- Novo Nordisk Inc. (Miami, FL)
- …include key opinion leaders (KOL's), academic institutions, physicians, nurse practitioners, diabetes educators, pharmacists, blood bank staff, organized ... policies, legal, regulatory, and compliance requirements Ensures effective administrative management of regional business as well as operational budgets Maintains… more
- Elevance Health (Miami, 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...preferred** . + 2 years of experience in In-Patient, utilization review / management , evaluating… more
- HCA Healthcare (Largo, FL)
- …of care and cost effectiveness through the integration of case management and utilization review management . We are an amazing team that works hard ... over 156,000 hours volunteering in our communities. As a(an) Utilization Review RN with HCA Florida Largo...health care experience . Licensure as a Florida Registered Nurse in accordance with state regulations or appropriate compact… more
- Elevance Health (Miami, FL)
- **Clinical Operations Medical Director** ** Utilization Management of Medical Oncology Benefits** **Carelon Benefits Management ** **$20,000 Sign On Bonus** ... members and providers. **Job Summary:** + Perform physician-level case review , following initial nurse review ,...maintain knowledge of relevant policies and regulations pertaining to utilization review of oncology care. + Participate… more
- Centene Corporation (Tampa, FL)
- …and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive… more
- Universal Health Services (Jacksonville, FL)
- …a whole. We are pleased to announce the following available position: PRN Utilization Review Coordinator This position is responsible for monitoring the ... Nurse , LPN or Master's level Social Worker with experience in Utilization Management , preferred. Good communication (verbal and written) skills are… more
- AdventHealth (Tampa, FL)
- …Association as a Primary Stroke Center. **The role you'll contribute:** The role of the Utilization Management (UM) Registered Nurse (RN) is to use clinical ... reviews within 24 hours of admission; and when warranted by length of stay, utilization review plan, and/or best practice guidelines, on a continuing basis. .… more
- Humana (Tallahassee, FL)
- …of our caring community and help us put health first** The Manager, Utilization Management Nursing uses clinical knowledge, communication skills, and independent ... the daily management and operations of the department. Oversees utilization management functions which include timely authorizations related to… more
- HCA Healthcare (Sanford, FL)
- …experience in Case Management + BSN is preferred + Certification in Case Management , Nursing or Utilization Review is preferred HCA Florida Lake Monroe ... patients, families, hospital staff, and outside agencies + Performs utilization management reviews and communicates information to...to apply for our Registered Nurse Case Management PRN opening. Our team will promptly review… more
- University of Miami (Miami, FL)
- …. This position functions as Manager of the Case Managers and Utilization Review for all inpatient UMHC facilities under the direction ... action plans for continuous improvement, maintains and creates reports for the Utilization Management Committee Meetings. The manager will assume the oversight… more
- The Arora Group (Jacksonville, FL)
- …by DOD, BUMED, and TRICARE directives, coordinating with the local MHP clinic, utilization and Referral Management policies, and obtains additional clinical data ... Licensed Practical Nurse (LPN/LVN) Nurse Currently recruiting a...Naval Hospital Jacksonville as part of the Comprehensive Pain Management Program. The primary site of service shall be… more
- MyFlorida (Land O' Lakes, FL)
- SENIOR LICENSED PRACTICAL NURSE - 50000086 1 Date: May 21, 2024 Location: LAND O' LAKES, FL, US, 34639 The State Personnel System is an E-Verify employer. For more ... Requisition No: 819687 Agency: Veterans Affairs Working Title: SENIOR LICENSED PRACTICAL NURSE - 50000086 1 Pay Plan: Career Service Position Number: 50000086… more
- Elevance Health (Tampa, FL)
- …**How you will make an impact:** + Develops, maintains and enhances the claims review process. + Assists management with developing unit goals, policies and ... ** Nurse Audit Lead** **Supports the Carelon Payment Integrity...responsible for identifying, monitoring, and analyzing aberrant patterns of utilization and/or fraudulent activities by health care providers through… more
- MyFlorida (Macclenny, FL)
- SENIOR REGISTERED NURSE SUPV - 60022045 Date: Apr 29, 2024 Location: MACCLENNY, FL, US, 32063 The State Personnel System is an E-Verify employer. For more ... 807710 Agency: Children and Families Working Title: SENIOR REGISTERED NURSE SUPV - 60022045 Position Number: 60022045 Salary: $2413.22...in office or unit as designated by supervisor for review of nursing services by inside or outside auditors.… more
- ERP International (Eglin AFB, FL)
- … Management Society of America (CMSA); American Accreditation Healthcare Commission/ Utilization Review Accreditation Commission (URAC); CAMH; (AAAHC); Health ... **Overview** ERP International is seeking a **Registered Nurse (RN), Discharge Planner** for a full-time position in support of Eglin Hospital, Eglin AFB, FL… more
- MyFlorida (Orlando, FL)
- SENIOR REGISTERED NURSE SUPERVISOR Date: May 17, 2024 Location: ORLANDO, FL, US, 32814 The State Personnel System is an E-Verify employer. For more information click ... Requisition No: 824969 Agency: Veterans Affairs Working Title: SENIOR REGISTERED NURSE SUPERVISOR Pay Plan: Career Service Position Number: 50556018 Salary:… more
- Health First (Viera, FL)
- …Utilizes case-finding strategies to identify at-risk patients, such as unit rounds, utilization of computer reports, chart review , etc. Identifies educational ... nursing process to improve outcomes, to assure appropriate resource utilization , and support discharge planning and continuity of care...* Incontinence of the bowel and/or bladder The WOC nurse should be prepared to provide the full scope… more
- Immigration and Customs Enforcement (Miami, FL)
- …Corps (IHSC), Office of Deputy Assistant Director of Clinical Services (DAD-CSU). The Nurse Manager (NM) will report directly to the Regional Nurse Manager ... ensuring needed interpretation and/or translations services are available. Reviews utilization and documentation of translation services within the medical record,… more
- MyFlorida (Port Saint Lucie, FL)
- SENIOR REGISTERED NURSE SUPERVISOR Date: Apr 22, 2024 Location: PORT SAINT LUCIE, FL, US, 34987 The State Personnel System is an E-Verify employer. For more ... Requisition No: 827901 Agency: Veterans Affairs Working Title: SENIOR REGISTERED NURSE SUPERVISOR Position Number: 50453511 Salary: $68,640.00 Posting Closing Date:… more
- MyFlorida (Daytona Beach, FL)
- SENIOR REGISTERED NURSE SUPV - 50001660 Date: Apr 30, 2024 Location: DAYTONA BEACH, FL, US, 32117 The State Personnel System is an E-Verify employer. For more ... No: 826190 Agency: Veterans Affairs Working Title: SENIOR REGISTERED NURSE SUPV - 50001660 Pay Plan: Career Service Position...that the residents are receiving total nursing care. + Review shift assignments and ensure that the assignments reflect… more
