- Elevance Health (Tampa, FL)
- …is granted as required by law. *Must reside in the state of Florida* The ** Manager of Utilization Management ** is responsible for managing a team of ... physical and/or behavioral health practitioners responsible for coordinating member service, utilization , access, care management and/or concurrent review to… more
- CenterWell (Tallahassee, FL)
- …RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... Therapy, DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare… more
- BayCare Health System (St. Petersburg, FL)
- …experience includes 3 years of Case Management or 3 years of Utilization Management or 6 years of clinical nursing **Certifications and Licensures:** + ... Required RN (Registered Nurse) + Preferred ACM (Case Management ) + Preferred CCM (Case Manager ) **Education:**...Bachelors in Nursing **Experience:** + Required 3 years in Utilization Management or + Required 3 years… more
- BayCare Health System (Tampa, FL)
- …and Licensures:** + Required RN (Registered Nurse) + Preferred ACM (Case Management ) + Preferred CCM (Case Manager ) **Education:** + Required Associates ... of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior/RN responsibilities include:** + Functions as the… more
- Select Medical (Miami, FL)
- …by doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with… more
- Select Medical (Lake Worth, FL)
- …by doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with… more
- Performance Food Group (Ocala, FL)
- …Coordinates pick planning in conjunction with the Warehouse Manager . + Utilization of Company's warehouse management system and other technologies available ... **Job Category:** Operations **Preferred Qualifications:** Associates/2-year technical degree in business management , logistics or related area. 2 - 3 years of… more
- Community Health Systems (Naples, FL)
- …spending accounts + Life and disability insurance and more **Job Summary** The Manager , Care Management is responsible for the planning, coordination, and ... oversight of care management services, including utilization review, discharge planning,...Manager leads the daily operations of the Care Management department, supervises staff, and collaborates with physicians, nurses,… more
- Mayo Clinic (Jacksonville, FL)
- …by ensuring appropriate utilization management , care coordination, resource utilization , and clinical documentation. The RN Case Manager will function ... The RN Case Manager provides leadership through education on case management / utilization management concepts, committee work, research, and community… more
- Mayo Clinic (Jacksonville, FL)
- …by ensuring appropriate utilization management , care coordination, resource utilization , and clinical documentation. The RN Case Manager will function ... The RN Case Manager provides leadership through education on case management / utilization management concepts, committee work, research, and community… more