- CVS Health (FL)
- …anywhere in the state of Florida. **Applicant must reside in Florida** . As a Utilization Management Nurse Consultant , you will utilize clinical skills ... we do it all with heart, each and every day. **Position Summary** Utilization Management is a 24/7 operation and work schedule may include weekends, holidays and… more
- CVS Health (FL)
- …that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team. **Key ... listening, and use of a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM specialty teams as needed,… more
- Lincoln Financial (Tallahassee, FL)
- …and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred skills ... We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization....will provide coaching and guidance to claims regarding medical management . **What you'll be doing** * Evaluate medical information… more
- MyFlorida (Orlando, FL)
- …Bachelor's Degree in any other discipline with at least 6 months of direct case management experience or a Florida Licensed Registered Nurse (RN) with 1-year of ... HUMAN SERVICES PROGRAM CONSULTANT II - 64006362 Date: Sep 28, 2025...(CBO's). Incumbent reports directly to the Supervisor of Case Management . Staff will establish and maintain a caseload of… more
- MyFlorida (Fort Myers, FL)
- …state and federal programmatic requirements, rules, and regulations. Assesses quality and utilization of services and resources by + + Forecasting future programs ... training/education) + Serve as a member of the department's incident management team (eg Operations Chief/deputy or Clinical Services Branch Director/deputy)… more
- Trinity Health (Fort Lauderdale, FL)
- …with members of the interprofessional acute care, ambulatory and post-acute care management teams to improve communication across the continuum of care.** **What you ... that have been documented in the medical record.** Serves as a consultant and educator with medical staff regarding status, placement, payer requirements, and… more
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