Registered nurse manager jobs in Port Orange, FL

For more than 30 years, QTC has been the largest provider of government-outsourced occupational health and disability examination services in the nation. Our goal is to build strong partnerships with our network of providers that support and enhance QTCs commitment to quality, timeliness, and customer service. Our demand is high for qualified independent physicians who can assist with delivering technology-driven examinations solutions to our customers including the Department of Veterans Affairs and much more. As an in-network physician, you will receive: A fully staffed clinic (no overhead) There's no treatment or follow-up required Flexible hours (full or part-time) Nation-wide clinics (opportunity for travel If you are interested in becoming an esteemed member of our provider network, please email:

Cornerstone Hospice is seeking a proven professional and hospice-minded Registered Nurse Manager to lead and develop a patient care team. The Team Manager will direct all aspects (staffing, financial performance and quality) of the care provided by the Interdisciplinary Team (IDT) to include Case Managers, Nursing Staff, Hospice Aides, Social Workers and Chaplains. This position is based out of our Southridge office in Tavares, FL. BENEFITS: Competitive Compensation including an unheard of 403(B) match plan Mileage Reimbursement Full benefits package including a Robust PTO Bank Tuition Reimbursement program Learning resources to be successful in your care SCHEDULE: M-F + participate in on-call rotation JOB DUTIES/KNOWLEDGE Supervises daily activities of the IDT; ensuring that the care that is delivered is of the highest quality and provided in the most cost effective manner. Works with the Executive Director to ensure availability of qualified team staff. Assists in recruiting, hiring and orienting all team staff. Follows up and resolves internal and external concerns, incidents and suggestions. Develops processes to improve recurring system issues. Ensures that evaluations & competencies are completed in a timely manner and that the evaluation serves as an accurate, constructive management tool. Provides supervisory visits on a regularly scheduled basis. Uses available reports (i.e. Amplicare, monthly dashboards and departmental statements) to monitor & manage documentation, quality, utilization, quality, compliance and financial performance. Provides education to new staff and assists all staff with needed education in collaboration with the Executive Director and the education department. Performs Case Manager duties as a backup when needed. Ensures compliance with organizational policies and procedures and with relevant Laws and Regulations. Consistently facilitates positive interpersonal relations among staff. Ensures ongoing communication and collaboration with community partners and referral sources (i.e. physicians SNF, ALFs, and Hospitals). QUALIFICATIONS RN licensed in the State of Florida required, B.S.N. preferred. If not already certified, the Manager will be expected to obtain their CHPN within 12 months of hire date. Five years nursing experience required, Hospice preferred. Management experience strongly preferred. Basic understanding of the interpersonal dynamics within the working relationships of an interdisciplinary health care team, and knowledge of the process of dying and bereavement. Excellent oral and written skills. Personable, strong initiative and ability to work independently. Valid Florida driver's license, reliable transportation and agency-required liability insurance. Must be able to work flexible hours. Cornerstone Hospice & Palliative Care is an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived, race, religion, color, sex (including pregnancy and gender identity), sexual orientation, parental status, national origin, age, disability, family medical history or genetic information, political affiliation, military service, any other non-merit based factor or any other characteristic protected by applicable federal, state or local laws. Our leadership team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment. If you'd like more information about your EEO rights as an applicant under the law, please click here: *****************************************

Job Description RN Utilization Management Nurse - Frontline Opportunity Greater Orlando, Florida The RN Utilization Management Nurse uses clinical expertise by analyzing patient records to determine legitimacy of hospital admission, treatment, and appropriate level of care. The Utilization Management RN leverages the algorithmic logic of the platform, utilizing key clinical data points to assist in status and level of care recommendations. The UM RN is responsible for documenting findings based on department and regulatory standards. When screening criteria does not align with the physician order or a status conflict is indicated, the Utilization Management Nurse is responsible for escalation to the Physician Advisor or designated leader for additional review as determined by department standards. Additionally, the RN Utilization Management Nurse is responsible for denial avoidance strategies including