow and expand our Care Management Programs to change lives in new markets across...who cannot advocate for themselves. The TOC team will review prior claims to address potential impact on current… more
- HCA Healthcare (Orange Park, FL)
- …Case Management is required for this PRN role.** + Certification in Case Management or Utilization Review is preferred. + InterQual experience is ... you have the PRN career opportunities as a **Registered Nurse (RN) Case Manager** you want with your current...stay, managing the length of stay, ensuring appropriate resource management , while developing a safe appropriate discharge plan. +… more
- MyFlorida (Largo, FL)
- …Paid holidays and personal day. Retirement package. REQUIREMENTS + Unencumbered Florida Registered Nurse License. + Must be willing and able to travel throughout all ... or more years of experience as a Licensed Registered Nurse in Long-Term Care facility. + Experience as a...care activities. POSITION DESCRIPTION Overview: The direct leadership and management of clinical processes and systems to assure positive… more
- HCA Healthcare (Ocala, FL)
- …hospital RN experience required + 4 year Bachelor Degree preferred + Certification in Case Management or Utilization Review preferred + 1 year experience in ... supporting a balance of optimal care and appropriate resource utilization . + Provides case management services for...and appropriate resource utilization . + Provides case management services for both inpatient and observation patients as… more
- BayCare Health System (Lakeland, FL)
- …bodies within the area of responsibility. + Ensure quality assurance program and utilization review is followed in accordance with Home Care protocol. + ... Oversees and investigates patient and physician concerns, risk management concerns and implements changes and training where necessary....Participates with Case Manager on initial Plan of Care review with a focus on quality, utilization … more
- HCA Healthcare (Kissimmee, FL)
- …patient throughput while supporting a balance of optimal care and appropriate resource utilization . + Provides case management services for both inpatient and ... charitable organizations. Apply Today! **Job Summary and Qualifications** The Registered Nurse (RN) CM is responsible for promoting patient-centered care by… more
- HCA Healthcare (Ocala, FL)
- …RN experience required + 4 year Bachelor Degree preferred. + Certification in Case Management or Utilization Review preferred HCA Florida Ocala Hospital is ... supporting a balance of optimal care and appropriate resource utilization . + Provides case management services for...assigned **What qualifications you will need:** + (RN) Registered Nurse + Associate Degree + 2 years acute hospital… more