Top 27 Utilization management nurse Jobs in Auburndale, Fl

Patient Care Coordinator (LPN or CMA)
Central Florida Health Care, Inc. —Davenport, FL
- Spanish
- Nursing
- Computer literacy
Quick Apply
APRN Pain Management
AH PC Network —Winter Haven, FL
- $88,099.19 - $163,866.38 a year
- Full-time
- Background check
- Nursing
- Mid-level
- Paid parental leave
- Disability insurance
RN Registered Nurse Home Health
AdventHealth Home Health and Hospice —Winter Haven, FL
- $31.53 - $50.40 an hour
- Full-time
- Background check
- CPR Certification
- Nursing
- Paid parental leave
- Disability insurance
GI Clinic Based APP
AdventHealth Medical Group West Florida —Winter Haven, FL
- $88,099.19 - $163,866.38 a year
- Full-time
- Background check
- CPR Certification
- Nursing
- Paid parental leave
- Disability insurance
2d
Market Director Care Management
AdventHealth Heart of Florida —Davenport, FL
- $90,771.44 - $168,842.62 a year
- Full-time
- Background check
- Nursing
- RN License
- Paid parental leave
- Disability insurance
Cardiology Nurse Practitioner Lake Wales
AdventHealth Lake Wales —Lake Wales, FL
- Full-time
- Nursing
- Mid-level
- Master's degree
- Paid parental leave
- Disability insurance
5d
Team Leader - Registered Nurse - Endoscopy Lab
Lakeland Regional Health —Lakeland, FL
- $38.06 - $45.79 an hour
- 12 hour shift
- Background check
- Nursing
- RN License
Quick Apply
Home Health Clinical Manager
Centerwell —Lakeland, FL
- $77,200 - $106,200 a year
- Full-time
- CPR Certification
- Nursing
- RN License
- Paid parental leave
- Paid holidays
Heart Failure Clinic Nurse Practitioner
AdventHealth Medical Group West Florida —Davenport, FL
- $88,099.19 - $163,866.38 a year
- Full-time
- Background check
- CPR Certification
- Nursing
- Paid parental leave
- Disability insurance
11d
Nurse Practitioner APRN Transition Care Clinic Part Time
AdventHealth Celebration —Celebration, FL
- $91,313.86 - $169,845.73 a year
- Part-time
- Background check
- Nursing
- Mid-level
- Paid parental leave
- Disability insurance
Nurse Practitioner - PRN
Concentra Inc —Mulberry, FL
- $70 - $75 an hour
- Monday to Friday
- Nursing
- HIPAA
- Mid-level
Manager, Clinical Care Integration
Conviva Senior Primary Care —Plant City, FL
- $94,900 - $130,500 a year
- Full-time
- Nursing
- LVN
- RN License
- Paid parental leave
- Paid holidays
Registered Nurse RN Home Health
AdventHealth Home Health and Hospice —Celebration, FL
- $31.53 - $52.24 an hour
- Full-time
- Background check
- CPR Certification
- Nursing
- Paid parental leave
- Disability insurance
Team Leader - Registered Nurse - Pediatrics/PICU
Lakeland Regional Health —Lakeland, FL
- $38.06 - $45.79 an hour
- Weekends as needed
- Nursing
- RN License
- BLS Certification
Nurse Practitioner, Onsite
Concentra Inc —Bartow, FL
- $130,000 a year
- Full-time
- Nursing
- HIPAA
- Mid-level
Autonomous Advanced Nurse Practitioner APRN
Quantum Practitioner Services —Winter Haven, FL
- $70 an hour
- Part-time
- HIPAA
- Mid-level
- In-person
Quick Apply
5d

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Patient Care Coordinator (LPN or CMA)

Central Florida Health Care, Inc. -
Davenport, FL

Quick Apply

Job Details

Qualifications

Blood glucose testing
Collaborate with healthcare professionals
Computer operation
Professional ethics
BLS Certification
Disease management patient education
Allergy care
Emergency procedures
State healthcare regulations
Outpatient experience
Initial patient assessment
Pre-authorization review for utilization management
Endocrine system
Disease state management
Computer skills
Internal medicine
Healthcare infection prevention and control compliance expertise
LPN
Nutrition education
Aseptic technique
Blood pressure monitors
Vaccination administration
HEDIS
Patient observation

Full Job Description

Title: Patient Care Coordinator

Reports to: Nurse Manager

FLSA Status: Non-Exempt
Personnel Supervised: None

POSITION SUMMARY:

The Patient Care Coordinator will have direct and indirect patient care responsibilities. This position will work in collaboration with the clinical care team, pharmacy, and QI department to ensure optimal outcomes for patients’ health. The primary responsibility of this position is to deliver safe, high quality, and efficient primary care to a patient population diverse in age, health status, and socioeconomic level with focus on adult primary care. Secondary responsibilities include but are not limited to providing direct nursing care to patients by providing patient education, phone triage, and appointment scheduling. This position requires strong leadership and communication skills, and an excellent knowledge base of internal medicine primary care nursing. Focusing on endocrine, diabetes, and metabolism.

