- Highmark Health (Tallahassee, FL)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure… more
- Sharecare (Tallahassee, FL)
- …**Monday June 16th, 2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- Sharecare (Tallahassee, FL)
- …support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Clinical Registered Nurse coordinates with the Primary ... the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn...management program intervention guidelines. A Clinical Registered Nurse is supervised by an Operations Manager … more
- ChenMed (Miami, FL)
- …providers. We're rapidly expanding and we need great people to join our team. The Registered Nurse 1, Care Line, is responsible for providing telephonic ... triage directional patient care advice for general and specific illnesses, health related...license and as possible given technology and medium. The registered nurse collaborates with primary caregivers and… more
- Humana (Kissimmee, FL)
- **Become a part of our caring community and help us put health first** The Field Care Manager Nurse 2 assesses and evaluates member's needs and requirements ... care and wellbeing of members. The Field Care Manager Nurse 2 work...**Must meet** **one** **of the following requirements:** + Licensed Registered Nurse , ( RN ), in the… more
- ChenMed (Deerfield Beach, FL)
- …rapidly expanding and we need great people to join our team. The Part Time Registered Nurse , Virtual Care , is responsible for providing telephonic emergency ... triage and directional patient care advice for general and specific illnesses, health related...Providing on-call coverage, the incumbent in this role provides remote clinical advice and assessments within license and as… more
- ChenMed (Miami, FL)
- …rapidly expanding and we need great people to join our team. The Registered Nurse , Telehealth is responsible for providing telephonic triage directional patient ... care advice for general and specific illnesses, health related...and their families. The incumbent in this role provides remote clinical advice and assessments within license and as… more
- Public Consulting Group (Tallahassee, FL)
- …learn more, visit www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager . The Case Manager ... Proven working experience in case management, including as a nurse , medical, mental health care manager...plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions**… more
- Molina Healthcare (Jacksonville, FL)
- …care providers. **JOB QUALIFICATIONS** **Required Education** Active, unrestricted RN License. **Required Experience** 5+ years' experience in managed healthcare, ... accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Health Plan Quality Interventions is responsible for developing,… more
- AdventHealth (Altamonte Springs, FL)
- …expertise and experiences you'll need to succeed:** . Bachelor's . 1 Related Experience . Registered Nurse ( RN ) . Extensive understanding of CPT, HCPCS, ICD, ... are even better. **Shift** : Monday-Friday **Job Location** : Remote **The role you will contribute:** This position is...denied according to various payer policies, inpatient level of care (MCG or IQ), NICU level of care… more