- Actalent (Sunrise, FL)
- Actalent is hiring a Utilization Management Nurse ! Job Description The Utilization Management Nurse (UMN) collaborates closely with the ... activities as assigned. Essential Skills + Clinical review + Utilization review + Utilization management + InterQual + Milliman Commercial Guidelines… more
- Actalent (Sunrise, FL)
- Utilization Management Nurse !Job Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing service authorization ... activities as assigned. Essential Skills + Clinical review + Utilization review + Utilization management + Interqual + Milliman Commercial Guidelines… more
- ChenMed (North Miami Beach, FL)
- …years' clinical work experience required. + A minimum of 1 year of utilization review and/or case management , home health, hospital discharge planning experience ... expanding and we need great people to join our team. The Acute Care Nurse (RN) is responsible for achieving positive patient outcomes and managing quality of care… more
- HCA Healthcare (Margate, FL)
- …setting + Minimum 1 year of experience as a full time Charge Nurse / Coordinator, Nursing Administrative Supervisor, or Nursing Management HCA Florida Northwest ... care in 21 states and the United Kingdom. We are looking for a RN Nurse Manager Critical Care for our HCA Florida Northwest Hospital team where excellence creates… more
- HCA Healthcare (Atlantis, FL)
- …Hospital setting + Minimum 1 year of experience as a full-time Charge Nurse / Coordinator, Nursing Administrative Supervisor, or Nursing Management in an acute ... **Description** **Introduction** We are seeking a RN Nurse Manager Neuro ICU with HCA Florida JFK Hospital to promote growth and unlock possibilities. At HCA… more
- HCA Healthcare (Atlantis, FL)
- …+ Experience or 2 years of critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred + This ... and integrity. We care like family! Jump-start your career as a(an) Registered Nurse RN Case Mgr today with HCA Florida JFK Hospital. **Benefits** HCA Florida… more
- Fresenius Medical Center (Plantation, FL)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
- Humana (Miramar, FL)
- …providers to ensure cohesive and evidence-based care. - Oversee and optimize utilization management processes within the organization. - Ensure resource ... practices in wound care but also aim at controlling utilization to improve patient outcomes. The expertise of a...Educate home health clinicians and physicians on proper wound management techniques. - Focus on care for patients with… more
- ChenMed (North Miami Beach, FL)
- …license required if available in state. + A minimum of 2 years' onsite case management at ChenMed and/or utilization review or discharge planning in a hospital ... multiple regions, to serve as coach, mentor/trainer to all members of care management team, giving guidance in best practices, troubleshooting to optimize the value… more
- Centers Plan for Healthy Living (Margate, FL)
- …Plan For Healthy Living is currently accepting applications for Full Time Registered Nurse without experience. The Utilization Management Clinical Reviewer ... or support in their home to improve their quality of life. Utilization Management Clinical Reviewer will assess and process all authorization requests to… more
- Trinity Health (Fort Lauderdale, FL)
- …centered delivery of care, with a highly engaged, collaborative Physician, Nurse and support team. They will support local financial performance, quality/safety/risk ... partnerships. The role of the Director is crucial to ensuring the effective management and coordination of health services within Holy Cross. This position demands a… more
- CenterWell (Boca Raton, FL)
- …opportunities for education/coaching Identifying trends and areas of opportunity in pharmacy utilization (pharmacy management ) to impact Part D per Member per ... intent Overseeing other clinicians which includes physicians, advanced registered nurse practitioners (ARNP), and physicians assistants (PA) in: Maintaining… more
- HCA Healthcare (Tamarac, FL)
- … experience or 2 years of critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred Founded in ... for benefits may vary by location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential and see how rewarding it can… more
- Surgery Care Affiliates (Boynton Beach, FL)
- …scrub by anticipating the needs of the surgeon and keeping the circulating nurse informed of any needs throughout a procedure. + Ensures all supplies, equipment ... Responsible for ensuring all new equipment requests are appropriately analyzed based on utilization and data from the provider. + Understands the high standards and… more