MINIMAL QUALIFICATIONS:

Education: Graduate of an accredited School of Nursing
Experience: LPN, preferably one year of care coordination or care management
License: Florida unrestricted LPN nursing license
BLS certification
Computer literacy
Bilingual (Spanish/English) preferred.

KNOWLEDGE AND SKILLS

Knowledge of current professional nursing theory, practice, and techniques

Knowledge of current nursing practices in an outpatient primary care setting

Knowledge of assessment of patient needs and services.

Knowledge of current professional nursing and pharmaceutical products, Universal Precautions, and emergency situations

Knowledge of basic pathophysiology of diseases commonly managed in Family Medicine

Knowledge of the application of nursing techniques (example: Triage, blood pressure monitoring, glucose monitoring, etc.)

Knowledge of patient teaching and education (example: self-blood pressure monitoring, nutrition instruction, diabetes self-care instruction)

Knowledge of general patient care and treatment procedures, equipment, rules, regulations, and ethics

Knowledge of Utilization Review Accreditation Commission (URAC) Policies and Procedures

Knowledge of processing and obtaining prior authorizations

Knowledge of making observations of general physical condition and needs of patients and when to confer with a physician about the emotional or physical condition of a patient

Knowledge of the principles of aseptic and sterile techniques and infection control techniques

Knowledge of the techniques of administration of common medications, including immunizations, other injectable medications, and allergy injections using sterile technique, and knowledge of the side effects of these medications

Knowledge of state and federal drug control laws, rules, and regulations

Knowledge of emergency techniques and procedures

Knowledge of common medical supplies and equipment

Excellent interpersonal, communication and leadership skills

Ability to demonstrate priority-setting and ability to work in a complex environment

Ability to function with a high degree of independence and collaboration with other health care providers

Commitment to service, quality, and departmental core values

RESPONSIBILTIES AND PERFORMANCE EXPECTATIONS include, but are not limited to, the following:

Be familiar with CFHC’s program philosophies, goals, and objectives. Be cognizant of and comply with all CFHC’s policies and procedures, as well as state and federal regulations.

Be competent in performing the duties of a nurse.

Understand the requirements of CFHC’s Exposure Control Plan. Personally utilize universal precautions when practicing in a clinical setting.

Participate in staff outreach and off-site health care programs as requested by the DON, CMO, or CEO. Represent CFHC in the community.

Report as needed to DON and DOP any pertinent information or situations that impact on patient care or CFHC liability.

Attend and participate in mandatory CFHC meetings (Center Specific meetings, Corporate meetings, and other meetings as designated by the DON, DOP, CMO, or CEO).

Demonstrate ability to work cooperatively with other members of the clinical team. Be supportive of coworkers.

Maintain a neat and professional appearance at all times.

Carry out any other activities deemed appropriate by the DON, CMO, or CEO.

Primary Duties include, but are not limited to, the following:

Assess, identify problems, plan goals, monitor and evaluate patient plans, and develop strategies that meet the patients immediate and long-term goals.

Work closely with PCP to manage patient “care items” which could include; medication refills per protocol, lab triage, document management, management of durable medical equipment (ie. Glucometer, test strips, lancets), prior authorizations of needed medications or other services.

Use patient data to track and schedule follow up appointments.

Provide proactive utilization management for patients with high risk needs.

Assist patients in obtaining appropriate medications and medical supplies and equipment, including coordination of pharmaceutical patient assistance programs.

Participate in quality improvement, quality assurance and innovation activities to ensure optimal level of care delivery.

This position will ensure all HEDIS measures have been met for those assigned patients and all care gaps have been identified.

Assist in the coordination of warm hand-offs or “transfer of trust” between care team, pharmacy, or other support services during the office visit.

Carry out other duties as assigned by the DON, COP and CQ/RMO.

Other duties as assigned

PHYSICAL REQUIREMENTS:

(Subject to Change)

Requires 80% or more time spent standing/walking

Independently mobile

Ability to lift weight equivalents to what would be required when occasionally assisting and positioning patients, re-positioning equipment and lifting supplies

Ability to adapt and function in varying environments of workload, patient acuity, work-sites, and work shifts.

American with Disabilities Act (ADA) Statement: External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job specific functions (listed within each job responsibility) either unaided or with the assistance of a reasonable accommodation to be determined by the organization on a case by case basis.

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Refine Your Search

utilization management nurse jobs in auburndale, fl

Patient Care Coordinator (LPN or CMA)

APRN Pain Management

RN Registered Nurse Home Health

GI Clinic Based APP

Market Director Care Management

Cardiology Nurse Practitioner Lake Wales

Team Leader - Registered Nurse - Endoscopy Lab

Home Health Clinical Manager

Heart Failure Clinic Nurse Practitioner

Nurse Practitioner APRN Transition Care Clinic Part Time

Nurse Practitioner - PRN

Manager, Clinical Care Integration

Registered Nurse RN Home Health

Team Leader - Registered Nurse - Pediatrics/PICU

Nurse Practitioner, Onsite

Autonomous Advanced Nurse Practitioner APRN

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