- MyFlorida (Port Saint Lucie, FL)
- …that all verbal orders, including telephone orders from attending physicians, are reviewed by a registered nurse . + If no RN is available, receive all ... SENIOR REGISTERED NURSE SUPV Date: Aug 2,...resident's status and providing supervision and guidance to the RN , LPN , CNA, and other Allied Health… more
- Elevance Health (Tampa, FL)
- … utilization review experience. + Current active, valid and unrestricted LPN /LVN or RN license and/or certification to practice as a health professional ... of Elevance Health's family of brands. We are a licensed health maintenance organization with health plans for people...do not require the training or skill of a registered nurse . **How you will make an… more
- Evolent (Tallahassee, FL)
- …other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical /Vocational Nurse with a current, ... quality and cost effective care delivery. **What You'll Be Doing:** + Performs utilization review of outpatient procedures and ancillary services. + Fulfills on… more
- 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 ... a managed care or healthcare setting. Amisys and CCMS experience preferred. **License/Certification:** RN or LPN license. Pay Range: $55,100.00 - $99,000.00 per… more
- CVS Health (Tallahassee, FL)
- … Utilization and 30-day hospital readmissions. **Required Qualifications** - Active and unrestricted Licensed Practical Nurse ( LPN ) in state of ... nursing, or rehabilitative stay. Under the direction of a Registered / Licensed RN , the TOC Coach...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
- Healthfirst (FL)
- …+ Occasional overtime as necessary + Additional duties as assigned Minimum Qualifications: + RN , LPN , LMSW, LMHC, LMFT, LCSW, PT, OT, and/or ST license + ... The Case Manager, Utilization Management coordinates the care plan for assigned...care plan for assigned members and conducts pre-certification, concurrent review , discharge planning, and case management as assigned. The… 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 ... Agency: Department of Health Working Title: SENIOR COMMUNITY HEALTH NURSE - 64080249 Pay Plan: Career Service Position Number:...is in session. The incumbent must possess a current RN license in the State of Florida. School Health… more