- PharmaCord (Orlando, FL)
- …experience with relevant disease state experience preferred. Nurseline triage, Call Center Utilization Management , Call Center Case Management , a plus. ... include: Enable patients by providing them with information and education about: their prescribed therapy and course of treatment,...and good manufacturer practices Other duties as assigned by management This job might be for you if (must… more
- US Fish and Wildlife Service (Titusville, FL)
- Summary This position will be filled under the Office of Personnel Management 's Direct Hire Authority and is open to all United States citizens and US nationals. ... work as described. Oversees wildland fire module or crew in fuels management , fire suppression, monitoring, and post-fire activities, applies an understanding of… more
- AdventHealth (Tampa, FL)
- …ro** **le you'll contribute:** The role of the Emergency Department Utilization Management (UM) Registered Nurse (RN) is to use clinical expertise ... days a week including weekends, holidays and overnight. The Emergency Department UM RN leverages the algorithmic...or designated leader for additional review as determined by department standards. The Utilization Management … more
- AdventHealth (Daytona Beach, FL)
- …MEDICAL PKWY, Daytona Beach, 32117 **The role you'll contribute:** The role of the Utilization Management (UM) Registered Nurse (RN) is to use clinical ... strategies including concurrent payer communications to resolve status disputes. The Utilization Management Nurse is accountable for a designated patient… more
- Community Health Systems (Naples, FL)
- …supplies are available and properly utilized while maintaining cost-effective resource management . + Facilitates ongoing education and professional development ... huddles. + Monitors patient flow, manages bed assignments, and optimizes resource utilization within the unit. + Conducts employee and patient rounding to evaluate… more
- AdventHealth (Daytona Beach, FL)
- …Daytona Beach, FL 32117 **The role you'll contribute:** The ANM is a registered professional nurse who supports the Nurse Manager in overall operations of their ... the delivery of patient care + Is involved in unit- department based budgeting and support of the budget. Maintains...of the budget. Maintains staffing and scheduling, and resource utilization within budgeted targets for the unit. + Collaborates… 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 support ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and… 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. ... listening, and use of a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM specialty teams as needed,… more
- ERP International (Macdill AFB, FL)
- …is seeking a ** Registered ** **Nurse (RN)** for a Full-Time position in ** Utilization Management ** at MacDill AFB, FL. Apply online today and discover more ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
- BayCare Health System (Tampa, FL)
- …and Licensures:** + Required RN ( Registered Nurse) + Preferred ACM (Case Management ) + Preferred CCM (Case Manager) ** Education :** + Required Associates in ... of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior/RN responsibilities include:** + Functions as... Review or + Required 2 years in Case Management or + Required 3 years Registered … more
- Centene Corporation (Tallahassee, FL)
- …and discharge planning + Analyzes BH member data to improve quality and appropriate utilization of services + Provides education to providers members and their ... million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization...families regrading BH utilization process + Interacts with BH healthcare providers as… more
- AdventHealth (Orlando, FL)
- …documents avoidable days, and facilitates progression of care. Collaborates with Utilization Management staff for collaboration on patient status changes ... from Day One + Paid Parental Leave + Debt-free Education (Certifications and Degrees without out-of-pocket tuition expense) *For...+ Health-related masters degree or MSN + Prior Care Management / Utilization Management experience +… more
- Actalent (Sunrise, FL)
- Actalent is Hiring a Remote DietitianPosition Purpose: The Registered Dietitian will provide clinical education and support for Ambetter members enrolled in ... Disease Management programs, with a focus on Diabetes and Congestive...accordance with program protocols and compliance standards. Qualifications: + Education : Bachelor's Degree in a health-related field (required). +… more
- AdventHealth (Palm Coast, FL)
- …: + BSN + Health-related Master's degree or MSN + Prior Care Management / Utilization Management experience + ACM/CCM Certification This facility is ... Paid Days Off from Day One + Paid Parental Leave + Debt-free Education * (Certifications and Degrees without out-of-pocket tuition expense) + Student Loan Repayment… more
- AdventHealth (Palm Coast, FL)
- …of Nursing. + Health-related Master's degree or MSN. + Prior Care Management / Utilization Management experience. + ACM/CCM Certification. This facility ... Manager is under the general supervision of the Care Management Supervisor or Manager or Director of...care delivery and reimbursement. The RN Care Manager provides education to nurses, physicians and the interdisciplinary team on… more
- AdventHealth (Tampa, FL)
- …under the general supervision of the Care Managment Supervisor or Manager or Director of Nursing and is responsible for patient evaluations of post-hospital needs; ... patient satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily with the interdisciplinary team… more
- AdventHealth (Tampa, FL)
- …RN Care Manager is under the general supervision of the Care Management Supervisor or Manager and is responsible for patient evaluations of post-hospital ... patient satisfaction, patient safety, readmission prevention and length of stay management .The RN Care Manager communicates daily with the interdisciplinary team… more
- AdventHealth (Ocala, FL)
- …under the general supervision of the Care Managment Supervisor or Manager or Director of Nursing and is responsible for patient evaluations of post-hospital needs; ... patient satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily with the interdisciplinary team… more
- AdventHealth (Wesley Chapel, FL)
- …country for superior clinical performance and excellence. Opened an offsite 24 bed, 24/7 emergency room in Central Pasco to better serve the emergency health ... under the general supervision of the Care Managment Supervisor or Manager or Director of Nursing and is responsible for patient evaluations of post-hospital needs;… more
