- Veterans Affairs, Veterans Health Administration (Gainesville, FL)
- Summary The Utilization Management /Inpatient Care Coordination Nurse Manager demonstrates leadership expertise in regards inpatient care coordination and ... experience such as Charge Nurse or Nurse Manager Minimum of two years Utilization Management experience Minimum five years varied RN clinical… more
- Actalent (Sunrise, FL)
- Job Title: Behavioral Health Utilization Review NurseJob Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing requests ... reports on department activities as assigned. Essential Skills + Experience in utilization management , behavioral health, and mental health. + Proficiency in… more
- CVS Health (FL)
- …**Position Summary** The Associate Manager is responsible for oversight of Utilization Management staff. This position is responsible for the development and ... closely with functional area leadership team (department Associate Managers, Manager , and other key stakeholders such as Medical Directors,...a Registered Nurse + 3+ years of Utilization Management experience + 3+ year(s) of… more
- AdventHealth (Altamonte Springs, FL)
- …avoidance strategies including concurrent payer communications to resolve status disputes. The Utilization Management Nurse is accountable for a designated ... **The role you will contribute:** The role of the Utilization Management (UM) Registered Nurse ...bachelors degree in addition to RN licensure) Accredited Case Manager (ACM) or CCM - Certified Case Manager… more
- Elevance Health (Miami, FL)
- ** Utilization Management Representative I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person ... an accommodation is granted as required by law._ The ** Utilization Management Representative I** will be responsible...requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for the identification and data… more
- Veterans Affairs, Veterans Health Administration (Bay Pines, FL)
- …level outcomes must be broad and complex. Responsibilities The Patient Safety Manager (PSM) Registered Nurse (RN) executes the position responsibilities that ... position responsibilities that demonstrate leadership, experience, creative approaches to management of complex patient care. Assesses, plans, implements, evaluates… more
- AdventHealth (Orlando, FL)
- …documents avoidable days, and facilitates progression of care. Collaborates with Utilization Management staff for collaboration on patient status changes ... satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily...+ Health-related masters degree or MSN + Prior Care Management / Utilization Management experience +… more
- CVS Health (FL)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... position consists of working intensely as a telephonic case manager with patients and their care team for fully...or Specialty Pharmacy. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator… more
- AdventHealth (Ormond Beach, FL)
- **Registered Nurse RN Care Manager ** **-** **AdventHealth Hospice** **All the benefits and perks you need for you and your family:** + Up to $5,000 Sign on Bonus ... Edgewater) **The role you'll contribute:** The Home Health Registered Nurse (RN) Care Manager is a professional...care based on individual patient needs. The RN Care Manager is responsible for independent management of… more
- AdventHealth (Palm Coast, FL)
- …of Nursing. + Health-related Master's degree or MSN. + Prior Care Management / Utilization Management experience. + ACM/CCM Certification. This facility ... is under the general supervision of the Care Management Supervisor or Manager or Director of...physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge… more