concurrent payer communications to resolve status disputes. Qualifications: Registered Nurse ADN or BSN required 3 years Acute Care Clinical Nursing experience required 2 years Utilization Management experience Excellent interpersonal communication and negotiation skills Strong analytical, data management, and computer skills Strong organizational and time management skills, as evidenced by capacity to prioritize multiple tasks and role components Preferred: Bachelor of Science in Nursing - or other related BS or BA in addition to Nursing Clinical experience in acute care facility - greater than five years 4 years Utilization Management within Acute Care Hospital setting Responsibilities: Monitors admissions and performs initial patient reviews within 24 hours of admission; and when warranted by length of stay, utilization review plan, and/or best practice guidelines, on a continuing basis Performs pre-admission status recommendation in Emergency Department or elective procedure settings as assigned, to communicate with providers status guidance based on available information Maintains thorough knowledge of payer guidelines, familiarity with payer processes for initiating authorizations, and following through accordingly to prevent loss of reimbursement, including the management of concurrent and pre-bill denials Ensuring all benefits, authorization requirements, and collection notes are obtained and clearly documented on accounts in the pursuit of timely reimbursement within established timeframes to avoid denials Works collaboratively and maintains active communication with physicians, nursing and other members of the multi-disciplinary care team to effect timely, appropriate management of claims Utilizes advanced conflict resolution skills as necessary to ensure timely resolution of issues Collaborates with the physician and all members of the multidisciplinary team to facilitate care for designated case load; monitors the patient's progress, intervening as necessary and appropriate to ensure that the plan of care and services provided are patient focused, high quality, efficient, and cost effective; facilitates the following on a timely basis Communication to third party payors and other relevant information to the care team Assignment of appropriate levels of care Ability to work independently and exercise sound judgment in interactions with physicians, payors, patients and their families Completion of all required documentation in the Cortex platform and in the system's electronic health record Escalating otherwise unresolved status conflicts appropriately and timely to the physician advisor to avoid concurrent denials Collaborates with medical staff, nursing staff, payor, and ancillary staff to eliminate barriers to efficient delivery of care in the appropriate setting Communicates with all parties (i.e., staff, physicians, payers, etc.) in a helpful and courteous manner while extending exemplary professionalism Anticipates and responds to inquiries and needs in an assertive, yet courteous manner. Demonstrates positive interdepartmental communication and cooperation Actively participates in clinical performance improvement activities Assists in the collection and reporting of resource and financial indicators including LOS, cost per case, avoidable days, Resource Utilization, readmission rates, concurrent denials, and appeals Uses data to drive decisions and plan/implement performance improvement strategies related to care management for assigned patients, including fiscal, clinical, and patient satisfaction data Collects, analyzes, and addresses variances from the plan of care/care path with physician and/or other members of the healthcare team Uses concurrent variance data to drive practice changes and positively impact outcomes Collects delay and other data for specific performance and/or outcome indicators as determined by Director of Care Management Documents key clinical path variances and outcomes which relate to areas of direct responsibility (e.g., discharge planning) Uses pathway data in collaboration with other disciplines to ensure effective patient management concurrently Ensures requested clinical information has been communicated as requested Monitors daily discharge reports to assure all patient stay days are authorized Follows up with insurance carrier to obtain complete authorization to avoid concurrent or retrospective denials Communicates with the other departments / team members for resolutions of conflicts between status and authorization Evaluates clinical review(s) and physician documentation for at-risk claims; performs additional reviews and/or include pertinent addendums to fortify/reinforce basis for accurate claim reimbursement Demonstrates a strong understanding of medical necessity (i.e., severity of illness, intensity of service, risk), level of acuity, and appropriate plan of care Interacts with physicians, physician office personnel, and/or Case Management departments on an as-needed basis to assure resolution of pending denials, which have been referred to the physician for peer-to-peer review with the Medical Director of the insurance carrier How to Apply: Interested candidates, please submit your resume to Michelle Boeckmann at ************************. Visit ********************************************* for more details and additional opportunities. Feel free to share these contact details with anyone interested in Case Management or Utilization Management roles. Contact: Michelle Boeckmann | President, Case Management Recruitment Direct Dial: ************ ************************ | ********************************************* America's Best Professional Recruiting Firms | Forbes 2025 Top 10 U.S. Search Firm - Executive Search Review Member of the Sanford Rose Associates network of offices

