- HCA Healthcare (Port Charlotte, FL)
- …You will promote cost effectiveness through the integration of case management, utilization review management and discharge planning. **What qualifications you ... Unlock your potential! **Job Summary and Qualifications** We are seeking a Registered Nurse Case Manager. You will provide clinical expertise to ensure all patients… more
- HCA Healthcare (Miami, FL)
- …2 years of critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred HCA Florida Kendall ... for benefits may vary by location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential and see how rewarding it can… more
- HCA Healthcare (Sun City Center, FL)
- …Healthcare Quality) OR CHCQM (Diplomate in American Board of Quality Assurance and Utilization Review Physicians) _Individuals without CPHQ or ABQUARP will be ... field required; Master's Degree preferred . Current Florida licensure as a Registered Nurse preferred _**If serving as facility's primary Risk Manager, VP must have… more
- HCA Healthcare (Brooksville, FL)
- …You will promote cost effectiveness through the integration of case management, utilization review management and discharge planning. **What qualifications you ... Unlock your potential! **Job Summary and Qualifications** We are seeking a Registered Nurse Case Manager. You will provide clinical expertise to ensure all patients… more
- Humana (Hallandale Beach, FL)
- …and psycho-social health issues. + Monitor and maintain awareness of utilization and conducts outreach based on acuity to assess medical/social/BH needs ... work or behavioral health-related field + Active licensed Registered Nurse , RN in the state of Florida without disciplinary...protection. Please be aware that applicants selected for leader review may be asked to provide their social security… more
- HCA Healthcare (Largo, FL)
- …You will promote cost effectiveness through the integration of case management, utilization review management and discharge planning. **What qualifications you ... of our team. **Job Summary and Qualifications** We are seeking a Registered Nurse Case Manager. You will provide clinical expertise to ensure all patients receive… more
- HCA Healthcare (Trinity, FL)
- …You will promote cost effectiveness through the integration of case management, utilization review management and discharge planning. **What qualifications you ... of our team. **Job Summary and Qualifications** We are seeking a Registered Nurse Case Manager. You will provide clinical expertise to ensure all patients receive… more
- Cleveland Clinic (Vero Beach, FL)
- …of eligibility (CTM, ACM, CCM or AHA) + 2 years of recent experience in utilization review , quality or care management + Knowledge of acute care and ... of science in nursing (BSN) + Current state licensure as a Registered Nurse (RN) + Basic Life Support (BLS) certification through the American Heart Association… more
- CenterWell (Daytona Beach, FL)
- …+ Overseeing other clinicians which includes Physicians, Advanced Registered Nurse Practitioners (ARNP), and Physicians Assistants (PA) + Maintaining Collaborative ... inquiries, requests, and complaints from patients + Ongoing chart review / audit of clinical staff to ensure quality...+ Identifying trends and areas of opportunity in pharmacy utilization (pharmacy management) to impact Part D per Member… more
- NHS Management, LLC (Daytona Beach, FL)
- …of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. + Receives physicians' instructions regarding resident ... along the way. We are in search of a qualified Registered Weekend Nurse Supervisor: + Assists in maintaining resident care standards by supervising and directing… more