- Community Health Systems (Naples, FL)
- …written and verbal communication skills. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State Licensure Current ... **Job Summary** Under the direction of the UR Director/Manager the UR Nurse reviews all admissions for medical necessity, correct orders based on medical condition… more
- Wellpath (Fort Lauderdale, FL)
- …for training, education, and point of care support. **How you make a difference** The Utilization Management Registered Nurse works under the guidance of the ... accordance with applicable state and local laws. Quick Apply (https://careers-wellpath.icims.com/jobs/177156/ utilization -management- registered - nurse /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336175207) **Need help finding the… more
- AdventHealth (Tampa, FL)
- …as a Primary Stroke Center. **The role** **you'll** **contribute:** The role of the Utilization Management (UM) Registered Nurse (RN) is to use clinical ... order or a status conflict is indicated, the UM nurse is responsible for escalation to the Physician Advisor...to the Physician Advisor or designated leader for additional review as determined by department standards. Additionally, the UM… more
- Centene Corporation (Tallahassee, FL)
- …and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and ... perspective on workplace flexibility. **Position Purpose:** Performs a clinical review and assesses care related to mental health and...Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact… more
- ChenMed (Lakeland, FL)
- …assess and record patients' progress and adjust and plan accordingly. + Understanding utilization review and how to leverage with inpatient staff for possible ... a related clinical field preferred. + A valid, active Registered Nurse (RN) license in State of...experience required. + A minimum of 1 year of utilization review and/or case management, home health,… more
- MyFlorida (Orlando, FL)
- SENIOR REGISTERED NURSE SUPV Date: Apr 17, 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...that the residents are receiving total nursing care. + Review shift assignments and ensure that the assignments reflect… more
- MyFlorida (Port Saint Lucie, FL)
- SENIOR REGISTERED NURSE SUPV Date: Apr 27, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 846604 Agency: Veterans Affairs Working Title: SENIOR REGISTERED NURSE SUPV Pay Plan: Career Service...that the residents are receiving total nursing care. + Review shift assignments and ensure that the assignments reflect… more
- MyFlorida (St. Augustine, FL)
- SENIOR REGISTERED NURSE SUPV - 50950037 Date: Apr 24, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 847407 Agency: Veterans Affairs Working Title: SENIOR REGISTERED NURSE SUPV - 50950037 Pay Plan: Career Service… more
- MyFlorida (Panama City Beach, FL)
- OPS REGISTERED NURSE - 50601527 Date: Apr 24, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 843089 Agency: Veterans Affairs Working Title: OPS REGISTERED NURSE - 50601527 Pay Plan: Health...and procedures + Monitor physician's orders for completion + Review and follow-up on resident incidents or complaints +… more
- MyFlorida (Bradenton, FL)
- ADVANCED PRACTICE REGISTERED NURSE - 64038339 1 Date: May 12, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... 853011 Agency: Department of Health Working Title: ADVANCED PRACTICE REGISTERED NURSE - 64038339 1 Pay Plan:...chart must support this coding. + Provides input and review of local health department protocols and will also… more
- CVS Health (Tallahassee, FL)
- …- Perform medical necessity reviews **Required Qualifications** - 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... setting - A Registered Nurse that holds an active, unrestricted...lower levels of care - 1+ years' experience in Utilization Review - CCM and/or other URAC… more
- Sharecare (Tallahassee, FL)
- …cost effective, appropriate resource utilization and quality outcomes. The Clinical Registered Nurse is also responsible for early identification of those ... for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Clinical Registered Nurse has the responsibility for supporting the goals and… more
- MyFlorida (Live Oak, FL)
- ADVANCED PRACTICE REGISTERED NURSE - 64061160 Date: May 1, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... . Requisition No: 852035 Agency: Department of Health Working Title: ADVANCED PRACTICE REGISTERED NURSE - 64061160 Pay Plan: Career Service Position Number:… more
- HCA Healthcare (Clearwater, FL)
- …satisfaction and personal growth, we encourage you to apply for our Operating Room Registered Nurse opening. We promptly review all applications. Highly ... like family! Jump-start your career as a(an) Operating Room Registered Nurse today with Countryside Surgery Center....the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
- AdventHealth (Orlando, FL)
- …Degree Nursing + Current valid State of Florida or multistate license as a Registered Nurse + 2 years of medical/ hospital nursing experience **Preferred ... physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge...(as permitted by the patient) as well as a review of the current and past inpatient and outpatient… more
- Fresenius Medical Center (Panama City, FL)
- **PURPOSE AND SCOPE:** The Inpatient Services Charge Nurse is an additional "responsibility" assigned to the Inpatient Services RN, for a limited period of time, and ... duties, as assigned by the Program Manager. The Inpatient Services Charge Nurse ensures appropriate provision of Acute Dialysis Services and treatments within… more
- Northwest Florida Community Hospital (Chipley, FL)
- Part Time Registered Nurse - Case Management, Day Shifts, Thursdays & Fridays, 8:00am - 4:30pm Northwest Florida Community Hospital (NFCH), in Chipley, FL, is ... agencies, etc., assists social worker(s) with specific problems, and assists with utilization review functions as needed. Experience : At least one year hospital… 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 AFB, FL ... CM software, and databases for community resources. + Integrate CM and utilization management (UM) and integrating nursing case management with social work case… more
- University of Miami (Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Work ... of Case Management. + Incorporates the fundamental principles of utilization management, monitoring resource consumption, social services intervention and individual… more
- Fresenius Medical Center (Haines City, FL)
- …auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic ... financials including efficient utilization of supplies or equipment and regular profits and...of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and… more