- CVS Health (Tallahassee, 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 (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 ... in med surg or specialty area. + Managed Care experience preferred, especially Utilization Management . + Preference for those residing in EST zones.… more
- Lincoln Financial (Tallahassee, FL)
- …Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible ... for** * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state...Care, , Trauma , Disability, Workman's comp or case management or Utilization review **Application Deadline** **What's… more
- MyFlorida (Miami, FL)
- OPS REGISTERED NURSING CONSULTANT - 64801869 Date: May 15, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... No: 850863 Agency: Department of Health Working Title: OPS REGISTERED NURSING CONSULTANT - 64801869 Pay Plan: Temp Position Number: 64801869 Salary: $47.00 hourly… 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: May 6, 2025...(CBO's). Incumbent reports directly to the Supervisor of Case Management . Staff will establish and maintain a caseload of… more
- Highmark Health (Tallahassee, FL)
- … **SKILLS** + Deep Clincal Expertise -extensive knowledge of clinical, quality, care, utilization , high-cost claim, and population health management . Must be a ... in Business or Clinical field **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse (RN) or Pharmacist (Pharm D) or Physician Assistant (PA) **Preferred** +… more
- MyFlorida (Chattahoochee, FL)
- …This is a highly responsible and professional position that will serve as a Registered Nurse Consultant - After Hours. T his position will collaborate with each ... REGISTERED NURSE CONSULT-AFTER HOURS - 60005482 Date: May 2,...on medical and health care services, patient assessments, and utilization practices. + Ability to develop program policy, procedures,… more
- CVS Health (Tallahassee, FL)
- …providers. Serves as advocate for patients, ensuring effective communication, resource utilization , and continuous monitoring of their progress to promote positive ... healthcare personnel as appropriate. - Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients… more
- Cleveland Clinic (Port Saint Lucie, FL)
- …compliance with all standards and favorable performance on safety, quality, utilization and experience metrics. + Participate in engraining the safety, quality ... data and participate in improvement strategy development. + Act as a consultant in educating and evaluating clinical and support department caregivers regarding… more