- Centene Corporation (Tallahassee, FL)
- …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... LMHP.** **Position Purpose:** Leads and directs the behavioral health (BH) utilization management team to ensure appropriate member care. . Ensures consistency… more
- CVS Health (Tallahassee, FL)
- …effectiveness of Healthcare Services and benefit utilization . **Required Qualifications** + Registered Nurse ( RN ) with current unrestricted US licensure ... Management (UM) Nurse Consultant. As a Utilization Management Nurse Consultant, you...as an RN required. + 2+ Years Utilization Management experience. + Must be willing… more
- Humana (Tallahassee, FL)
- …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...+ Minimum of Associate Degree in nursing + Licensed Registered Nurse ( RN ) in a… 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...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse ( RN )** in the… more
- CVS Health (Tallahassee, FL)
- … solutions that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team. ... a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM...are not permitted. **Required Qualifications** + Active unrestricted state Registered Nurse licensure in state of residence… more
- Cognizant (Tallahassee, FL)
- …have to be considered** . Educational background - Registered Nurse ( RN ) . 2-3 years combined clinical and/or utilization management experience with ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and… more
- AdventHealth (Altamonte Springs, FL)
- …Full Time 8am-5pm **Job Location** : Remote **The role you will contribute:** The Utilization Management nurse uses clinical expertise to review for medical ... Associate's of Nursing Degree 3 years clinical nursing experience Registered Nurse ( RN ) Must be...software and databases to perform required actions that encompass Utilization Management . Demonstrates strong analytical, problem solves… more
- ERP International (Macdill AFB, FL)
- **Overview** ERP International is seeking a ** Registered ** ** Nurse ( RN )** for a Full-Time position in ** Utilization Management ** at MacDill AFB, FL. ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
- CVS Health (Tallahassee, FL)
- …Service/Health Services (as applicable to hiring program) or Associates degree with a Registered Nurse with Behavioral Health experience/ background with 3 years ... clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and is knowledgeable… more
- Actalent (Sunrise, FL)
- … Utilization Review Nurse Job Description We are seeking a dedicated Utilization Management Nurse (UMN) who will work collaboratively with an ... reports on department activities as assigned. Essential Skills + Utilization management + Behavioral Health + Mental...review Additional Skills & Qualifications + Current unrestricted Florida RN or LPN License. + Minimum of one year… more