- CenterWell (Tallahassee, FL)
- …our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent critical ... **Required Qualifications** + Must be a licensed Registered Compact Nurse license (RN) with no disciplinary action and ability...Lung or Critical Care Nursing experience required + Prior clinical experience preferably in an acute care, skilled or… more
- Molina Healthcare (Tampa, FL)
- …medical necessity, ensuring timeliness, and supporting the consistency of clinical decision-making across markets. Participates in a team-based, physician-led model ... that aligns with national clinical oversight standards and enterprise behavioral health initiatives. Contributes to overarching strategy to provide quality and… more
- Centers Plan for Healthy Living (Margate, FL)
- …For Healthy Living is currently accepting applications for Full Time Registered Nurse without experience. The Utilization Management Clinical Reviewer works ... in their home to improve their quality of life. Utilization Management Clinical Reviewer will assess and process all authorization requests to determine medical… more
- University of Miami (Miami, FL)
- … Educator - Medical Simulation and Education Lab to work in Miami, FL. The Nurse Educator provides clinical education to nursing and patient care staff and ... community clinical partners, to ensure high quality clinical outcomes. The Simulation Nurse Educator is...per year. Training programs include curricula developed by the UM Gordon Center, and other organizations, such as the… more
- University of Miami (Miami, FL)
- …(For Non-exempt Employees Include Percent of Effort): Meets requirements of Clinical Trials Senior Chemotherapy Nurse 30% Administers research study ... protocol and clinical practice standards. Provides documentation to the Research Nurse and/or Data Manager. Meets study timelines and objectives as defined by… more
- University of Miami (Miami, FL)
- …Plans discharge and teaching nee ds as applicable. 4. Promotes development of clinical practice based on research and evidence. 5. Assists leadership team with ... maintenance of initial and ongoing unit - based clinical competencies Implementation 25% 1. Ensures that each clinic...any abnormal results (non - critical values) to the nurse who in turn will contact the physician accordingly… more
- Humana (Tallahassee, FL)
- …us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require interpretation… more
- University of Miami (Miami, FL)
- …please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Registered Nurse works as a part of a team to ... position include, but are not limited to: Performance Nursing Duties as per Nurse Job Description 100% Perform patient interview and obtains vital signs. Assists… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Telephonic Nurse Case Manager will be a member of the In-Home Case Management Team, providing a ... beneficiary's capacity for self- care, to cost-effectively achieve desired clinical outcomes and to enhance quality of medical care....and to enhance quality of medical care. The **Telephonic Nurse Case Manager** will collect and document data to… more
- Highmark Health (Tallahassee, FL)
- …experience, or provider operations and/or health insurance experience + 1 year in a clinical setting **Preferred** + 5 years in UM /CM/QA/Managed Care + 1 year ... over a specified panel of members that range in health status/severity and clinical needs; and assesses health management needs of the assigned member panel and… more
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