Top 19 Utilization review Jobs in Tallahassee, Fl

RN | Case Management | Flex
Tallahassee Memorial Healthcare —Tallahassee, FL
- Background check
- Nursing
- Surgery
13d
Outpatient Billing Specialist
APALACHEE CENTER INC —Tallahassee, FL
- $15 an hour
- Full-time
- Customer service
- Mid-level
- High school diploma or GED
- Disability insurance
- Health insurance
Quick Apply
MDS Resource
Everglades Healthcare —Tallahassee, FL
- $86,000 - $91,000 a year
- Weekends as needed
- Nursing
- Skilled nursing facility
- RN License
- Health insurance
- Dental insurance
Quick Apply
Administrator
ADDICTION AND MENTAL HEALTH SERVICES, LLC —Tallahassee, FL
- Full-time
- Clean driving record
- Addiction Medicine
- Customer service
- Loan repayment program
- Health insurance
Case Manager RN
Texas Nursing Services —Tallahassee, FL
- $32 - $48 an hour
- Weekends as needed
- Nursing
- RN License
- Hospital
- Disability insurance
- Relocation assistance
Quick Apply
RN Case Manager – Acute Care (Evening Shift) – Utilization Review & Discharge Planning
Texas Nursing Services —Tallahassee, FL
- $31.94 - $43.92 an hour
- Full-time
- Acute care
- Nursing
- RN License
- Employee stock purchase plan
- Loan repayment program
Quick Apply
RN Case Manager Acute Care
Texas Nursing Services —Tallahassee, FL
- $31.94 - $43.92 an hour
- Full-time
- Acute care
- Nursing
- RN License
- Employee stock purchase plan
- Disability insurance
Quick Apply
RN Case Manager – Care Coordinator
Career Land Center, LLC —Tallahassee, FL
- Full-time
- Acute care
- Nursing
- RN License
- Paid holidays
- Disability insurance
Quick Apply
Nurse Case Manager
Texas Nursing Services —Tallahassee, FL
- $31.94 - $43.92 an hour
- Full-time
- Acute care
- Nursing
- RN License
- Employee stock purchase plan
- Relocation assistance
Quick Apply
Home Health Registered Nurse Case Manager
Grey to Glory Home Health, LLC —Tallahassee, FL
- $60,000 - $75,000 a year
- Full-time
- Background check
- Nursing
- RN License
- Mileage reimbursement
- Health insurance
Quick Apply
1d
Registered Nurse (RN) – ER, CSICU, Med-Surg & Case Management
Texas Nursing Services —Tallahassee, FL
- $31.94 - $43.92 an hour
- 12 hour shift
- Nursing
- Surgery
- RN License
- Relocation assistance
Quick Apply
Appeals Professional III (Licensed Clinician)
Tanaq Support Services LLC —United States
- Full-time
- Remote
- Nursing
- RN License
- Writing skills
12d

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RN | Case Management | Flex
Tallahassee Memorial Healthcare —Tallahassee, FL
All employment is contingent upon successful completion of a drug screen, background check, reference verification, health assessment, and credential/license…
13d
Clinical Services Manager
Big Bend Cares —Tallahassee, FL
RN license and/or bachelor's degree in nursing, healthcare administration, or a related field. The CSM leads non-provider clinical staff, promotes safe and…
$40 - $50 an hour
7d

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Utilization Review Specialist - Autism
Nationwide Children's Hospital —Columbus, OH
Bachelor’s Degree in Social Work, Psychology, or related field, required. Documents all case reviews and maintains accurate records of all clinical activities…
UR Coordinator, Full Time
RiverVista Behavioral Hospital —Columbus, OH
High school diploma required; associate or bachelor’s degree in nursing, healthcare administration, or related field preferred. Pay Range: $24 - $32hr.
$24 - $32 an hour
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utilization review jobs near tallahassee, fl

RN | Case Management | Flex

Tallahassee Memorial Healthcare -
Tallahassee, FL

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Job Details

13 days ago

Qualifications

RN License
Associate's degree
Associate Degree in Nursing

Full Job Description

WHO WE ARE & WHAT WE DO:

Tallahassee Memorial Healthcare (TMH) is a private, nonprofit community-based healthcare system that provides care to a 22-county region in North Florida and South Georgia. We are a career destination with over 6,000 colleagues who reflect the diversity of our community.

TMH is the region's healthcare leader and top provider of advanced care with a 772-bed acute care hospital and the region's only:

Level II Trauma Center
Primary Stroke Center
Level III Neonatal Intensive Care
Pediatric Intensive Care
The most advanced cancer, heart and vascular, orthopedic & surgery programs in the Panhandle.

Our system also includes a psychiatric hospital, multiple specialty care centers, six residency programs and more than 50 affiliated physician practices.

HOW YOU'LL MAKE AN IMPACT:

Your Role:

Performs Minimum Data Set (MDS), case management, utilization review, quality assurance (QA), and discharge planning duties.
Conducts federally mandated patient assessments based on Centers for Medicare and Medicaid Services (CMS) guidelines, including appropriate care planning, interdisciplinary communication, and Agency for Health Care Administration (AHCA) documentation preparation.
Promotes wellness.
Is responsible for collecting integral data and compiling/transmitting data to CMS.
Determine patients’ needs based upon illness, diagnosis, prognosis, and social support systems.
Contacts appropriate agencies to coordinate patient discharges into the community or long-term care settings.
Ensures facility compliance with applicable state and federal regulation.
Collaborates with other members of the healthcare team.

Reports To:

Administrator, Rehabilitation Center (JC: 013501) [with delegation (as needed) to RN/Director, Rehabilitation (JC: 030101)]

Supervises:

None

WHAT YOU’LL NEED TO APPLY:

Required Education:

Associate degree in nursing.

Preferred Education:

Bachelor’s degree in nursing.

Required Experience:

One (1) year of relevant work experience.

Preferred Experience:

Two (2) or more years of relevant work experience

Required Certification/License/Registry:

Florida RN license.

Preferred Certification/License/Registry

Minimal Data Set (MDS) certification or ability to obtain certification within one (1) year of employment.
:

Tallahassee Memorial HealthCare is an equal opportunity employer and drug-free workplace. All employment is contingent upon successful completion of a drug screen, background check, reference verification, health assessment, and credential/license verification.

Apply Now

Refine Your Search

utilization review jobs in tallahassee, fl

RN | Case Management | Flex

Outpatient Billing Specialist

MDS Resource

Administrator

Case Manager RN

RN Case Manager – Acute Care (Evening Shift) – Utilization Review & Discharge Planning

RN Case Manager Acute Care

RN Case Manager – Care Coordinator

Nurse Case Manager

Home Health Registered Nurse Case Manager

Registered Nurse (RN) – ER, CSICU, Med-Surg & Case Management

Appeals Professional III (Licensed Clinician)

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