5 utilization review case manager jobs at 5 companies in Clearwater, FL
2w
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Case Manager, RN- Utilization Review
Tampa, Florida, United States
$36/hr RemoteFull Time
3+ YOEFlorida RN license and three years of practicing RN experience required. Utilization management experience preferred. Requires utilization review expertise, medical necessity assessment, payer collaboration, documentation, and Microsoft applications.
InterQual, Electronic Medical Records (EMR), utilization management systems, Microsoft Outlook, Microsoft Teams, Microsoft Word, Microsoft Excel
2mo
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Review Nurse- Value Based Services
Clearwater, Florida, United States
OnsiteFull Time
2+ YOELPN required with 2+ years LPN experience and 1+ year utilization review/case management experience; active Florida LPN license and current BLS; ability to conduct clinical reviews, patient outreach, documentation, and use HEDIS/quality measures.
HEDIS
2w
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Healthcare Svcs Review Nurse
Tampa, Florida, United States
$33-$60/hr OnsiteFull Time
5+ YOEFlorida RN license, Florida driver's license, five years of medical or surgical nursing experience, including two years in quality assurance, utilization review, or case management.
Microsoft Excel, Microsoft Word, National Committee on Quality Assurance (NCQA), Florida Department of Law Enforcement (FDLE), Criminal Justice Information Services (CJIS), State Automated Child Welfare Information System (SACWIS)
3w
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Case Management Director
Wesley Chapel, Florida, United States
OnsiteFull Time
3+ YOELead day-to-day case management operations; oversee discharge planning, utilization review, and interdisciplinary care; 3+ years hospital-based case management experience; CCM/ACM preferred; RN licensure if applicable.
1mo
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RN Care Manager - FGC Market
St. Petersburg or Bradenton or Tampa or Clearwater or Fort Myers
OnsiteFull Time
2+ YOEActive RN license, associate degree in nursing (BSN preferred), 2+ years clinical experience, case management or utilization review experience preferred, patient assessment and care planning, proficiency with coding (ICD-10/CPT/HCPCS) and Microsoft Office.
Microsoft Office, ICD-10, CPT, HCPCS