- 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
- 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
- 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 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 (Clearwater, FL)
- 68064198 - REGISTERED NURSE SPECIALIST Date: Jun 9, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Agency for Health Care Administration Working Title: 68064198 - REGISTERED NURSE SPECIALIST Pay Plan: Career Service...individual, team member or team leader. As assigned by management , this position is required to successfully complete the… more
- AdventHealth (New Port Richey, FL)
- ** Registered Nurse Case Manager - AdventHealth Home Health** **All the benefits and perks you need for you and your family:** + Up to $10,000 Sign on Bonus + ... County area. **The role you'll contribute:** The Home Health Registered Nurse (RN) Care Manager is a...needs. The RN Care Manager is responsible for independent management of the Home Health patient population requiring the… more
- Fresenius Medical Center (Tampa, FL)
- …Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. + ... + Preferred but not required: + 3+ years supervisory or project/program management experience. + Med/surg or ICU/CCU experience. **PHYSICAL DEMANDS AND WORKING… more
- Molina Healthcare (St. Petersburg, FL)
- …Chief Medical Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. + ... as may be required. + Serves as a clinical resource for Utilization Management , Chief Medical Officer, Physicians, and Member/Provider Inquiries/Appeals. +… more
- BayCare Health System (Tampa, FL)
- …duties as assigned. The Nurse Care Coordinator, RN **Requirements:** + RN ( Registered Nurse ) License + Required Associate's or Diploma Nursing + _Preferred 3 ... medical services. + Assures appropriateness of patient care, facilitates case management , encourages appropriate utilization of resources and timely specialty… more
- BayCare Health System (Tampa, FL)
- …is highly preferred. **Certifications, Licensures, Education:** + BLS - Required + Registered nurse license- Required. + Bachelor's degree in nursing- Required ... amazing team and a great place to work!** The ** Nurse Manager** a leader within the health system who...when in the clinical setting + Responsible for appropriate utilization of team resources to effectively and efficiently provide… more
- Veterans Affairs, Veterans Health Administration (Bay Pines, FL)
- …with the interdisciplinary team. Responsibilities Community Living Center (CLC) and Hospice Registered Nurse (RN) is responsible for all elements of the ... for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care....level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- CenterWell (Clearwater, 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
- ERP International (Macdill AFB, FL)
- …algorithms, CM software, and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case management with ... ** Nurse (RN)** for Full-Time positions in **Case Management ** at MacDill AFB, FL. Apply online today and...Specialist (CDMS) o Association of Rehabilitation Nurses: Certified Rehabilitation Registered Nurse (CRRN) o American Board for… 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
- Molina Healthcare (St. Petersburg, FL)
- …Training & Education **Preferred License, Certification, Association** Active and unrestricted Registered Nurse (RN) license and Certified Coding Specialist ... for timely and accurate reimbursement and data collection. Candidates with previous management and DRG validation experience are highly preferred. Work hours: Monday… more
- AdventHealth (Temple Terrace, FL)
- …which the agency is open and providing care to patients and that an RN ( Registered Nurse ) is available after hours (24/7) to address patient concerns. + Performs ... the functions of the clinical supervisor, intake, scheduling, quality review, utilization management medical records as needed. + Ensures the agency employs… more
- BayCare Health System (Tampa, FL)
- …+ Knowledge of regulatory standards appropriate to position **Requirements:** + RN ( Registered Nurse ) License + Driver's License, State of Florida required ... bodies within the area of responsibility. + Ensure quality assurance program and utilization review is followed in accordance with Home Care protocol. + Oversees and… more
- HCA Healthcare (Largo, FL)
- …be a part of our team. **Job Summary and Qualifications** We are seeking a Registered Nurse Case Manager. You will provide clinical expertise to ensure all ... You will promote cost effectiveness through the integration of case management , utilization review management and discharge planning. **What qualifications… more
- HCA Healthcare (Largo, FL)
- …charitable organizations. Apply Today! **Job Summary and Qualifications** We are seeking a Registered Nurse Case Manager. You will provide clinical expertise to ... You will promote cost effectiveness through the integration of case management , utilization review management and discharge planning. **What qualifications… more
- HCA Healthcare (St. Petersburg, FL)
- …charitable organizations. Apply Today! **Job Summary and Qualifications** We are seeking a Registered Nurse Case Manager. You will provide clinical expertise to ... You will promote cost effectiveness through the integration of case management , utilization review management and discharge planning. **What qualifications… more