- Elevance Health (Tallahassee, FL)
- ** Utilization Management Representative II** **Location:** Must live within 50 miles of a Florida PulsePoint. The ** Utilization Management Representative ... given. + Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty care. +...eligibility information. + May act as liaison between Medical Management and internal departments. Responds to telephone and written… more
- Fresenius Medical Center (Tallahassee, FL)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area...Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and… more
- Select Medical (Tallahassee, FL)
- …by doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... **Overview** **Critical Illness Recovery Hospital** **Case Manager (PRN)** _Requires a current licensure in a...the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates… more
- Prime Therapeutics (Tallahassee, FL)
- …+ Clinical and Quality oversight for this program is provided by the Manager , Patient Programs. **Responsibilities** + Registered Nurse (RN). + 5 years ... post-degree clinical experience. + Experience in managed care, specialty drugs, care management and utilization review. + Meets Magellan Credentialing criteria.… more
- CenterWell (Tallahassee, FL)
- …an accredited School of Nursing . + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance and reliable ... clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates...transportation. + Two years as a Registered Nurse with at least one-year of management … more
- HCA Healthcare (Tallahassee, FL)
- …oversight of the overall daily function and staffing of the unit/department. The Manager monitors and evaluates the provision of nursing care in accordance ... **Are you passionate about delivering patient-centered care?** Submit your application for Manager Emergency Services Lake Jackson FSED position and spend more time… more
- Huron Consulting Group (Tallahassee, FL)
- …it promotes a culture of respect, unity, collaboration, and personal achievement. As a Manager , you will have the unique ability to specialize in certain areas that ... talent, training, supervising, coaching/mentoring, and providing feedback through performance management + Facilitate communication and collaboration between all key… more
- Sharecare, Inc. (Tallahassee, FL)
- …/ new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, ... + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex...Patient Care Technician (PCT) + Physical Therapy Assistant + Nursing Assistant + Medical Secretary/Clinic Manager +… more
- Wolters Kluwer (Tallahassee, FL)
- …strategic issues/environment such as competition and publishing strategies. + Project management skills including time/resource utilization , as well as budgeting ... US **OVERVIEW** As a Senior Content Editor (Senior Development Editor) for the Nursing Education and Nursing Practice portfolios, you have an opportunity to… more