• Behavioral Health UM Nurse Consultant

    CVS Health (Tallahassee, FL)
    …constituents in the coordination and administration of the utilization /benefit management function. Required Qualifications Registered Nurse (RN) with ... computer skills which includes navigating multiple systems and keyboarding Education Registered Nurse (RN) with psychiatric specialty, certification, or… more
    CVS Health (06/05/24)
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  • Utilization Management Nurse

    CVS Health (Tallahassee, FL)
    …skills, 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
    CVS Health (06/01/24)
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  • Utilization Management Nurse

    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 (06/01/24)
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  • Consultant, Nurse Disability

    Lincoln Financial Group (Tallahassee, FL)
    …and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred skills ... will provide coaching and guidance to claims regarding medical management **What you'll be doing** * Evaluate medical information...looking for** * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license… more
    Lincoln Financial Group (05/29/24)
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  • Staff Professional-Risk Mgmt

    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
    Marriott (05/12/24)
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  • Manager Orthopedics

    HCA Healthcare (Tallahassee, FL)
    …Life Support must be obtained within 30 days of employment start date + Advance Practice Registered Nurse (APRN), or Registered Nurse + Registered ... of Facility Scheduler. + Demonstrates accountability and effectiveness in the management of utilization of supplies and equipment. + Participates in… more
    HCA Healthcare (05/25/24)
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  • RN- Initial Clinical Reviewer II

    Evolent Health (Tallahassee, FL)
    …Be Doing:** As an Initial Clinical Reviewer, you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference ... supported by Physician clinical review staff (MDs) in the utilization management determination process. + Reviews charts...and Preferred:** + Current, unrestricted state licensure as a Registered Nurse in home state- **Required** +… more
    Evolent Health (06/06/24)
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  • RN Clinical Manager, Home Health

    CenterWell (Tallahassee, FL)
    …license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a home care, ... clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
    CenterWell (05/16/24)
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  • Behavioral Health Care Manager

    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
    Centene Corporation (04/25/24)
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  • Community Health Nursing Consultant

    MyFlorida (Tallahassee, FL)
    …in a concise and organized manner; Ability to prepare various reports. Qualifications: Registered Nurse license required, FS 464. Incumbent may be required to ... Required Knowledge, Skills, and Abilities: Knowledge, skills and abilities, including utilization of equipment, required for the position: Knowledge of nursing… more
    MyFlorida (05/23/24)
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