- HCA Healthcare (Fort Lauderdale, FL)
- …10+ years overall case management experience required + Currently licensed as a Registered Nurse in the state(s) of practice according to law and regulation ... to HCA established policies, practices, efficiencies; and effectiveness of clinical Case Management , Utilization Management , and Social Work functions within… more
- AdventHealth (Winter Park, FL)
- …experience *Experience in Case Management , Managed Care, Discharge Planning and Utilization Management *Case Management training *Specific knowledge and ... by the unit of work (see competencies) **LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:** * Registered Nurse Current valid Florida State Licensure as a RN… more
- Actalent (Sunrise, FL)
- Utilization Management Nurse !Job Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing service authorization ... activities as assigned. Essential Skills + Clinical review + Utilization review + Utilization management ...record Additional Skills & Qualifications + Current unrestricted Florida RN or LPN License. + Minimum of one year… more
- ChenMed (North Miami Beach, FL)
- …RN with bachelor's degree in a related clinical field preferred. + A valid, active Registered Nurse ( RN ) license in State of employment required. + A ... great people to join our team. The Acute Care Nurse ( RN ) is responsible for achieving positive...experience required. + A minimum of 1 year of utilization review and/or case management , home health,… more
- MTC (Panama City, FL)
- …The Bay Correctional Facility located in Panama City, FL. is **now hiring a part-time Registered Nurse ( RN )** to join our team. **Primary duties:** + Attend ... or other forms as appropriate. + Practice basic cost containment and utilization management for inmate care and facility operations. + Maintain absolute security… more
- CVS Health (Tallahassee, FL)
- …appropriate member care. . Attends and participates in case rounds, including utilization management rounds for behavioral health and physical health to ... status which has resulted in an inpatient admission. The Transition of Care (TOC) RN ensures the member experiences a seamless transition to their next care setting.… more
- AdventHealth (Riverview, FL)
- …area, such as surgery, digestive health platform or data collection within a healthcare setting. Registered Nurse ( RN ) Licensed Practical Nurse (LPN) or ... pathways through Bariatrics, General Surgery, Colorectal, Gastroenterology, and Reflux management , with utilization of a multidisciplinary approach. Program… more
- HCA Healthcare (Tallahassee, FL)
- …active FL RN licenserequiredwithin90 days of hire** + **Advanced Practice Registered Nurse license is acceptable for position if current and compliant** ... and assess observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to third party… more
- HCA Healthcare (Tallahassee, FL)
- …and assess observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to third party ... medical necessity, admission status, level of care, and resource management . The RN CM Care Coordinator will...required within 90 days of hire** + **Advanced Practice Registered Nurse license is acceptable for position… more
- MTC (Quincy, FL)
- …record or other forms as appropriate. + Practice basic cost containment and utilization management for inmate care and facility operations. + Maintain absolute ... in one package!** Are you a dedicated and skilled RN looking for a meaningful opportunity to provide exceptional...with an acceptable driving record required, unless waived by management . Management & Training Corporation (MTC) is… more