- CVS Health (Tallahassee, FL)
- …skills, both verbal and written Required Qualifications - 3+ years of experience as a Registered Nurse - Must possess 1+ years of clinical experience in acute or ... and external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working environment with… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Compliance Nurse 2 reviews utilization management activities and documentation to ensure ... to make an impact** **Required Qualifications** + Active Licensed Registered Nurse , (RN), in your state of...clinical nursing experience. + 2 years of experience in utilization management with MCG Guidelines + Ability… more
- CVS Health (Tallahassee, FL)
- …service like Targeted Care Management , Psychosocial Rehabilitation, or related utilization management experience with these services . Must have active ... residence (LMSW, LCSW, LISW, LPC, or comparable) OR active and unrestricted Registered Nurse licensure with psychiatric specialty/certification in state of… more
- Centene Corporation (Tallahassee, FL)
- …MONDAY-FRIDAY, 8AM - 5PM. THESE ROLES WILL BE SUPPORTING BEHAVIORAL HEALTH UTILIZATION MANAGEMENT FOR MEDICAID. **Position Purpose:** Performs a clinical review ... million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization...Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact… more
- Centene Corporation (Tallahassee, FL)
- …required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure required Pay Range: ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive… more
- Lincoln Financial Group (Tallahassee, FL)
- …and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred skills ... will provide coaching and guidance to claims regarding medical management **What you'll be doing** * Evaluate medical information...looking for** * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license… more
- HCA Healthcare (Tallahassee, FL)
- …Life Support must be obtained within 30 days of employment start date + Advance Practice Registered Nurse (APRN), or Registered Nurse + Registered ... of Facility Scheduler. + Demonstrates accountability and effectiveness in the management of utilization of supplies and equipment. + Participates in… more
- CenterWell (Tallahassee, FL)
- …license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a home care, ... clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more