About Family First Family First Homecare provides exceptional homecare services to children with life-long health conditions. We live by our values of telling the truth, owning the details, and raising the bar, working hard to make your job an experience that you enjoy every day. Family First gives you the support you need to do your best work and provide exceptional one-on-one care to your patients in the comfort of their homes. Join us become a part of our family and the families you care for. The Clinical Manager (CM) is responsible for managing the delivery of quality clinical services within an assigned group of patients. The CM ensures that all assigned caregivers receive standardized, comprehensive and effective. The CM partners with the Director of Nursing (DON) and Director of Operations (DOO) in identifying, interviewing, and onboarding caregivers; Ensures the completion of a comprehensive assessment upon admission, recertification, post hospitalizations and PRN for all assigned patients The CM will ensure training for all assigned caregivers. The training will be standardized, comprehensive and effective. Family First Homecare team members represent the organization and its services in a competent, professional and responsive manner while maintaining standards of high-quality patient care and customer service in accordance with all state, local and federal requirements, rules and regulations. KEY RESPONSIBILITIES Partners with the Director of Nursing (DON) and Director of Operations (DOO) in identifying, interviewing, and onboarding caregivers Provides supervision, leadership, training, guidance, and mentoring for all assigned caregivers Collaborates with the Family First leadership teams and the compliance committee in identifying, developing, and the delivery of consistent clinical information Evaluates assigned patient's appropriateness for homecare Ensures the completion of a comprehensive assessment upon admission, recertification, post hospitalizations and PRN for all assigned patients Ensures a current physician order, plan of care/ care plan is place for all assigned patients Manages the patient care by supervision and care coordination for all assigned patients and including the disciplinary team Ensures that the competency program is followed and provides educational support for the caregivers as needed for skills development Promotes employee engagement and retention Participates in the review of policies and procedures to ensure compliance with all State, Federal, and Accreditation standards Participates in the quality assurance performance improvement (QAPI) program Assists in the coordination and oversight of all plans of correction and quality initiatives as directed by the DON Partners with the DON and DOO to lead cohesive teams toward common goals Assists management with the development and implementation of new products and services Maintains professional, supportive, and responsive interpersonal communication skills Performs other duties as assigned ROLE QUALIFICATIONS EDUCATION & EXPERIENCE REQUIRED RN Nursing Degree. Unencumbered RN License in the state of employment or Multi-State license through the Enhanced Nurse Licensure Compact where recognized Registered Nurse with 1 year of clinical experience Valid driver license with proof of insurance Working knowledge of home care regulatory and federal requirements Proven customer service skills, sound independent judgment, initiative and solid organization and time management skills required Strong computer skills to include Microsoft Office Suite Ability to travel to Family First office locations and patient homes throughout designated area PREFERRED 1 year of supervisor experience Excellent organization, problem-solving, decision-making, presentation, and communication skills Possess outstanding leadership, teaching, and training skills Forward thinker with the ability to be creative and “think outside the box” STATE SPECIFIC REQUIRMENTS: Florida: N/A Illinois: Required: 1 year of pediatric experience Pennsylvania: Additional Background Screening: Child Abuse, and FBI check. Must complete TB screening with 2 step PPD, or 1 step PPD with proof of 2 step PPD administration within the last year. Texas: N/A WORKING CONDITIONS/EQUIPMENT USE Work is performed indoors in a typical office environment - not substantially exposed to adverse environmental conditions. Must be able to lift up to fifteen (15) pounds Frequent use of office machines to include telephone, computer, and printer Travel may be required by car or airplane to local, out-of-town, or state seminars, conferences, meetings or other branch office locations. PAY PHILOSOPHY: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Family First Homecare have a corresponding compensation plan which may include a bonus at rates that vary based on multiple factors set forth in the compensation plan for the role. KEY DETAILS: **This position requires the employee to work in the office Monday through Friday during core business hours.