- Humana (Tallahassee, FL)
- …of our caring community and help us put health first** The Manager, Utilization Management Nursing uses clinical knowledge, communication skills, and independent ... the daily management and operations of the department. Oversees utilization management functions which include timely authorizations related to… more
- Marriott (Tallahassee, FL)
- …with Claims department regarding case management . + Collaborate with UNM on utilization review issues. + Refer catastrophic cases in coordination with claims ... claims most likely to benefit from case management to meet jurisdictional needs. ** Utilization Review ** + Provide initial clinical review in order to… more
- CenterWell (Tallahassee, FL)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking...and reliable transportation. + Two years as a Registered Nurse with at least one-year of management … more
- HCA Healthcare (Tallahassee, FL)
- … of Facility Scheduler. + Demonstrates accountability and effectiveness in the management of utilization of supplies and equipment. + Participates in ... goals, and objectives of the organization. Provides leadership and management of the staff in the implementation of the...legal responsibilities as written in The State of Florida Nurse Practice Act. + Conducts self as professional role… more
- MyFlorida (Tallahassee, FL)
- …Required Knowledge, Skills, and Abilities: Knowledge, skills and abilities, including utilization of equipment, required for the position: Knowledge of nursing ... and procedures; Ability to communicate effectively verbally and in writing; Ability to review , analyze and evaluate data; Ability to present information in a concise… more