- Centene Corporation (Tallahassee, FL)
- …in eastern or central time zones. Ideal candidate will have experience in utilization review and 1+ years of auditing.** **Education/Experience:** Associate's or ... or healthcare setting. Amisys and CCMS experience preferred. **License/Certification:** RN or LPN license. Pay Range: $55,100.00 - $99,000.00 per year Centene offers… more
- Intermountain Health (Tallahassee, FL)
- …patients and/or patient's family, caregivers, and/or legal representatives socio-economic review and screening to support coordination of care. Plans interventions ... team to provide care coordination for preventative care and utilization mitigation. Identifies appropriate resources, including transportation, housing, healthcare,… more
- CVS Health (Tallahassee, FL)
- … Utilization and 30-day hospital readmissions. **Required Qualifications** - Active and unrestricted Licensed Practical Nurse ( LPN ) in state of ... who cannot advocate for themselves. The TOC team will review prior claims to address potential impact on current...in Nursing **Education** High School Diploma or equivalent GED, Licensed Practical Nurse **Anticipated Weekly… more
- Centene Corporation (Tallahassee, FL)
- …of utilization management processes preferred. **License/Certification:** + LPN - Licensed Practical Nurse - State Licensure required + For Health ... discuss member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in… more
- MyFlorida (Orlando, FL)
- …of resident's status, and providing supervision and guidance to the Registered (RN), Licensed Practical Nurse ( LPN ), Certified Nursing Assistant ... SENIOR REGISTERED NURSE SUPV 1 Date: Jul 22, 2025 The...that the residents are receiving total nursing care. + Review shift assignments and ensure that the assignments reflect… more
- AdventHealth (Riverview, FL)
- …health platform or data collection within a healthcare setting. Registered Nurse (RN) Licensed Practical Nurse ( LPN ) or Licensure from another state ... Bariatrics, General Surgery, Colorectal, Gastroenterology, and Reflux management, with utilization of a multidisciplinary approach. Program development is organizational… more
- Healthfirst (FL)
- The Case Manager, Utilization Management coordinates the care plan for assigned members and conducts pre-certification, concurrent review , discharge planning, ... and case management as assigned. The Case Manager, Utilization Management is also responsible for efficient utilization...+ Additional duties as assigned Minimum Qualifications: + RN, LPN , LMSW, LMHC, LMFT, LCSW, PT, OT, and/or ST… more
- MyFlorida (St. Augustine, FL)
- SENIOR REGISTERED NURSE SUPV - 50950032 Date: Aug 5, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 858189 Agency: Veterans Affairs Working Title: SENIOR REGISTERED NURSE SUPV - 50950032 Pay Plan: Career Service Position...status, and providing supervision and guidance to the RN, LPN , CNA and other Allied Health Care Professionals. Works… more
- MyFlorida (Land O' Lakes, FL)
- SENIOR REGISTERED NURSE SUPV - 50000071 Date: Jul 11, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 853135 Agency: Veterans Affairs Working Title: SENIOR REGISTERED NURSE SUPV - 50000071 Pay Plan: Career Service Position...status and providing supervision and guidance to the RN, LPN , CNA and other Allied Health Care Professionals. Works… more
- MyFlorida (Port Saint Lucie, FL)
- SENIOR REGISTERED NURSE SUPV Date: Aug 2, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 854386 Agency: Veterans Affairs Working Title: SENIOR REGISTERED NURSE SUPV Pay Plan: Career Service Position Number: 50453512...status and providing supervision and guidance to the RN, LPN , CNA, and other Allied Health Care Professionals. +… more