- Humana (Tallahassee, FL)
- …and help us put health first** Humana Healthy Horizons in Ohio is seeking a Utilization Management Nurse 2 who utilizes clinical nursing skills to support ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- CVS Health (Tallahassee, FL)
- …skills, both verbal and written Required Qualifications - 3+ years of experience as a Registered Nurse - Must possess 1+ years of clinical experience in acute or ... and external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working environment with… more
- CVS Health (Tallahassee, FL)
- …both verbal and written Required Qualifications - 3+ years of experience as a Registered Nurse - Must have active current and unrestricted RN licensure in ... and external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working environment with… more
- Marriott (Tallahassee, FL)
- …Information** Nurse CARE Manager (CARE - Coordinated Action and Response) Registered Nurse license required **Job Number** 24069165 **Job Category** Finance ... Claims Services + Collaborate with Claims department regarding case management . + Collaborate with UNM on utilization ...informed **Education or Certification** + Must be a licensed registered nurse + Certification as an occupational… more
- Centene Corporation (Tallahassee, FL)
- …Certified (CMAC):** **Case Management Certified (CMC):** **Certified Case Manager (CCM):** Registered Nurse Case Manager (RN-CM) Registered Nurse ... policies, procedures and processes. + Facilitate on-going communication between case management staff, utilization management staff and contracted… more
- HCA Healthcare (Tallahassee, FL)
- …10+ years overall case management experience required + Currently licensed as a Registered Nurse in the state(s) of practice according to law and regulation ... to HCA established policies, practices, efficiencies; and effectiveness of clinical Case Management , Utilization Management , and Social Work functions within… more
- Centene Corporation (Tallahassee, FL)
- …is required OR an RN with a behavioral health background:** Required Licensed Registered Nurse (RN) Required Licensed Clinical Social Worker (LCSW) Required ... management and/or acute behavioral health care setting focusing on outpatient/inpatient utilization , case management and discharge planning Required 1+ year… more