- HCA Healthcare (Aventura, FL)
- …2 years of critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred HCA Florida Aventura ... 156,000 hours volunteering in our communities. As a(an) Registered Nurse Case Mgr RN PRN with HCA Florida Aventura...our organization. We are looking for an enthusiastic Registered Nurse Case Mgr RN PRN to help us reach… more
- University of Miami (Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Gordon ... Center is seeking several qualified Nurse Simulation Instructors 1, 2 and 3- Per Diem....that test learner knowledge and skills through simulation and utilization of standardized patients (actors). + Manages off-site courses… more
- AdventHealth (Deland, FL)
- …to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care ... (as permitted by the patient) as well as a review of the current and past inpatient and outpatient...Associate's degree Nursing or RN Diploma degree + Registered Nurse (RN) + Two (2) years of medical/hospital nursing… more
- Evolent (Tallahassee, FL)
- …focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies and procedures ... work with a group of nurses, providing appeal intake review for one dedicated client. They interact with coordinators...Be Doing:** + Practices and maintains the principles of utilization management and appeals management by adhering to company… more
- Elevance Health (Miami, FL)
- **Telephonic Nurse Case Manager II** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... in different states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the… more
- AdventHealth (Tampa, FL)
- …to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care ... (as permitted by the patient) as well as a review of the current and past inpatient and outpatient....Associate Degree Nursing or RN Diploma degree. .Florida Registered Nurse (RN) License. .Two (2 ) years of medical/hospital… more
- AdventHealth (Zephyrhills, FL)
- …to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care ... (as permitted by the patient) as well as a review of the current and past inpatient and outpatient...succeed:** Associates Degree Nursing or RN Diploma degree Registered Nurse (RN) Two (2) years of medical/hospital nursing experience… more
- MTC (Graceville, FL)
- …who are dedicated to improving people's lives. We are seeking an **On-Call Registered Nurse (RN)** to join our team. **Primary duties:** + Attend sick call with the ... forms as appropriate. + Practice basic cost containment and utilization management for inmate care and facility operations. +...HIPAA rules. + Accurately and promptly chart medical care. Review medical files to determine all provided services are… more
- MTC (Panama City, FL)
- …Correctional Facility located in Panama City, FL. is **now hiring a part-time Registered Nurse (RN)** to join our team. **Primary duties:** + Attend sick call with ... forms as appropriate. + Practice basic cost containment and utilization management for inmate care and facility operations. +...HIPAA rules. + Accurately and promptly chart medical care. Review medical files to determine all provided services are… more
- AdventHealth (Ocala, FL)
- …to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care ... (as permitted by the patient) as well as a review of the current and past inpatient and outpatient...need to succeed: .Associate and 2 years experience .Registered Nurse This facility is an equal opportunity employer and… more