- AdventHealth (Tampa, FL)
- …ro** **le you'll contribute:** The role of the Emergency Department Utilization Management (UM) Registered Nurse (RN) is to use clinical expertise ... days a week including weekends, holidays and overnight. The Emergency Department UM RN leverages the algorithmic...or designated leader for additional review as determined by department standards. The Utilization Management … more
- AdventHealth (Daytona Beach, FL)
- …MEDICAL PKWY, Daytona Beach, 32117 **The role you'll contribute:** The role of the Utilization Management (UM) Registered Nurse (RN) is to use clinical ... strategies including concurrent payer communications to resolve status disputes. The Utilization Management Nurse is accountable for a designated patient… more
- Community Health Systems (Naples, FL)
- …supplies are available and properly utilized while maintaining cost-effective resource management . + Facilitates ongoing education and professional development ... huddles. + Monitors patient flow, manages bed assignments, and optimizes resource utilization within the unit. + Conducts employee and patient rounding to evaluate… more
- AdventHealth (Daytona Beach, FL)
- …Daytona Beach, FL 32117 **The role you'll contribute:** The ANM is a registered professional nurse who supports the Nurse Manager in overall operations of their ... the delivery of patient care + Is involved in unit- department based budgeting and support of the budget. Maintains...of the budget. Maintains staffing and scheduling, and resource utilization within budgeted targets for the unit. + Collaborates… more
- Humana (Tallahassee, FL)
- …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to support ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and… more
- CVS Health (Tallahassee, FL)
- …solutions that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team. ... listening, and use of a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM specialty teams as needed,… more
- ERP International (Macdill AFB, FL)
- …is seeking a ** Registered ** **Nurse (RN)** for a Full-Time position in ** Utilization Management ** at MacDill AFB, FL. Apply online today and discover more ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
- BayCare Health System (Tampa, FL)
- …and Licensures:** + Required RN ( Registered Nurse) + Preferred ACM (Case Management ) + Preferred CCM (Case Manager) ** Education :** + Required Associates in ... of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior/RN responsibilities include:** + Functions as... Review or + Required 2 years in Case Management or + Required 3 years Registered … more
- Centene Corporation (Tallahassee, FL)
- …and discharge planning + Analyzes BH member data to improve quality and appropriate utilization of services + Provides education to providers members and their ... million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization...families regrading BH utilization process + Interacts with BH healthcare providers as… more
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