- AdventHealth (Orlando, FL)
- …documents avoidable days, and facilitates progression of care. Collaborates with Utilization Management staff for collaboration on patient status changes ... valid State of Florida or multistate license as a Registered Nurse + 2 years of medical/...+ Health-related masters degree or MSN + Prior Care Management / Utilization Management experience +… more
- Mayo Clinic (Jacksonville, FL)
- …expenses. + Retirement: Competitive retirement package to secure your future. **Responsibilities** The Registered Nurse ( RN ) Case Manager works within an ... by ensuring appropriate utilization management , care coordination, resource utilization , and clinical documentation. The RN Case Manager will function… more
- Select Medical (Oxford, FL)
- …Illness Recovery Hospital** **Director of Case Management ** **_Clinical license as a registered nurse or respiratory therapist or master's in social work and ... focus on resource management . + Demonstrating compliance with facility-wide Utilization Management policies and procedures. + Coordinating UR compliance with… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …responsible for the strategic direction, leadership, and oversight of all medical management functions, including Utilization Management , and Quality ... the delivery of high-quality, cost-effective, and patient-centered care. + Oversee Utilization Management to ensure alignment with organizational goals and… more
- AdventHealth (Palm Coast, FL)
- …and experiences you'll need to succeed:** **Minimum qualifications** : + Associate's degree Nursing or RN Diploma degree. + Registered Nurse ( RN ) State ... satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily...+ Health-related Master's degree or MSN. + Prior Care Management / Utilization Management experience. + ACM/CCM… more
- CVS Health (Tallahassee, FL)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...or Specialty Pharmacy. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator… more
- HCA Healthcare (West Palm Beach, FL)
- …intrinsic worth of each individual is recognized. Submit your application for the opportunity below: Registered Nurse RN Case Mgr PRNHCA Florida JFK North ... benefits may vary by location._** We are seeking a(an) Registered Nurse RN Case Mgr...years of critical care experience + Certification in case management or utilization review preferred + InterQual… more
- HCA Healthcare (Margate, FL)
- **Description** **Introduction** Do you have the career opportunities as a(an) Registered Nurse RN case Mgr you want with your current employer? We have an ... of colleagues. Do you want to work as a(an) Registered Nurse RN case Mgr...years of critical care experience + Certification in case management or utilization review preferred + InterQual… more
- HCA Healthcare (Aventura, FL)
- …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Registered Nurse Case Mgr RN PRN with HCA Florida Aventura ... in our organization. We are looking for an enthusiastic Registered Nurse Case Mgr RN ...years of critical care experience + Certification in case management or utilization review preferred + InterQual… more
- Cleveland Clinic (Port Saint Lucie, FL)
- …Education. + **For Registered Nurses:** Current and valid license to practice as a Registered Nurse ( RN ) in state of employment. + 3 years of experience ... either the Nursing or Social Work education requirements.** + ** Registered Nurse :** Bachelor of Science in Nursing...in utilization management , case management , or… more