- CenterWell (Tallahassee, FL)
- …RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to work ... Therapy, DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare +… more
- CenterWell (Tallahassee, FL)
- …Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to ... procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare/Medicaid… more
- Community Health Systems (Naples, FL)
- **Job Summary** Under the direction of the UR Director/ Manager the UR Nurse reviews all admissions for medical necessity, correct orders based on medical ... and verbal communication skills. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State Licensure Current RN license as… more
- AdventHealth (Tampa, FL)
- …The Utilization Management RN Supervisor reports directly to the Divisional Utilization Management RN Manager and assists in monitoring and performing the ... for the daily administrative tasks as assigned by the Utilization Management RN Manager . The Supervisor will...need to succeed:** Associates Degree in Nursing Required Registered Nurse (RN) License Required. 3 years of relevant work… more
- ChenMed (North Miami Beach, FL)
- …into acute and post-acute facilities, as well as, their home environments. The Nurse Case Manager 1 (RN) role also involves establishing relationships with ... or other appropriate means of communication. + Introduces self to patient/family and explains Nurse Case Manager 's role and processes to contact the Nurse … more
- Trinity Health (Fort Lauderdale, FL)
- **Employment Type:** Full time **Shift:** **Description:** Functions as Primary Nurse Reviewer for Observation services. * Maintains a working relationship with ... ensure authorization for hospital stay. Hybrid Position **_Position Purpose:_** ** Utilization Review (UR) Nurses play a vital role in...of care. If the patient meets Inpatient criteria, the Nurse will obtain a physician order to change the… more
- AdventHealth (Winter Garden, FL)
- …mind, body, and spirit! **The role you'll contribute** **:** The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians and the ... and progression through the continuum of care. The RN Care Manager ensures efficient and cost-effective care through appropriate resources monitoring, and… more
- AdventHealth (Altamonte Springs, FL)
- …and world-class resource **The role you'll contribute** **:** The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians and ... and progression through the continuum of care. The RN Care Manager ensures efficient and cost-effective care through appropriate resources monitoring, and… more
- HCA Healthcare (Sanford, FL)
- **Description** **Introduction** Are you ready to manage in a new era as a Nurse Manager FSED Mt Dora where building a healthier tomorrow is more than a job? Our ... an HCA Healthcare facility. Be an impact as a(an) Nurse Manager FSED Mt Dora where your...productivity guidelines. + Manages operating expenses, including the utilization of supplies and equipment. Identifies cost reduction opportunities… more
- AdventHealth (Wauchula, FL)
- **Registered Nurse Case Manager - AdventHealth Home Health** **All the benefits and perks you need for you and your family:** + Up to $10,000 Sign on Bonus + ... visits in the Hardee County area. **The role you'll contribute:** The Home Health Registered Nurse (RN) Care Manager is a professional nurse who coordinates… more