Utilization Management Nurse jobs in Tampa, FL

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Manager Case Management WellMed Tampa, FL
UnitedHealth Group 1,488 reviews - Tampa, FL
with utilization management, transition management... utilization management Minimum of three years experience disease/utilization management at a management...
Sponsored by UnitedHealth Group - 15 days ago
RN Case Manager
Memorial Hospital of Tampa - Tampa, FL
in accordance with Utilization Plan using ISD... decrease length of stay, and decrease resource utilization. Identifies and documents delays in care and...
Sponsored by HCA West Florida - 21 days ago

Senior Director, Clinical Care Management

WellCare 81 reviews - Tampa, FL
Develops core curriculum plans, assigns resources and direct activities for the Case Management program enterprise wide....
3 days ago - save job - email - more...

Registered Nurse (Utilization Review)

Department of Veterans Affairs 712 reviews - Tampa, FL
The NVCC Care Coordination program is designed to provide medically necessary care to veterans through utilization of community resources....
3 days ago - save job - email - more...

Registered Nurse (RN) - Utilization Management Nurse Consult...

Aetna 346 reviews - Lutz, FL 33548
The Nurse Consultant utilizes clinical skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options and services to...
14 days ago - save job - email - more...

Nurse - Clinical Utilization Management Elevation

CareCentrix 68 reviews - Tampa, FL
The UM Elevation Nurse will own the case from point of referral to the recommendation for denial, or the recommendation for approval....
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17 days ago - save job - email - more...

Delegation/Quality Coordinator

JSA Healthcare Corporation - Saint Petersburg, FL
The Delegation / Quality Coordinator duties include but are not limited to Disease Management and Quality Improvement chart reviews, patient outreach, data...
13 days ago - save job - email - more...

Field Health Mgr I Tampa (Pinellas County)

Molina Healthcare 100 reviews - Tampa, FL
Provides telephonic and face-to-face assessments and support by developing care plans with members including self management goals, connections to needed...
17 days ago - save job - email - more...

Clinical Reviewer

CareCentrix 68 reviews - Tampa, FL
The core function is to review utilization information concerning patient care for Care. Centrix, and to match those needs to available care options, within the...
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10 days ago - save job - email - more...

Utilization Management Registered Nurse Needed

Kelly Services 2,560 reviews - Tampa, FL 33607 (Carver City area)
We are currently recruiting for an exciting contract opportunity as a Utilization Review/Management Registered Nurse with our large medical insurance client....
1 hour ago - save job - email - more...

Bilingual Pediatric Care Registered Nurse (RN)

eQHealth Solutions - Tampa, FL
QHealth Solutions, Inc., a leading healthcare quality improvement and utilization review organization, has an excellent opportunity for Registered Nurses (RNs)...
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5 hours ago - save job - email - more...

Supervisor Behavioral UM

AdPoint - Tampa, FL
The Utilization Management (BH) Supervisor is responsible for the day to day operation of the UM Call Center....
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22 days ago - save job - email - more...
RN Case Manager
Brandon Regional Hospital 40 reviews - Brandon, FL
in accordance with Utilization Plan using ISD... prior ICU and Case Management background Current Florida State Registered Nurse license Critical thinking...
Sponsored by HCA West Florida - 12 days ago
Utilization Review RN
HealthCare Support Staffing 26 reviews - Clearwater, FL
nurse Identifies need for referral of the member to case management and/or disease management services... care management or utilization management services in...
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Sponsored by HealthCare Support Staffing - 30+ days ago
Product Manager - CM and UM Registered Nurse
MedHOK, Inc. - Tampa, FL
internal staff & management, regulations, and... Prior participation in NCQA and / or URAC Utilization Management or Health Plan accreditation preferred...
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Sponsored by MedHOK, Inc. - 28 days ago

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Company with Utilization Management Nurse jobs
1,488 reviews
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