- Elevance Health (Tampa, FL)
- Senior RN Utilization Review/ Management (Acute InPatient) JR116937 **Location:** Must be within 50 miles / 1 hour commute of Tampa or Miami, FL offices. This ... Friday. **2 Holidays** per year and **occasional** weekends. The ** Nurse Medical Management Sr** serves as **team...Requires minimum of 5 years acute care clinical experience, utilization management or managed care experience; or… 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
- Monte Nido (Miami, FL)
- …Medicare medical necessity criteria; consult with Admissions staff and Director of Utilization Management on all evaluations for Medicare members including level ... providing the opportunity for people to realize their healthy selves. ** Utilization Review Clinician** **Monte Nido** **Remote** **Monte Nido has been delivering… more
- AdventHealth (Altamonte Springs, FL)
- …will provide support, training and guidance to the RN on care management duties/assignments. The Senior Manager of Utilization will be responsible for ... Utilization will oversee ED, Inpatient, and Specialist utilization , and manage care management outcomes. The...degree in nursing with 4 years of experience. . Registered Nurse with an active and unrestricted… more
- AdventHealth (Maitland, FL)
- …Bachelor's degree in Nursing Degree (or advanced degree) + Experience in Case Management , Utilization Management , Transitional Care + Experience with ... Care Manager System Educator Lead (CMEL) is a care management professional who supports the Director of System Care...+ Three (3) years functional healthcare setting + If RN , Current and valid Florida or Multi-State Department of… more
- AdventHealth (Apopka, FL)
- …documents avoidable days, and facilitates progression of care. Collaborates with Utilization Management staff for collaboration on patient status changes ... valid State of Florida or multistate license as a Registered Nurse + 2 years of medical/...+ Health-related master's degree or MSN + Prior Care Management / Utilization Management experience +… more
- AdventHealth (Celebration, FL)
- …documents avoidable days, and facilitates progression of care. Collaborates with Utilization Management staff for collaboration on patient status changes ... valid State of Florida or multistate license as a Registered Nurse + 2 years of medical/...+ Health-related master's degree or MSN + Prior Care Management / Utilization Management experience +… more
- AdventHealth (Winter Garden, FL)
- …documents avoidable days, and facilitates progression of care. + Collaborates with Utilization Management staff for collaboration on patient status changes and ... satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily...Nursing (BSN) + ACM/CCM Certification + Experience in Care Management / Utilization Management This facility… more
- AdventHealth (Orlando, FL)
- …include but are not limited to performance of medical record review, utilization management , patient safety, compliance program, orientation program, ongoing ... use of comparative data, performance of specified audits and utilization management activities. + Serves as a...+ Associate's Degree and 3 years of experience + Registered Nurse License + Minimum 3 years… more
- AdventHealth (Altamonte Springs, FL)
- …experience *Experience in Case Management , Managed Care, Discharge Planning and Utilization Management *Case Management training *Specific knowledge and ... Scope and Standard for Nursing Practice, and the AONE Nurse Executive Competencies. *Liaises between Care Management ,...REQUIRED:** * Basic Life Support - CPR Cert * Registered Nurse This facility is an equal… more
- Mayo Clinic (Jacksonville, FL)
- …and inclusion, and provides the resources you need to succeed. **Responsibilities** The Registered Nurse ( RN ) Case Manager works within an interdisciplinary ... utilization management , care coordination, resource utilization , and clinical documentation. The RN Case...Graduate of a Nursing program. All entry-level associate degree registered nurses with a RN start date… more
- Mayo Clinic (Jacksonville, FL)
- …and inclusion, and provides the resources you need to succeed. **Responsibilities** The Registered Nurse ( RN ) Case Manager works within an interdisciplinary ... by ensuring appropriate utilization management , care coordination, resource utilization , and clinical documentation. The RN Case Manager will function… more
- AdventHealth (Orlando, FL)
- …+ Associate of Science degree in Nursing (ASN) + Current valid license as a Registered Nurse in the state of Florida + Two (2) years of medical/hospital ... satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily...+ Health-related Master's degree or MSN + Prior Care Management / Utilization Management experience + ACM/CCM… more
- University of Miami (Miami, FL)
- …of Case Management . + Incorporates the fundamental principles of utilization management , monitoring resource consumption, social services intervention and ... University of Miami/UHealth has an exciting opportunity for an RN Case Manager in the Case Management ...and community services to patients and families through effective utilization of available resources. + Manages the observation patients… more
- AdventHealth (Orlando, FL)
- …experience in Care Management /Social Work leadership EDUCATION AND EXPERIENCE PREFERRED: Registered Nurse : MSN Social Worker: MSW with LCSW 5-7 years in ... RN license if a nurse LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED: RN -BC Certification in Care Management This facility is an equal opportunity… more
- ERP International (Tyndall AFB, FL)
- **Overview** ERP International is seeking a full time ** Registered Nurse ( RN ) Case Manager** in support of the Wounded Warrior program at the 325th Medical ... algorithms, CM software, and databases for community resources. + Integrate CM and utilization management (UM) and integrating nursing case management with… more
- HealthTrust Workforce Solutions (Bradenton, FL)
- …access to more than 200,000 jobs nationwide. **_JOB SUMMARY_** The Interim Leader of Case Management Services is a Registered Nurse who participates as an ... budget and resource management , cost control, contract compliance, quality improvement, utilization management , denials management and management of… more
- AdventHealth (Altamonte Springs, FL)
- …in direct Care Management State specific RN license if a nurse **Preferred qualifications:** Registered Nurse : BSN Social Worker: MSW Three (3) ... and experiences you'll need to succeed:** **Minimum qualifications** : Registered Nurse : Associates Degree Nursing OR Social...years of experience in direct Care Management CCM, ACM, or RN -BC… more
- Health First (Viera, FL)
- …**Job:** ** Registered Nurse * **Organization:** **Viera Hospital Inc* **Title:** * Registered Nurse ( RN ) - Wound Ostomy Continence* **Location:** ... initiative by responding to call lights and bed exit alarms. *QUALIFICATIONS REQUIRED:* * Registered Nurse with current Florida license * Must hold current AHA… more
- AdventHealth (Land O' Lakes, FL)
- …RN . Two (2) years of hospital nursing experience . Current license of registered nurse in Florida or licensure from another state with verification of ... Vapotherm Center of Excellence . Staff consists of all Registered Respiratory Therapist, 65% BSN or above RN...group of patients. The Case Manager is responsible for utilization reviews and resource management , discharge planning,… more