Utilization Management Nurse jobs in Tampa, FL

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Utilization Review - Registered Nurse RN
Enhances the quality of patient management and satisfaction to promote continuity of care and cost effectiveness through the integration of case management and...
Sponsored by HCA Inc
Office Nurse - Brandon (North Oakwood)
HealthCare Partners - 203 reviews - Brandon, FL 33510
Attend Case Management Meetings. Assist with the monitoring of utilization management and make recommendations regarding effectiveness of health care resources,...
Sponsored
Utilization Review Nurse
Utilization Review Nurse-1502633. The Utilization Review Nurse completes inpatient admission, utilization and retrospective reviews for Health Choice members,...
Sponsored by ExperiencedRN.com

Call Center Nurse - Tampa, FL 123375

Anthem, Inc. - 1,778 reviews - Tampa, FL 33601
2 years of clinical or utilization review experience. 1 year of managed care experience and knowledge of the medical management process;...

Clinical Claims Review Advisor - RN

Humana - 2,089 reviews - Tampa, FL
Previous experience in utilization management. Be a part of our Clinical Space – as a Clinical Claims Review Nurse Advisor you will review medical services for...

Clinical Care Reviewer, Utilization Management - RN

AmeriHealth Caritas - 178 reviews - Tampa, FL
Current and unrestricted Registered Nurse in Florida. Under the supervision of the Supervisor for Utilization Management, this position is responsible for...

Utilization Review RN

eQHealth Solutions - Tampa, FL
Prior experience in utilization management or case management preferably in the managed care environment. All Utilization Review nurses will provide our clients...
Easily apply

Utilization Review Nurse

AIC - 43 reviews - Tampa, FL
The Medical Utilization Manager RN - Clinician is responsible for conducting utilization and quality management activities in accordance with Utilization...
Easily apply

Utilization Management Nurse

Tampa General Hospital - 279 reviews - Tampa, FL
Under general supervision of the Utilization Review Manager, the Utilization Management Nurse will monitor and manage all inpatient hospital admissions with the...

Retrospective Review Nurse

WellCare - 575 reviews - Tampa, FL 33634
Ability to use proprietary health care management system. Identifies misuse of ER utilization and resources and communicates with Manager/Director/Medical...

Concurrent Review Nurse

Global TPA LLC - Tampa, FL 33609 (Swann Estates area)
Concurrent Review Nurse. The Concurrent Review Nurse is responsible for the management of inpatient and observation services provided to members with a focus on...

Utilization Review - Registered Nurse RN

Memorial Hospital of Tampa - 19 reviews - Tampa, FL
Enhances the quality of patient management and satisfaction to promote continuity of care and cost effectiveness through the integration of case management and...

Concurrent Review Nurse I (Polk/Pinellas County)

Sunshine State Health Plan - Tampa, FL
Educate providers on utilization and medical management processes. Enter and maintain pertinent clinical information in various medical management systems....
Case Manager - Registered Nurse RN
Case Management experience preferred. Certification in Case Management preferred. Demonstrates an ability to perform specific competencies as identified on the...
Sponsored by HCA Inc
Utilization Review Registered Nurse RN
Enhances the quality of patient management and satisfaction to promote continuity of care and cost effectiveness through the integration of case management and...
Sponsored by HCA Inc

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