- Prime Therapeutics (Tallahassee, FL)
- …Patient Programs. **Education & Experience** + Associates - Nursing + Bachelors - Nursing + RN - Registered Nurse , State and/or Compact State Licensure - ... for work visa or residency sponsorship. **Additional Qualifications** + Registered Nurse ( RN ). + 5...Experience in managed care, specialty drugs, care management and utilization review. + Meets Credentialing criteria. + At minimum… more
- HCA Healthcare (Gainesville, FL)
- …usage. LICENSURE/CERTIFICATION: (list required and preferred separately) Currently licensed as a registered professional nurse in the state(s) of practice and/or ... limits? Our HCA Florida North Florida Hospital team is looking for a(an) Manager Case Management. HCA Healthcare is an advanced healthcare network that has committed… more
- 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 ... + Drive educational training and development for the more than 3,000 case manager , RN 's, and social workers involved in HCA's case management initiatives.… more
- AdventHealth (Apopka, FL)
- …than four decades **The role you'll contribute:** The Social Work Care Manager intervenes with patients who have complex psychosocial needs, require assistance with ... for individuals from at-risk populations from interdisciplinary team members (including physicians, RN Care Managers, staff nurses, and other members of the care… more
- AdventHealth (Tavares, FL)
- …WAY, Tavares, 32778 **The role you'll contribute:** The Social Work Care Manager intervenes with patients who have complex psychosocial needs, require assistance ... for individuals from at-risk populations from interdisciplinary team members (including physicians, RN Care Managers, staff nurses, and other members of the care… more
- AdventHealth (Maitland, FL)
- …that together we are even better. **The role you'll contribute:** The Care Manager System Educator Lead (CMEL) is a care management professional who supports the ... Director of System Care Management and/or Senior Manager Operations Optimization - Care Management in development and implementation of education for the CFD-S. CMEL… more
- Elevance Health (Tampa, FL)
- **Telephonic Nurse Case Manager II** **Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person ... the assessment within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope… more
- Elevance Health (Tampa, FL)
- ** Manager I Medical Management (Prior Authorizations) - Florida Medicare** **Office Locations:** This role is based in Florida at either our Tampa or Miami ... an accommodation is granted as required by law._ The ** Manager I Medical Management (Prior Authorizations)** is responsible for...Nursing is strongly preferred. + A current active unrestricted RN license is strongly preferred. + 5+ years of… more
- Elevance Health (Miami, FL)
- ** Manager I GBD Special Programs - LTSS** **Office Locations:** This role is based in Florida at either our Tampa or Miami PulsePoint offices. + 5411 Sky Center ... an accommodation is granted as required by law._ The ** Manager I GBD Special Programs** is responsible for managing...include, but are not limited to: + Manages resource utilization to ensure appropriate delivery of care to members,… more
- Elevance Health (Tampa, FL)
- …following standard procedures that do not require the training or skill of a registered nurse . **How you will make an impact** Primary duties may include ... a minimum of 2 years of clinical experience and/or utilization review experience. + Current active, valid and unrestricted...experience. + Current active, valid and unrestricted LPN/LVN or RN license and/or certification to practice as a health… more