- Ascension Health (Pensacola, FL)
- **Details** + **Department: Utilization Review ** + **Schedule: Full time days** + **Hospital: Ascension Sacred Heart Pensacola** + **Location: Pensacola, ... salary range at the time of the offer._ **Responsibilities** Manage effective utilization review processes, including management of patient statusing processes… more
- Community Health Systems (Naples, FL)
- …meet deadlines. + Effective written and verbal communication skills. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... **Job Summary** Under the direction of the UR Director/ Manager the UR Nurse reviews all...programs + Addresses facility and departmental communication through daily review of all correspondence, including incoming email messages. +… more
- AdventHealth (Altamonte Springs, FL)
- …Degree Nursing + Current valid State of Florida or multistate license as a Registered Nurse + 2 years of medical/ hospital nursing experience **Preferred ... Altamonte Springs, FL 32701 **The role you'll contribute:** The RN Care Manager in collaboration with the...physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge… more
- HCA Healthcare (Port St. Lucie, FL)
- …you to apply for our Registered Nurse RN Case Manager PRN opening. We promptly review all applications. Highly qualified candidates will be contacted ... have the career opportunities as a(an) Registered Nurse RN Case Manager PRN...nursing experience required + Certification in case management or utilization review preferred + InterQual experience preferred… more
- HCA Healthcare (Fort Pierce, FL)
- …etc.) hospital nursing experience required + Certification in case management or utilization review preferred + InterQual experience preferred HCA Florida ... colleagues invested over 156,000 hours volunteering in our communities. As a(an) Case Mgr RN with HCA Florida Lawnwood Hospital you can be a part of an organization… more
- Fresenius Medical Center (Naples, FL)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area...+ Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. +… more
- Fresenius Medical Center (Hollywood, FL)
- …all FMS manuals. + Accountable for completion of the Annual Standing Order Review and ICD coding. + Checks correspondence whether electronic, paper or voice mail, ... supporting billing and collection activities. + Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve… more
- ChenMed (North Miami Beach, FL)
- …RN with bachelor's degree in a related clinical field preferred. + A valid, active Registered Nurse ( RN ) license in State of employment required. + A ... post-acute facilities, as well as, their home environments. The Nurse Case Manager 1 ( RN )...patients' progress and adjust and plan accordingly. + Understanding utilization review and how to leverage with… more
- Fresenius Medical Center (Panama City, FL)
- …of time, and for specific additional duties, as assigned by the Program Manager . The Inpatient Services Charge Nurse ensures appropriate provision of Acute ... **PURPOSE AND SCOPE:** The Inpatient Services Charge Nurse is an additional "responsibility" assigned to the...their direct supervision and submit results to the Program Manager for review . + Ensure all Acute… more
- AdventHealth (Clearwater, FL)
- ** Registered ** ** Nurse Case Manager ** **-** **AdventHealth** **Ventures** **All the benefits and perks you need for you and your family:** + Benefits from ... care needs in this senior population. AdventHealth Senior Care is looking for a Registered Nurse to be responsible for achieving and leading a high-quality care… more
- ChenMed (Tampa, FL)
- …to join our team. The Community Care team is a multidisciplinary service including Registered Nurse ( RN ) Community Care nurses, Licensed Practical Nurse ... DUTIES/RESPONSIBILITIES:** + Under the direction and supervision of a Registered Nurse ( RN ) provides in...in Case Management: + A minimum of 2 years' utilization review and/or case management, home health… more
- ERP International (Eglin AFB, FL)
- **Overview** ERP International is seeking a ** Registered Nurse ( RN )** for a full-time **Case Manager ** position in support of the **Eglin Hospital, Eglin ... CM software, and databases for community resources. + Integrate CM and utilization management (UM) and integrating nursing case management with social work case… more
- ChenMed (Lakeland, FL)
- …RN with bachelor's degree in a related clinical field preferred. + A valid, active Registered Nurse ( RN ) license in State of employment required. + A ... we need great people to join our team. The Nurse Case Manager 2 ( RN )...patients' progress and adjust and plan accordingly. + Understanding utilization review and how to leverage with… more
- Sharecare (Tallahassee, FL)
- …cost effective, appropriate resource utilization and quality outcomes. The Clinical Registered Nurse is also responsible for early identification of those ... management program intervention guidelines. A Clinical Registered Nurse is supervised by an Operations Manager ...orientation and to take the pre and posttests to review competency during orientation. Yearly competency test is required… more
- AdventHealth (Tavares, FL)
- …1000 WATERMAN WAY, Tavares, 32778 **The role** **you** **'ll** **contribute** **:** The RN Care Manager in collaboration with the patient/family, social workers, ... patient-centered care coordination and progression through the continuum of care. The RN Care Manager ensures efficient and cost-effective care through… more
- MyFlorida (Chattahoochee, FL)
- REGISTERED NURSE SPECIALIST-F/C - 67072406 DDDP/ CHATTAHOOCHEE, FL Date: Jun 3, 2025 The State Personnel System is an E-Verify employer. For more information ... . Requisition No: 854329 Agency: Agency for Persons with Disabilities Working Title: REGISTERED NURSE SPECIALIST-F/C - 67072406 DDDP/ CHATTAHOOCHEE, FL Pay Plan:… more
- CVS Health (Doral, FL)
- …we do it all with heart, each and every day. **Position Summary** The Care Manager RN is responsible for driving and supporting care management and care ... care (assessing, planning, implementing, coordinating, monitoring, and evaluating). The CM RN utilizes advanced clinical judgment and critical thinking skills to… more
- HCA Healthcare (Ocala, FL)
- …4 year Bachelor Degree preferred + Certification in Case Management or Utilization Review preferred + 2 years acute hospital RN experience required + 1 year ... from any other healthcare provider. We are seeking a(an) RN Case Manager to join our healthcare...Provider issued card required within 30 days of start Registered Nurse + 2 year Associate Degree… more
- HCA Healthcare (Lake City, FL)
- …Florida Lake City Hospital have the opportunity to make a real impact. As a(an) Case Manager RN PRN you can be a part of change. **Benefits** HCA Florida Lake ... positive outcomes for your patients as a (an) Case Manager RN PRN. We want your knowledge...and expertise! **Job Summary and Qualifications** Provides hospital case management/ utilization review and discharge planning to assure… more
- AdventHealth (Altamonte Springs, FL)
- …and equipment used in the healthcare sector **LICENSURE, REGISTRATION, OR CERTIFICATION REQUIRED:** + RN - Registered Nurse - State Licensure and/or Compact ... Springs, FL 32714 **The role you'll contribute:** **The Clinical Resource Manager provides leadership and consultation to company facilities in the clinical… more