- Healthfirst (FL)
- The Case Manager, Utilization Management coordinates the care plan for assigned members and conducts pre-certification, concurrent review, discharge planning, ... case management as assigned. The Case Manager, Utilization Management is also responsible for efficient...necessary + Additional duties as assigned Minimum Qualifications: + RN , LPN, LMSW, LMHC, LMFT, LCSW, PT, OT, and/or… more
- Community Health Systems (Naples, FL)
- … skills to prioritize tasks in a dynamic environment. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State ... **Job Summary** The Care Manager - RN is responsible for coordinating and overseeing discharge...and overseeing discharge planning, transitions of care, and case management activities to ensure optimal patient outcomes. This role… more
- ChenMed (Miami, FL)
- …We're rapidly expanding and we need great people to join our team. The Registered Nurse 1, Care Line, is responsible for providing telephonic triage directional ... and assessments within license and as possible given technology and medium. The registered nurse collaborates with primary caregivers and others on the… more
- Veterans Affairs, Veterans Health Administration (Sarasota, FL)
- …of the interdisciplinary team. The Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse ( RN ) is responsible for providing competent, ... orientation, competencies and providing quality improvement and enhance outcomes utilization . This nurse integrates outpatient nursing knowledge,...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- ChenMed (Jacksonville, FL)
- …rapidly expanding and we need great people to join our team. The Registered Nurse , Telehealth is responsible for providing telephonic triage directional patient ... issues, client counseling, patient advocacy, health education and referral and resource management to ChenMed patients and their families. The incumbent in this role… more
- AdventHealth (New Smyrna Beach, FL)
- …experiences you'll need to succeed:** **Minimum qualifications** : + Bachelors of Nursing + Registered Nurse in the State of Florida + Advanced Cardiac Life ... responsibility in maintaining these relationships, demonstrating effective communication, conflict management , human relationship skills, and team building. **The value… more
- 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. ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
- AdventHealth (Sebring, FL)
- …and hiking trails The role you'll contribute: The Inpatient Wound Care RN will be responsible for Inpatient Wound Care oversight, wound/ostomy consultation and ... management , monitoring of quality indicators, and staff education.This role...wound Care/Hyperbarics programs.This includes, but is not limited to, utilization of skills in organization, planning, implementing, evaluating, and… more
- Molina Healthcare (Miami, FL)
- … Registered Nursing ( RN ) license in good standing. + Utilization Management Certification (CPHM) Certified Professional in Health Care Quality (CPHQ), ... management initiatives and analytical studies aimed at optimizing utilization of medical resources and maximizing operational efficiencies. + Engages with… more
- HCA Healthcare (Ocala, FL)
- …duties as assigned **What qualifications you will need:** + 2 year Associate Degree required + ( RN ) Registered Nurse + 2 years acute hospital RN ... join an organization that invests in you as an RN Case Manager PRN? At HCA Florida West Marion...supporting a balance of optimal care and appropriate resource utilization . + Provides case management services for… more