- ERP International (Macdill AFB, FL)
- **Overview** ERP International is seeking a ** Registered ** ** Nurse ( RN )** for a Full-Time position in ** Utilization Management ** at MacDill AFB, FL. ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
- Teleflex (Tampa, FL)
- …based Sales Representative, Anesthesia, is making connections with anesthesiologists, Certified Registered Nurse Anesthetist's (CRNA's), other members of the ... our world-class brands including: + LMA and Rusch airway management devices designed to help reduce the risk of...business plan. - Grow overall market share and increase utilization among existing accounts, while securing new users within… more
- AdventHealth (Tampa, FL)
- …Qualifications The expertise and experiences you'll need to succeed: .Associate Degree Nursing or RN Diploma degree. .Florida Registered Nurse ( RN ) ... satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily....Two (2 ) years of medical/hospital Registered Nurse experience This facility is an equal opportunity employer… more
- Molina Healthcare (St. Petersburg, FL)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... multidisciplinary teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required Qualifications * At least 2… more
- AdventHealth (Tampa, FL)
- …Patient Choice, etc.) Qualifications **The expertise and experiences you'll need to succeed:** Registered Nurse : BSN or Social Worker: BSW Masters in related ... field. 3 years in direct Care Management / Utilization Management experience in an... experience in an acute care setting. State specific RN license if a nurse . This facility… more
- AdventHealth (Tampa, FL)
- …sharing amongst staff. Qualifications **The expertise and experiences you'll need to succeed:** Registered Nurse : BSN or Social Worker: BSW Masters in related ... field. 3 years in direct Care Management / Utilization Management experience in an... experience in an acute care setting. State specific RN license if a nurse . This facility… more
- AdventHealth (Tampa, FL)
- …patient satisfaction, patient safety, readmission prevention and length of stay management .The RN Care Manager communicates daily with the interdisciplinary ... of medical necessity are core competencies of this role.The RN Care Manager facilitates the collaborative management ... Diploma degree Two (2 ) years of hospital Registered Nursing experience State specific RN license… more
- Molina Healthcare (St. Petersburg, FL)
- …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual… more
- Molina Healthcare (St. Petersburg, FL)
- …and/or coding experience, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION **Job Summary** The Medical Claim Review Nurse provides support for medical claim review activities....payment decisions. * Serves as a clinical resource for utilization management , chief medical officers, physicians and… more
- Bluestone Physician Services (Tampa, 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
- AdventHealth (Tampa, FL)
- …experiences you'll need to succeed:** Associate and 2 years experience Associates Degree Nursing or RN Diploma degree. Registered Nurse ( RN ). 2 years of ... transitions, patient satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily with the… more
- Veterans Affairs, Veterans Health Administration (Bay Pines, FL)
- …care outcomes by collaborating with members of the interdisciplinary team. Responsibilities The Dialysis Registered Nurse ( RN ) is a professional nurse ... 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
- AdventHealth (Tampa, FL)
- …**The expertise and experiences you'll need to succeed:** Associate's of Nursing Required Registered Nurse ( RN ) Required Basic Life Support - CPR ... Participates in conducting performance appraisals for personnel on assigned shift. The Registered Nurse provides self-directed, effective nursing care to groups… more
- Veterans Affairs, Veterans Health Administration (Bay Pines, FL)
- …performance ar knowledge and active participation. Responsibilities The Interventional Radiology (IR) Registered Nurse ( RN ) is responsible for providing ... for the coordination of care focused on patient education, self- management , customer satisfaction through the continuum of care. Administers...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- ERP International (Macdill AFB, FL)
- **Overview** ERP International is seeking ** Registered ** ** Nurse ( RN )** for Full-Time positions in **Case Management ** at MacDill AFB, FL. Apply online ... algorithms, CM software, and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case management with… more
- Molina Healthcare (St. Petersburg, FL)
- …of payment decisions. + Serves as a clinical resource for Utilization Management , Chief Medical Officers, Physicians, and Member/Provider Inquiries/Appeals. ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
- Veterans Affairs, Veterans Health Administration (Bay Pines, FL)
- …successfully performs activities appropriate to their grade as outlined in the Nurse Qualification Standards. The Radiation Oncology RN will demonstrate ... responsibility for the coordination of care focused on 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
- Veterans Affairs, Veterans Health Administration (Bay Pines, FL)
- …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... evidence-based practice/research to improve quality of care and resource utilization . Applies evidence-based practice/research to patient care. Participates in… more
- BayCare Health System (Tampa, FL)
- …Call:** No **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred ACM (Case Management ) + Preferred CCM (Case Manager) ... of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior/ RN responsibilities include:** +...Case Management or + Required 3 years Registered Nurse + Preferred experience in Critical… more
- Molina Healthcare (St. Petersburg, FL)
- …skills. * Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications * Registered Nurse ( RN ). License must be active and ... including design, development, implementation, and oversight of technology that drives core utilization management , care management , long-term services and… more
