- HCA Healthcare (Gainesville, FL)
- …psycho-social, financial). 1. Participates in IDT rounds, 1. Conducts utilization review, evaluates clinical information, and communicates findings to physicians ... on a timely basis in accordance with the NFRMC Utilization Review Plan and managed care contractual agreements. 1....and preferred separately) Currently licensed as a registered professional nurse in the state(s) of practice and/or has an… more
- Adecco US, Inc. (Deltona, FL)
- …understanding of the cost consequences resulting from Care Management decisions through utilization of reports and systems such as Health Plan Benefits, ... utilization of metrics and CM reports. . Participates in...**Qualifications for the** **Case Manager RN:** . Active Registered Nurse License in Florida and active BLS Certification .… more
- ZOLL Medical Corporation (Leesburg, FL)
- …include: Physicians (Cardiologists, Electrophysiologists, Hospitalists, CT Surgeons etc.), Nurse Practitioners, Physician Assistants, nurses, case managers and ... with relevant clinical, reporting, and technical information that supports the utilization of ZOLL Cardiac Diagnostic products for appropriate patients. +… more
- HCA Healthcare (Kissimmee, FL)
- …and patient throughput while supporting a balance of optimal care and appropriate resource utilization . What you will do in this role: + Develops a case management ... the appropriate level of care, patient status and resource utilization + Evaluates admissions for medical necessity using approved...card required within 30 days of start + Registered Nurse Diploma + Associates Degree in Nursing or Diploma… more
- HCA Healthcare (Fort Walton Beach, FL)
- …including position control, scheduling excellence, productivity management, and premium pay utilization . Maintains staffing to ensure appropriate patient care. + ... Manages operating expenses, including the utilization of supplies and equipment. Identifies cost reduction opportunities and implements actions to achieve savings.… more
- Organon & Co. (Pensacola, FL)
- …include Health Care Providers such as Physicians across multiple specialties, Nurse Practitioners, Physician Assistants, Midwives, Nurses and Pharmacist in addition ... clinical information in an accurate and clear manner to encourage proper product utilization while meeting the needs of customers. + Understanding of the local… more
- HCA Healthcare (Tampa, FL)
- …and external agencies to ensure continuity of care and optimal clinical resource utilization . The Director has oversight for all aspects of daily hospital case ... interdisciplinary teams and external stakeholders. The Director is a registered nurse with responsibility for all operational aspects of the department. This… more
- AdventHealth (Sebring, FL)
- …staff Qualifications **The expertise and experiences you'll need to succeed:** . Registered Nurse : BSN or Social Worker: BSW Masters in related field. . 3 years ... in direct Care Management/ Utilization Management experience in an acute care setting. ....care setting. . State specific RN license if a nurse . . Licensed Social Worker (LSW) This facility is… more
- Molina Healthcare (Miami, FL)
- **Job Summary** **_For this position we are seeking a (RN) Registered Nurse who must be licensed for the state of KENTUCKY or have a compact license._** Provides ... bills, and claims data to ensure appropriate payment levels, optimize resource utilization , and maintain compliance with state and federal laws. All reviews must… more
- Cleveland Clinic (Vero Beach, FL)
- …in the examination and treatment of patients under the direction of the Registered Nurse . + Identify patients' physical care and comfort needs and perform care. + ... Therapy (ECT) preparation and provide care as designated by the Registered Nurse pre-op and post-op. + Perform ongoing observation of patient responses to… more