- Veterans Affairs, Veterans Health Administration (Bay Pines, FL)
- …procedures per established policies and guidelines. Responsibilities The Utilization Management (UM) Registered Nurse (RN) executes position ... knowledge of clinical appropriateness, functions, processes, and principles of utilization management . Duties include but are not...level degree in Nursing may have opportunity to become registered as a nurse with a state… 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 (Jacksonville, FL)
- **Details** + **Department:** Utilization Management + **Schedule:** Part Time; Every Saturday and Sunday; 7am - 7pm; Rotating holidays + **Hospital:** Ascension ... and coordinate compliance to federally mandated and third party payer utilization management rules and regulations. **Requirements** Licensure / Certification… 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
- Veterans Affairs, Veterans Health Administration (Orlando, FL)
- Summary The Registered Nurse Peer Review QM Specialist at the Orlando VAMC primary responsibilities include performance improvement, ensuring compliance with ... Quality Management . Responsibilities The Peer Review Quality Management Specialist RN is a proficient nurse ...level degree in Nursing may have opportunity to become registered as a nurse with a state… 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
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + Active Registered Nurse (RN) license in, or including,… more
- MyFlorida (Largo, FL)
- REGISTERED NURSE SPECIALIST - 64029287 Date:...Nurse . Preferred + At least one year case management experience + At least one year experience working ... . Requisition No: 855081 Agency: Department of Health Working Title: REGISTERED NURSE SPECIALIST - 64029287 Pay Plan: Career Service… more
- MyFlorida (St. Augustine, FL)
- REGISTERED NURSE - 50950024 Date: Jun 16, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 845317 Agency: Veterans Affairs Working Title: REGISTERED NURSE - 50950024 Pay Plan: Career Service… more
- Veterans Affairs, Veterans Health Administration (Pensacola, FL)
- Summary The incumbent is a Registered Nurse (RN) who serves as the Referral Coordinator for The Coordination Team at Gulf Coast Veterans Health Care System ... knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community care… 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
- Healthfirst (FL)
- **Duties/Responsibilities:** + Oversees utilization management functions which include timely authorizations related to pre-certification, concurrent review, ... and reviews medical charts to obtain additional information required for appropriate utilization management and to solve complex clinical problems + Allocate,… 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
- MyFlorida (Land O' Lakes, FL)
- SENIOR REGISTERED NURSE SUPV - 50000071 Date: Jun 12, 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 (Orlando, FL)
- REGISTERED NURSE Date: Jun 11, 2025...Plans and MDS as required. + Will ensure economic utilization of supplies and proper charging of items to ... . Requisition No: 845312 Agency: Veterans Affairs Working Title: REGISTERED NURSE Pay Plan: Career Service Position Number:… more
- MyFlorida (Port Charlotte, FL)
- SENIOR REGISTERED NURSE SUPV - 50009035 Date: Jun 17, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 855029 Agency: Veterans Affairs Working Title: SENIOR REGISTERED NURSE SUPV - 50009035 Pay Plan: Career Service… more
- MyFlorida (Macclenny, FL)
- …appropriateness of that utilization . Minimum Qualifications: + Licensure as a Registered Professional Nurse in accordance with Florida Statute 464 or ... REGISTERED NURSE SPECIALIST - 60034481 Date:... REGISTERED NURSE SPECIALIST - 60034481 Date: May 27, 2025...Requisition No: 853885 Agency: Children and Families Working Title: REGISTERED NURSE SPECIALIST - 60034481 Pay Plan:… more
- Veterans Affairs, Veterans Health Administration (Tampa, FL)
- Summary The James A Haley Veterans Affairs Medical Center is looking for a Registered Nurse who is responsible and accountable for all elements of the nursing ... with members of the interdisciplinary team. Duties include, but are not limited to: Registered Nurse (RN) is responsible for executing a streamlined approach to… 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
- MyFlorida (Macclenny, FL)
- REGISTERED NURSE SPECIALIST - 60011390 Date: Jun 11, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 854733 Agency: Children and Families Working Title: REGISTERED NURSE SPECIALIST - 60011390 Pay Plan: Career Service… more