- Veterans Affairs, Veterans Health Administration (Gainesville, FL)
- Summary The Utilization Management (UM) Registered Nurse (RN) is responsible for UM reviews for patients who receive hospital care. Responsibilities An ... UM Registered Nurse is responsible for UM reviews...accreditation standards, and performance measures. Uses emergency and bed management software and utilization data to manage… more
- AdventHealth (Orlando, FL)
- …a holistic environment. **The role you'll contribute:** The role of the Utilization Management (UM) Registered Nurse (RN) is to use clinical expertise by ... and valid license to practice in Florida as a Registered Nurse (ADN or BSN) required. +...care clinical nursing experience required. + Minimum two years Utilization Management experience, or equivalent professional experience.… more
- Ascension Health (Pensacola, FL)
- …and coordinate compliance to federally mandated and third party payer utilization management rules and regulations. **Requirements** Licensure / Certification ... offer._ **Responsibilities** Provide health care services regarding admissions, case management , discharge planning and utilization review. +.../ Registration: + Licensed Registered Nurse credentialed from the Florida Board… more
- CVS Health (Tallahassee, FL)
- …both verbal and written **Required Qualifications** + 2+ years of experience as a Registered Nurse in adult acute care/critical care setting. + Must have active ... current and unrestricted RN licensure in state of residence. + Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and… more
- Humana (Tallahassee, FL)
- …part of our caring community and help us put health first** The SNF Utilization Management Nurse uses clinical knowledge, communication skills, and ... where needed. Follows established guidelines and procedures. The SNF Utilization Management Nurse uses clinical...an impact** **Required Qualifications** + Compact licensure + Licensed Registered Nurse (RN) in the (appropriate state)… more
- CVS Health (Tallahassee, FL)
- …administration of the utilization /benefit management function. Required Qualifications + Registered Nurse in state of residence. + 3+ years of Nursing ... experience. Preferred Qualifications + Prior authorization utilization management /review experience preferred Outpatient Clinical experience. + Knowledge of… more
- ChenMed (North Miami Beach, FL)
- …RN with bachelor's degree in a related clinical field preferred. + A valid, active Registered Nurse (RN) license in State of employment required. + A minimum of ... great people to join our team. The Acute Care Nurse (RN) is responsible for achieving positive patient outcomes...experience required. + A minimum of 1 year of utilization review and/or case management , home health,… more
- ChenMed (Lakeland, FL)
- …RN with bachelor's degree in a related clinical field preferred. + A valid, active Registered Nurse (RN) license in State of employment required. + A minimum of ... we need great people to join our team. The Nurse Case Manager 2 (RN) is responsible for achieving...experience required. + A minimum of 1 year of utilization review and/or case management , home health,… more
- MyFlorida (Land O' Lakes, FL)
- REGISTERED NURSE - 50000059 Date: Jun 2, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 853673 Agency: Veterans Affairs Working Title: REGISTERED NURSE - 50000059 Pay Plan: Career Service… more
- MyFlorida (Bunnell, FL)
- …on recalls for client due for annual exams, implant removals and insertions. The Registered Nurse will provide case management for the sterilization program ... SENIOR REGISTERED NURSE - 64068640 Date: Jun...Knowledge, Skills, and Abilities: Knowledge, skills and abilities, including utilization of equipment, required for the position:Preferred or required… more
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