- 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, discharges and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- Veterans Affairs, Veterans Health Administration (Gainesville, FL)
- Summary The Utilization Management (UM) Registered Nurse ...nursing experience in which one year is equivalent to Nurse I, Level 2 ; OR a BSN and ... accreditation standards, and performance measures. Uses emergency and bed management software and utilization data to manage...1 year of professional nursing experience equivalent to the Nurse I, Level 2 ; OR a Master's… more
- CVS Health (Tallahassee, FL)
- …Must have active current and unrestricted RN licensure in state of residence. + Utilization Management is a 24/7 operation and work schedules will include ... required in med surg or specialty area. + Managed Care experience preferred, especially Utilization Management . + Preference for those residing in EST and CST… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Utilization Management (UM) Director, Clinical Strategy and Practice for Medicaid builds ... of how organization capabilities interrelate across the function or segment. The Utilization Management (UM) Director, Clinical Strategy and Practice for… more
- Centene Corporation (Tallahassee, FL)
- …28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive ... Analyzes BH member data to improve quality and appropriate utilization of services + Provides education to providers members...of an Accredited School Nursing or Bachelor's degree and 2 - 4 years of related experience. License to… more
- ChenMed (North Miami Beach, FL)
- …years' clinical work experience required. + A minimum of 1 year of utilization review and/or case management , home health, hospital discharge planning experience ... expanding and we need great people to join our team. The Acute Care Nurse (RN) is responsible for achieving positive patient outcomes and managing quality of care… more
- ChenMed (Lakeland, FL)
- …We're rapidly expanding and we need great people to join our team. The Nurse Case Manager 2 (RN) is responsible for achieving positive patient outcomes ... post-acute facilities, as well as their home environments. The Nurse Case Manager 2 (RN) will also...experience required. + A minimum of 1 year of utilization review and/or case management , home health,… more
- Veterans Affairs, Veterans Health Administration (Miami, FL)
- …in the CLC. Documents and takes corrective action when notified by the CLC management team, charge nurse , or designee of any discrepancies in coding or ... for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care....nursing experience in which one year is equivalent to Nurse I, Level 2 ; OR a BSN… more
- Veterans Affairs, Veterans Health Administration (Tampa, FL)
- …AND 2 years of professional nursing experience in which one year is equivalent to Nurse I, Level 2 ; OR a BSN and 1 year of professional nursing experience ... the coordination of care focused on patient education, self management , and customer satisfaction throughout the continuum of care....equivalent to the Nurse I, Level 2 ; OR a Master's… more
- Veterans Affairs, Veterans Health Administration (Daytona Beach, FL)
- …AND 2 years of professional nursing experience in which one year is equivalent to Nurse I, Level 2 ; OR a BSN and 1 year of professional nursing experience ... for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care....equivalent to the Nurse I, Level 2 ; OR a Master's… more