- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Manager , Utilization Management Nursing (LTSS Utilization Management ... and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing works within specific… more
- CVS Health (FL)
- …years of acute experience as a Registered Nurse + 3+ years of Utilization Management experience + 3+ year(s) of Appeals experience in Utilization ... **Position Summary** The Associate Manager is responsible for oversight of Utilization Management staff. This position is responsible for the development and… more
- Molina Healthcare (St. Petersburg, FL)
- … RN or Clinical Social Worker/Counseling License. + Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified Professional ... licensing mandate. + At least 2 years in case, disease or utilization management ; managed care; or medical/behavioral health settings. + One year of training… more
- AdventHealth (Tampa, FL)
- …Qualifications The expertise and experiences you'll need to succeed: .Associate Degree Nursing or RN Diploma degree. .Florida Registered Nurse ( RN ) ... satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager ....Two (2 ) years of medical/hospital Registered Nurse experience This facility is an equal opportunity employer… more
- AdventHealth (Port Charlotte, FL)
- …you'll need to succeed** **:** Associate's of Nursing Required 2 Work Experience Required Registered Nurse ( RN ) Required This facility is an equal ... satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager ...physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge… more
- AdventHealth (Riverview, FL)
- …Qualifications **The expertise and experiences you'll need to succeed:** Associates Degree Nursing or RN Diploma degree Registered Nurse ( RN ) State ... satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager ...physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge… more
- AdventHealth (Tarpon Springs, FL)
- …Qualifications **The expertise and experiences you'll need to succeed:** Associates Degree Nursing or RN Diploma degree. Registered Nurse ( RN ). Two (2) ... satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager ...physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge… more
- AdventHealth (Orlando, FL)
- …32813, 32822, 32829, 32812, 32809 **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional nurse who ... ** Registered Nurse Case Manager AdventHealth...on individual patient needs. The RN Care Manager is responsible for independent management of the… more
- AdventHealth (Winter Haven, FL)
- …in the Polk County area. **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional nurse who coordinates ... ** Registered Nurse Case Manager -...on individual patient needs. The RN Care Manager is responsible for independent management of the… more
- HCA Healthcare (Davie, FL)
- …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Registered Nurse RN Case Mgr PRN with HCA Florida University ... in our organization. We are looking for an enthusiastic Registered Nurse RN Case Mgr...years of critical care experience + Certification in case management or utilization review preferred + InterQual… more