- AdventHealth (Tampa, FL)
- …Stroke Center. **The role** **you'll** **contribute:** The role of the Utilization Management (UM) Registered Nurse (RN) is to use clinical expertise ... align with the physician order or a status conflict is indicated, the UM nurse is responsible for escalation to the Physician Advisor or designated leader for… 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
- Molina Healthcare (St. Petersburg, FL)
- …for RN, LVN, or bachelor's trained candidates with a strong background in Utilization Management . Additionally, the applicant should have proven experience as a ... Responsible for the development, implementation, and delivery of training curriculum for Utilization Management , Case Management , and LTSS staff. Leads… more
- ChenMed (Tampa, 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 is responsible for achieving positive patient outcomes, managing...experience required. + A minimum of 1 year of utilization review and/or case management , home health,… more
- Molina Healthcare (St. Petersburg, FL)
- …**JOB QUALIFICATIONS** **Required Education** Any of the following: Completion of an accredited Registered Nurse (RN), Licensed Vocational Nurse (LVN) or ... in good standing Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual /… more
- Molina Healthcare (St. Petersburg, FL)
- … Nurse in good standing. **Preferred Education** Completion of an accredited Registered Nurse (RN) Program or a bachelor's degree in Nursing. **Preferred ... contained in the delegation agreement. **KNOWLEDGE/SKILLS/ABILITIES** The Delegation Oversight Nurse is responsible for ensuring that Molina Healthcare's UM… more
- MyFlorida (Bradenton, FL)
- SENIOR COMMUNITY HEALTH NURSE - 64054533 Date: Apr 26, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 843397 Agency: Department of Health Working Title: SENIOR COMMUNITY HEALTH NURSE - 64054533 Pay Plan: Career Service Position Number: 64054533 Salary: $31… more
- MyFlorida (Bradenton, FL)
- SENIOR COMMUNITY HEALTH NURSE - 64028532 1 Date: May 2, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 850414 Agency: Department of Health Working Title: SENIOR COMMUNITY HEALTH NURSE - 64028532 1 Pay Plan: Career Service Position Number: 64028532 Salary:… more
- HCA Healthcare (Brandon, FL)
- …actively engaging interdisciplinary teams and external stakeholders. The Director is a registered nurse with responsibility for all operational aspects of the ... degree in Nursing, Health Administration, or Business Administration, preferred + Either Registered Nurse (RN) licensure , Licensed Clinical Social Worker (LCSW)… more
- HealthTrust Workforce Solutions (Brandon, 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
- CenterWell (Tampa, FL)
- …license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a home care, ... clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- Adecco US, Inc. (Tampa, FL)
- …partnered with a reputable Healthcare client to find a dedicated and experienced ** Registered Nurse , Case Manager** in Tampa, FL. **Job Title:** **Acute ... Transitional Care Nurse (RN) - Telecommuter** **Department:** Comprehensive Clinical ...hospital setting. **Preferred Qualifications:** + Experience in care continuum management , utilization review, or discharge planning. +… more
- Molina Healthcare (St. Petersburg, FL)
- …internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN). **Required Experience** 1-3 years of hospital ... requests for transplants; the ideal candidate will have experience either in utilization review or case management for transplants. Preference will be… more
- Bluestone Physician Services (Tampa, FL)
- …with primary care teams to ensure high quality team-based care + Use utilization management tools to facilitate appropriate transitional care management ... high risk patients Qualifications : Education/Certification/Experience + Licensed Social Worker or Registered Nurse + 3-5 years of experience in case/care … more
- HCA Healthcare (St. Petersburg, FL)
- …**What qualifications you will need:** We are seeking an experienced and professional Registered Nurse to become our Coordinator of OR Service Line. You ... clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at HCA...workflow. **Qualifications** + Must be licensed as a Florida Registered Nurse in accordance with state regulations… more
- HCA Healthcare (Sun City Center, FL)
- …your knowledge and expertise! **Job Summary and Qualifications** We are seeking a Registered Nurse Case Manager. You will provide clinical expertise to ensure ... You will promote cost effectiveness through the integration of case management , utilization review management and discharge planning. **What qualifications… more