- AdventHealth (Tampa, FL)
- …Stroke Center. **The role** **you'll** **contribute:** The role of the Utilization Management (UM) Registered Nurse (RN) is to use clinical expertise ... align with the physician order or a status conflict is indicated, the UM nurse is responsible for escalation to the Physician Advisor or designated leader for… more
- Centene Corporation (Tallahassee, FL)
- …**Remote-US position. Must work Eastern or Central Standard Time.** Registered Nurse (RN)-with utilization management , concurrent review, and acute care ... and actions taken on member medical records in health management systems according to utilization management... processes preferred. **License/Certification:** + LPN - Licensed Practical Nurse - State Licensure required + For Health Net… more
- AdventHealth (Altamonte Springs, FL)
- …Location** : Remote **The role you will contribute:** The role of the Utilization Management (UM) Registered Nurse (RN) is to use clinical expertise by ... including concurrent payer communications to resolve status disputes. The Utilization Management Nurse is accountable.... Current and valid license to practice as a Registered Nurse (ADN or BSN) required. .… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...make an impact** + Active Florida license or Compact Registered Nurse Clinical license without restrictions. +… more
- CVS Health (Tallahassee, FL)
- …other events, as directed by their Leader. **Required Qualifications** + Active and unrestricted Registered Nurse in state of residence + 3+ years of experience ... external constituents in the coordination and administration of the utilization /benefit management function. + UMNC meets set...as a Registered Nurse + 1+ years of clinical… more
- CVS Health (Tallahassee, FL)
- …Qualifications** + Must reside in EST zone + 3+ years of experience as a Registered Nurse + 3+ years of clinical experience required + Must have active ... willing and able to work Monday through Friday, 8:00am to 5:00pm. Utilization management is a 24/7 operation. Work schedules will include weekend/holiday and… 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
- 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 (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: Apr 25, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 843800 Agency: Veterans Affairs Working Title: REGISTERED NURSE - 50000059 Pay Plan: Career Service… more
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