- AdventHealth (Orlando, FL)
- …to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care ... documents avoidable days, and facilitates progression of care. Collaborates with Utilization Management staff for collaboration on patient status changes and medical… more
- ChenMed (Tamarac, FL)
- …Facilitate patient/family conferences to review treatment goals, optimize resource utilization , provide family education and identify needs. Readmission Rate Advance ... directives/End of Life Planning Patient Satisfaction Utilization /Financial Management-managing resource utilization and reimbursement for services. (5% year 1&… more
- Molina Healthcare (Tampa, FL)
- …meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN). **Required Experience** 1-3 years of hospital or medical ... experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines. Experience… more
- MyFlorida (Bradenton, FL)
- SENIOR COMMUNITY HEALTH NURSE - 64080249 Date: Aug 8, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 858432 Agency: Department of Health Working Title: SENIOR COMMUNITY HEALTH NURSE - 64080249 Pay Plan: Career Service Position Number: 64080249 Salary: $64,480… more
- AdventHealth (Deland, FL)
- …Altoona, Deland - Yellow Team **The role you'll contribute:** The Home Health Registered Nurse (RN) Care Manager is a professional nurse who coordinates and ... requiring the use of advanced assessment, teaching and decision-making skills. The nurse is responsible for ensuring that appropriate referrals to other services are… more
- HCA Healthcare (Kissimmee, FL)
- **Description** **Introduction** Are you ready to manage in a new era as a Nurse Manager NICU where building a healthier tomorrow is more than a job? Our HCA Florida ... US hospital services happen at an HCA Healthcare facility. Be an impact as a(an) Nurse Manager NICU where your passion for leading and creativity are valued? We want… more
- HCA Healthcare (Clearwater, FL)
- …Surgery Center have the opportunity to make a real impact. As an Operating Room Nurse you can be a part of change. **Benefits** Countryside Surgery Center offers a ... location._** It is an exciting time to be a nurse at Surgery Ventures powered by HCA Healthcare! Come...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
- HCA Healthcare (Margate, FL)
- …care in 21 states and the United Kingdom. We are looking for a RN Nurse Manager Critical Care for our HCA Florida Northwest Hospital team where excellence creates ... you want to be an influencer in healthcare? **Apply for our RN Nurse Manager Critical Care role today!** **Job Summary and Qualifications** Coordinates nursing… more
- Centene Corporation (Tallahassee, FL)
- …perspective on workplace flexibility. **Centene is Hiring - Remote Clinical Review Nurse (Prior Authorization)!** **Ready to take your nursing career beyond the ... + Assists with providing education to providers and/or interdepartmental teams on utilization processes to promote high quality and cost-effective medical care to… more
- Elevance Health (Miami, FL)
- **Medical Management Nurse ** **Location:** Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training ... 6pm EST and will include weekends. The **Medical Management Nurse ** will be responsible for review of the most...experience and requires a minimum of 2 years clinical, utilization review, or managed care experience; or any combination… more