- 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 (Gainesville, FL)
- …of Case Management ** **$10,000 Sign On Bonus** **_Clinical license as a registered nurse or respiratory therapist or master's in social work and minimum ... focus on resource management . + Demonstrating compliance with facility-wide Utilization Management policies and procedures. + Coordinating UR compliance with… more
- AdventHealth (Land O' Lakes, FL)
- ….ADN, RN .Two (2) years of hospital nursing experience .Current license of registered nurse in Florida or licensure from another state with verification of ... complex patients .Pulmonary and Vapotherm Center of Excellence .Staff consists of all Registered Respiratory Therapist, 65% BSN or above RN 's, Current staff… more
- CVS Health (Tallahassee, FL)
- …care. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience ... is URAC accredited in Case Management , Disease Management and Utilization Management . AHH...in a hospital setting. + A Registered Nurse that holds an active, unrestricted… more
- AdventHealth (Orange City, 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
- Evolent (Tallahassee, FL)
- …team focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies and ... Be Doing:** + Practices and maintains the principles of utilization management and appeals management ...and Preferred:** + 1-3 years' experience and as an RN - **Required** + Minimum of 5 years in… more
- Molina Healthcare (FL)
- …and Monitoring team responsible for prior authorizations, inpatient/outpatient medical necessity/ utilization review, and/or other utilization management ... clinical and non-clinical team activities to facilitate integrated, proactive utilization management , ensuring compliance with regulatory and accrediting… more
- HCA Healthcare (Port St. Lucie, FL)
- …our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Registered Nurse Case Mgr RN with HCA Florida St. Lucie ... 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
- 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
- HCA Healthcare (Miami, FL)
- **Description** **Introduction** Do you have the career opportunities as a(an) Registered Nurse RN Case Manager PRN you want with your current employer? We ... of colleagues. Do you want to work as a(an) Registered Nurse RN Case Manager...years of critical care experience + Certification in case management or utilization review preferred + InterQual… more