- CVS Health (Tallahassee, 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
- 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 **Education** - Associates Degree required - Bachelor's in… more
- CVS Health (Tallahassee, FL)
- …procedures/services or initiate a Medical Director referral as needed. + Assists management with training new nurse reviewers/business partners or vendors to ... meet quality and metric expectations. **Required Qualifications** + Registered Nurse (RN) - active license. + 3+ Years of...3+ Years of clinical experience. + 1+ Year of Utilization Review Management and/or Medical Management… more
- CVS Health (Tallahassee, FL)
- …clinical skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and knowledge in ... and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and applies… more
- MyFlorida (Chattahoochee, FL)
- …This is a highly responsible and professional position serving as the Registered Nursing Consultant Supervisor in Risk Management . The ideal candidate will be a ... REGISTERED NURSING CONSULTANT SUPV - 60034611 Date: Aug 28, 2025...Procedures. Develops, maintains, and monitors an automated Hospital Risk Management Incident Tracking System, covering resident incidents, including the… 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: Aug 30, 2025...(CBO's). Incumbent reports directly to the Supervisor of Case Management . Staff will establish and maintain a caseload of… more
- Veterans Affairs, Veterans Health Administration (Viera, FL)
- …The Orlando VA Medical Center is seeking for fill positions for their Registered Nurse - Urgent Care. These RNs are responsible and accountable for all elements of ... responsibility for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care within the… more
- MyFlorida (West Palm Beach, FL)
- …Open Competitive Opportunity Specific Responsibilities: T his is Nurse -Family Partnership (NFP) Senior Community Health Nursing Supervisor position ... efforts to engage, support and serve first-time mothers enrolled in the Nurse -Family Partnership Program, and meet program goals to improve pregnancy outcomes, child… more
- Cleveland Clinic (Stuart, 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 staff regarding quality… 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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