** Core business typically fall between 8:00 am to 5:00 pm with some flexibility with start and end times. We value your hard work, integrity and commitment to providing the highest quality care to our patients and the communities we serve. We put people first by offering you benefits that support your life and well-being. Below you will find a snapshot of the benefits that you enjoy as part of your role: Private Health Care Plans: (Medical, Dental, Vision and Health Savings Account (HSA) with an employer matching contribution Voluntary Benefits: (Accident Insurance, Critical Illness, Hospital Insurance, Additional Voluntary Life Insurance, Long-Term and Short-Term Disability) 401(k) Retirement Plan and Company Matching Contributions Paid Time Off (PTO) Paid Holidays Employee Assistance Program (EAP) for Employee and Family Weekly pay with direct deposit my FlexPay - Payroll card allowing you to have your wages deposited directly on to your card W2 employee Professional development with a rapidly growing organization Opportunities for promotions and upward mobility Employee Referral Bonus Program * Eligibility requirements apply . DISCLAIMER: This job description is an overview of the duties and responsibilities assigned to the role identified below. It is not intended to cover every work assignment the job may have, but rather to cover those work assignments which are essential, predominant, and recurring. Responsibilities and duties may change, or new ones may be assigned at any time, with or without notice. Family First Homecare is an equal opportunity employer. We will not tolerate discrimination on the basis of race, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. #FFCLIN Family First HomeCare, LLC is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status, or any other characteristic protected by federal, state, or local law. Family First HomeCare complies with applicable state and local laws governing nondiscrimination in employment. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career! We are aggressively seeking an RN Complex Care Manager for a Healthcare organization in your area! As the Year 2016 is in full swing, this organization is very busy, and they need YOUR help. Take advantage of flexible hours, a competitive salary, and be an RN Complex Care Manager with one of the fastest-growing healthcare companies in the U.S. Get in NOW, while there is still huge room for growth and career development! This exciting opportunity will require an Rn Complex Care Manager who can provide a high level of service and attention to their members. If you are seasoned, and you meet the qualifications listed below, please send your updated resume to Jon Whitehead for immediate consideration. Company Job Description: *Will report to the Director of Case Management Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care * 100% telephonic + Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options + Utilize assessment skills and discretionary judgment to develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs and promote desired outcomes + Coordinate services between Primary Care Physician \(PCP\), specialists, medical providers, and non\-medical staff as necessary to meet the complete medical socio economic needs of clients + Provide patient and provider education + Facilitate member access to community based services + Monitor referrals made to community based organizations, medical care and other services to support the members' overall care management plan + Actively participate in integrated team care management rounds + Identify related risk management quality concerns and report these scenarios to the appropriate resources\. + Case load will reflect heavier weighting of complex cases than Care Manager I, commensurate with experience + Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems + Direct care to participating network providers + Perform duties independently, demonstrating advanced understanding of complex care management principles\. + Participate in case management committees and work on special projects related to case management as needed Qualifications Qualifications: -RN - 2+ year's clinical nursing experience coming from an acute care setting -Must have CM telephonic experience, make sure easy to find. Can be any amount. Just make sure it is there. -2 years of Case Management Experience -At least 1 year of experience coming from a Managed Care Setting strongly preferred - Experience with medical decision support Interqual or Milliman software preferred. Additional Information Interested in being considered? If you are interested in applying to this position, please contact Ashley Greene at 407-478-0332 ext 169 and click the Green I'm Interested Button to email your resume.

