- AdventHealth (Altamonte Springs, FL)
- …role you will contribute:** The role of the Utilization Management (UM) Registered Nurse ( RN ) is to use clinical expertise by analyzing patient ... including concurrent payer communications to resolve status disputes. The Utilization Management Nurse is accountable.... Current and valid license to practice as a Registered Nurse (ADN or BSN) required. .… more
- AdventHealth (Altamonte Springs, FL)
- …expertise and experiences you'll need to succeed:** . Bachelor's . 1 Related Experience . Registered Nurse ( RN ) . Extensive understanding of CPT, HCPCS, ICD, ... rebilling. + Collaborates with pre-access, patient financial services, revenue integrity, utilization management and clinical department staff to obtain further… more
- Bluestone Physician Services (Orlando, FL)
- …with primary care teams to ensure high quality team-based care + Use utilization management tools to facilitate appropriate transitional care management ... with providers to identify high risk patients Qualifications : Education/Certification/Experience + Registered Nurse or Degree in Social Work, Licensed Social… more
- Actalent (Orlando, FL)
- …and HIPAA compliance. Additional Skills & Qualifications + Experience in care management , utilization review, or discharge planning. + HMO experience preferred. ... Remote Case Manager Job Description This role involves...care settings, ensuring continuity and quality of care. The nurse will work collaboratively with care teams, patients, and… more