- Veterans Affairs, Veterans Health Administration (Gainesville, FL)
- Summary The Utilization Management (UM) Registered Nurse (RN) is responsible for UM reviews for patients who receive hospital care. Responsibilities An ... UM Registered Nurse is responsible for UM reviews...accreditation standards, and performance measures. Uses emergency and bed management software and utilization data to manage… more
- AdventHealth (Orlando, FL)
- …a holistic environment. **The role you'll contribute:** The role of the Utilization Management (UM) Registered Nurse (RN) is to use clinical expertise by ... and valid license to practice in Florida as a Registered Nurse (ADN or BSN) required. +...care clinical nursing experience required. + Minimum two years Utilization Management experience, or equivalent professional experience.… more
- Ascension Health (Pensacola, FL)
- …and coordinate compliance to federally mandated and third party payer utilization management rules and regulations. **Requirements** Licensure / Certification ... offer._ **Responsibilities** Provide health care services regarding admissions, case management , discharge planning and utilization review. +.../ Registration: + Licensed Registered Nurse credentialed from the Florida Board… more
- CVS Health (Tallahassee, FL)
- …both verbal and written **Required Qualifications** + 2+ years of experience as a Registered Nurse in adult acute care/critical care setting. + Must have active ... current and unrestricted RN licensure in state of residence. + Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and… more
- Humana (Tallahassee, FL)
- …part of our caring community and help us put health first** The SNF Utilization Management Nurse uses clinical knowledge, communication skills, and ... where needed. Follows established guidelines and procedures. The SNF Utilization Management Nurse uses clinical...an impact** **Required Qualifications** + Compact licensure + Licensed Registered Nurse (RN) in the (appropriate state)… more
- CVS Health (Tallahassee, FL)
- …administration of the utilization /benefit management function. Required Qualifications + Registered Nurse in state of residence. + 3+ years of Nursing ... experience. Preferred Qualifications + Prior authorization utilization management /review experience preferred Outpatient Clinical experience. + Knowledge of… 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 minimum of ... great people to join our team. The Acute Care Nurse (RN) is responsible for achieving positive patient outcomes...experience required. + A minimum of 1 year of utilization review and/or case management , home health,… 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 minimum of ... we need great people to join our team. The Nurse Case Manager 2 (RN) is responsible for achieving...experience required. + A minimum of 1 year of utilization review and/or case management , home health,… more
- MyFlorida (Land O' Lakes, FL)
- REGISTERED NURSE - 50000059 Date: Jun 2, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 853673 Agency: Veterans Affairs Working Title: REGISTERED NURSE - 50000059 Pay Plan: Career Service… more
- MyFlorida (Bunnell, FL)
- …on recalls for client due for annual exams, implant removals and insertions. The Registered Nurse will provide case management for the sterilization program ... SENIOR REGISTERED NURSE - 64068640 Date: Jun...Knowledge, Skills, and Abilities: Knowledge, skills and abilities, including utilization of equipment, required for the position:Preferred or required… more
- Veterans Affairs, Veterans Health Administration (Miami, FL)
- Summary The Miami VA Healthcare System is looking for a Registered Nurse - Community Living Center - Minimum Data Set who will be responsible and accountable for ... Responsibilities VA offers a comprehensive total rewards package: VA Nurse Total Rewards The Registered Nurse...and takes corrective action when notified by the CLC management team, charge nurse , or designee of… more
- MyFlorida (Orlando, FL)
- SENIOR REGISTERED NURSE SUPV Date: May 16, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 849196 Agency: Veterans Affairs Working Title: SENIOR REGISTERED NURSE SUPV Pay Plan: Career Service Position Number:… more
- MyFlorida (Port Charlotte, FL)
- REGISTERED NURSE - 50009670 Date: Jun 5,...the scope of practice as defined by the Florida Nurse Practice Act. + Ensure economical utilization of ... . Requisition No: 854460 Agency: Veterans Affairs Working Title: REGISTERED NURSE - 50009670 Pay Plan: Career Service Position Number: 50009027… more
- MyFlorida (Pembroke Pines, FL)
- REGISTERED NURSE - 50556016 Date: Jun 3, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 854302 Agency: Veterans Affairs Working Title: REGISTERED NURSE - 50556016 Pay Plan: Career Service… 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 home and...work experience preferred + Proven working experience in Case Management : + A minimum of 2 years' utilization… more
- Veterans Affairs, Veterans Health Administration (Tampa, FL)
- Summary The James A Haley Veterans Hospital is looking for a Registered Nurse to work in the Oncology-Infusion Unit . This Registered Nurse possesses ... to function in caring for this Veteran population. Responsibilities The Oncology/Hematology Registered Nurse (RN) is responsible and accountable for all elements… more
- MyFlorida (Land O' Lakes, FL)
- SENIOR REGISTERED NURSE SUPV - 50000071 Date: May 14, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 853135 Agency: Veterans Affairs Working Title: SENIOR REGISTERED NURSE SUPV - 50000071 Pay Plan: Career Service… more
- MyFlorida (Port Saint Lucie, FL)
- SENIOR REGISTERED NURSE SUPV Date: Jun 5, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 854386 Agency: Veterans Affairs Working Title: SENIOR REGISTERED NURSE SUPV Pay Plan: Career Service Position Number:… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Utilization Management (UM) Director, Clinical Strategy and Practice for Medicaid builds ... of how organization capabilities interrelate across the function or segment. The Utilization Management (UM) Director, Clinical Strategy and Practice for… more
- AdventHealth (Clearwater, FL)
- …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 ... to increase quality, increase patient satisfaction and reduce unnecessary utilization of health care resources. AdventHealth Senior Care is...for the member throughout the health care system. The Registered Nurse serves as an advocate for… more