- Centene Corporation (Tallahassee, FL)
- …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... to ensure appropriate care for members and supervises day-to-day activities of BH utilization management team. + Monitors behavioral health (BH) utilization … more
- CVS Health (Tallahassee, FL)
- …may include weekends and holidays and evening rotations. This is a full-time remote Utilization Management Nurse Consultant opportunity. As a Utilization ... health care more personal, convenient and affordable. **Position Summary** Utilization management is a 24/7 operation. Work...of residence + 3+ years of experience as a Registered Nurse + 1+ years of clinical… more
- AdventHealth (Altamonte Springs, FL)
- …role you'll contribute:** The role of the Emergency Department Utilization Management (UM) Registered Nurse ( RN ) is to use clinical expertise ... days a week including weekends, holidays and overnight. The Emergency Department UM RN leverages...review as determined by department standards. The Utilization Management Nurse is accountable… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Utilization Management Behavioral Health Nurse uses behavioral health knowledge and ... be located and licensed in a Compact State** The Utilization Management Behavioral Health Nurse ...Qualifications** + Minimum of Associate Degree in Nursing + Registered Nurse ( RN ) licensure with… more
- CVS Health (Tallahassee, FL)
- …Must reside in Florida + Licensed Independent Behavioral Health clinician or an unrestricted Registered Nurse ( RN ) license in FL with psychiatric specialty ... convenient and affordable. **Position Summary** This is a fulltime remote Utilization Management Clinical Consultant opportunity for candidates residing in… more
- Elevance Health (Tampa, FL)
- RN Utilization Management Nurse Sr. (Medicaid-InPatient) JR130851 **Location:** Must be within 50 miles / 1 hour commute of Tampa or Miami, FL offices. ... Friday. **2 Holidays** per year and **occasional** weekends. The ** Nurse Medical Management Sr** serves as T...Requires minimum of 5 years acute care clinical experience, utilization management or managed care experience; or… more
- Wellpath (Fort Lauderdale, FL)
- …prevent unnecessary re-hospitalization. + Provide counsel and in-service training on utilization management practices as applicable. + Identify alternative ... field. + Bachelor's degree preferred. + Knowledge of behavioral health systems and Utilization Management required. Experience + Minimum two (2) years of… more
- Elevance Health (Tampa, FL)
- …be willing to obtain a compact nursing license for this position. + Utilization Management experience is strongly preferred. + Previous UM experience working ... **: Monday through Friday, 10:30 - 7:00 Eastern time** The **Licensed Utilization Review II** responsible for working primarily with healthcare providers to help… more
- AdventHealth (Winter Garden, FL)
- …documents avoidable days, and facilitates progression of care. + Collaborates with Utilization Management staff for collaboration on patient status changes and ... to timely and efficient care delivery and reimbursement. The RN Care Manager provides education to nurses,...Nursing (BSN) + ACM/CCM Certification + Experience in Care Management / Utilization Management This facility… more
- AdventHealth (Apopka, FL)
- …and a catheterization lab. + The hospital also features a 30,000 square-foot Emergency Department with pediatric friendly beds, imaging services, a full-service ... avoidable days, and facilitates progression of care. Collaborates with Utilization Management staff for collaboration on patient...valid State of Florida or multistate license as a Registered Nurse + 2 years of medical/… more