- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Manager Utilization Management Nursing utilizes clinical nursing skills to ... documentation and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing works… more
- Intermountain Health (Tallahassee, FL)
- …cost-effective outcomes. Provides focused support to various areas such as utilization management , emergency department, acute, ambulatory and specialty care. ... Life Support (BLS) Healthcare Provider. Preferred Qualifications + Bachelor's degree in Nursing . + Certified Case Manager (CCM). Relevant certification as… more
- HCA Healthcare (Tallahassee, FL)
- … of Facility Scheduler. + Demonstrates accountability and effectiveness in the management of utilization of supplies and equipment. + Participates in ... **Introduction** Do you have the career opportunities as a(an) Manager Orthopedics you want in your current role? We...and units of distinction. We learn from our multi-generational nursing family. We partner with our Nurses at HCA… more
- CenterWell (Tallahassee, FL)
- …an accredited School of Nursing . + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance and reliable ... community and help us put health first** The **Clinical Manager ** coordinates and oversees all direct care patient services...transportation. + Two years as a Registered Nurse with at least one-year of management … more
- Marriott (Tallahassee, FL)
- …Y **Relocation?** N **Position Type** Management **JOB SUMMARY** The Nurse CARE Manager coordinates timely, appropriate, quality, occupational illness/injury ... **Additional Information** Nurse CARE Manager (CARE - Coordinated...**Claims Services** + Collaborate with Claims department regarding case management . + Collaborate with UNM on utilization … more
- Centene Corporation (Tallahassee, FL)
- …management and/or acute behavioral health care setting focusing on outpatient/inpatient utilization , case management and discharge planning Required 1+ year ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive… more
- CenterWell (Tallahassee, FL)
- …Coordinate quality improvement activities to address high risk, high-utilizers/high-cost patient management through the utilization of the 5M's framework as ... management and care coordination. * Experience with case management , social work, skilled nursing facilities, rehab...readmissions, total cost of care, and reducing acute care utilization ). * Familiarity in integrated care management … more
- Centene Corporation (Tallahassee, FL)
- …resources. Thorough knowledge of a specialized or technical field such as clinical nursing , case and/or utilization management involving knowledge plus the ... Master's degree in Behavioral Health. 3+ years of case and/or utilization management experience. Experience in psychiatric health care settings,… more
- Wolters Kluwer (Tallahassee, FL)
- The **Customer Success Manager , Lippincott Solutions** is responsible for driving the implementation of all Nursing Solutions products into existing and new ... with training and rollout, working with reps to drive utilization and customer satisfaction and ensure maximum renewal and...analysis, and creating and presenting a monthly report to management on key metrics. * Support sales growth from… more
- CenterWell (Tallahassee, FL)
- …payer contracts + Monitor the following key functions: + Program evaluation + Risk Management + Utilization Review + Patient Care Evaluation + Policies and ... course of action. + Delegation Oversight of Home infusion Nursing Vendors and local providers + Supervise through qualified...criteria for admission to service, case assignments, and case management . + Represent the pharmacy in a professional and… more