- 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)
- …Physician shall work closely with the Medical Director (Executive/Community/Rural), Nursing Administrator, Case Management Director, and Finance Director. ... as an expert and local resource to hospital Case Management Department and Medical Staff on issues relating to...conjunction with System Physician Advisor. + Work with System Utilization Review Manager and others to adjust… more
- MyFlorida (Marianna, FL)
- SENIOR REGISTERED NURSE SUPERVISOR - 67044164 (SUNLAND) Date: Jun 8, 2024 Location: MARIANNA, FL, US, 32446 MARIANNA, FL, US, 32447 MARIANNA, FL, US, 32448 The State ... 825496 Agency: Agency for Persons with Disabilities Working Title: SENIOR REGISTERED NURSE SUPERVISOR - 67044164 (SUNLAND) Pay Plan: Career Service Position Number:… more
- MyFlorida (Marianna, FL)
- SENIOR LICENSED PRACTICAL NURSE - 67012092 (SUNLAND - EVENING SHIFT) Date: Jun 13, 2024 Location: MARIANNA, FL, US, 32446 MARIANNA, FL, US, 32447 MARIANNA, FL, US, ... Agency: Agency for Persons with Disabilities Working Title: SENIOR LICENSED PRACTICAL NURSE - 67012092 (SUNLAND - EVENING SHIFT) Pay Plan: Career Service Position… 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
- CVS Health (Tallahassee, FL)
- …care more personal, convenient and affordable. Position Summary The Pediatric Care Manager RN will support a population of primarily medically complex pediatric ... Kids Medicaid lines of business with an emphasis on members receiving private duty nursing and nursing facility services. This role is remote, work from home,… more
- Sedgwick (Tallahassee, FL)
- …PURPOSE** : To ensure efficient, cost effective, and high quality delivery of case management and utilization review services to clients by managing and training ... to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Clinical Manager **This manager will have to be...client locations; to provide expertise in client specific case management and utilization review requirements; and to… 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
- J&J Family of Companies (Tallahassee, FL)
- …care. The CAR-T Cell Therapy Experience Lead is a member of this account management team, reporting to the Senior Manager , CAR-T Cell Therapy Experience Lead. ... raising the bar on customer experience in the pharmaceutical industry. Our account management teams support the certified sites who care for cancer patients. We are… more
- Sharecare, Inc. (Tallahassee, FL)
- …/ new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, ... + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex...Patient Care Technician (PCT) + Physical Therapy Assistant + Nursing Assistant + Medical Secretary/Clinic Manager +… more
- MyFlorida (Chattahoochee, FL)
- …are timely and accurately filed in the resident charts. Initiates appropriate management action to address and notify behavioral teams of any issues associated ... all required administrative documents/forms are completed and forwarded to the appropriate management personnel in a timely and accurate manner. Works in partnership… more
- MyFlorida (Marianna, FL)
- …procedures and following the prescribed policy/procedures with notifying the nurse and other pertinent administrators. Accurately completes Incident reports, ... around the subtitles of group dynamics. Knowledge, skills, and abilities, including utilization of equipment, required for the position: + Ability to lift forty… more
- Sharecare, Inc. (Tallahassee, FL)
- …other members of the health care team to support appropriate total healthcare management and ensure cost effective, appropriate resource utilization and quality ... with the participants and their Primary Care Provider according to the disease management program intervention guidelines. An RN is supervised by an Operations … more
- Sedgwick (Tallahassee, FL)
- …in needs assessment and implementation of timely cost-effective fee management services in compliance with corporate/jurisdictional standards; to provide review ... requiring extensive skills/experience; and to interact with expense bill reviewers, utilization review nurses, and claims staff to resolve problems and/or implement… more