Job Description We are seeking an RN Care Manager to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. About the Role: The RN Care Manager plays a pivotal role in coordinating and managing comprehensive care plans for members within the healthcare services industry. This position focuses on improving member outcomes by assessing individual health needs, facilitating communication among multidisciplinary teams, and ensuring continuity of care across various healthcare settings. The RN Care Manager acts as a liaison between members, families, and healthcare providers to advocate for member-centered care and optimize resource utilization. By monitoring member progress and adjusting care plans accordingly, the RN Care Manager helps reduce hospital readmissions and enhances overall member satisfaction. This role requires a proactive approach to problem-solving and a commitment to delivering high-quality, compassionate care. Minimum Qualifications: Current and valid Registered Nurse (RN) license in the state of practice. Bachelor of Science in Nursing (BSN) degree or equivalent. Minimum of 2 years clinical nursing experience, preferably in case management, care coordination, or a related field. Strong knowledge of healthcare systems, member care standards, and regulatory requirements. Proficiency in electronic health records (EHR) and care management software. Relevant experience may substitute for the educational requirement on a year-for-year basis. Preferred Qualifications: Master of Science in Nursing (MSN) degree or equivalent. Certification in Case Management (CCM) or Accredited Case Manager (ACM) credential. Experience working with diverse member populations and chronic disease management. Advanced degree in nursing, healthcare administration, or related discipline. Familiarity with quality improvement methodologies and population health management. Bilingual abilities or experience in culturally competent care delivery. Responsibilities: Conduct thorough assessments of members' health status, needs, and resources to develop individualized care plans. Coordinate with healthcare professionals to implement and monitor care plans, facilitating timely interventions and support. Educate members and their families about health conditions, treatment options, and self-care strategies to promote adherence and empowerment. Monitor member progress through regular follow-ups, adjusting care plans as necessary to address changing health conditions and barriers to care. Document all care management activities accurately and maintain compliance with healthcare regulations and organizational policies.

Little Angels PPEC (Prescribed Pediatric Extended Care) is medical day care for special needs children. At Little Angels PPECs and rehab centers, we are dedicated to providing best nursing care, and therapeutic care to children with special needs requiring rehabilitative services. We strive to provide the highest quality care that places the child and family at the center of care. We seek to help stabilize and improve a child's condition and to assist the family as much as possible. With compassion, we provide services that enhance the health, independence, self -sufficiency, and productivity of those served, while also providing support to their families Hours: Monday to Friday with a weekend rotation RN Care Manager is responsible for New Patient Intake to enroll children at PPEC and supervision of nursing staff and aides. RN Care Manager will review necessary patient information including labs, medications, History and Physical, specialist notes, PPEC referral orders and ED notes etc to create Plan of Care for PPEC Admission. Responsible for re certification of plan of care every 6 months for continued stay. RN Care Manager will complete Initial RN Assessment, reconciles home and hospital medications in eMAR. Assigns patients to RNs or LPN, HHA for daily nursing care. The RN Care Manager, in collaboration with the patient/family, social workers, nurses, physicians and the interdisciplinary team, ensures patient -centered care coordination and progression through the continuum of care at PPEC for short / long term stay to achieve best developmental outcomes. The RN Care Manager ensures efficient and cost -effective care through appropriate resources monitoring, and clinical care escalations The RN Care Manager is under the general supervision of the Care Management, Nursing Director and Medical Director and is responsible for patient evaluations of post -hospital needs; development of a Plan of Care and initiation of the implementation of the of care plans for children attending PPEC. The RN Care Manager is responsible for optimal patient flow/throughput to enhance continuity of care, smooth and safe transitions, patient satisfaction, patient safety, readmission prevention and length of stay management. The RN Care Manager communicates daily with the interdisciplinary team during daily multidisciplinary rounds Care coordination, discharge planning, transitions of care planning and understanding of medical necessity are core competencies of this role The RN Care Manager facilitates the collaborative management of patient care across the continuum, intervening to remove barriers to timely and efficient care delivery to improve developmental outcomes for children with special needs. Incorporates the patient/family care goals and preferences as much as possible into the transition of care planning and communicates these goals and preferences to the multidisciplinary team Meets with parents/families to discuss realistic and appropriate therapy and nutrition options to optimize growth and development of patients. Collaborates with the multidisciplinary healthcare team daily in multidisciplinary rounds to communicate efficiently and facilitate high quality of care according to Plan of Care for each child. Consults Social Work for specialty services related to psychosocial needs, decision -making needs for patients who lack capacity, patient/family adjustment needs and psycho socially complex cases Ensures primary care physician identification and scheduling of follow -up PCP and specialist appointments once child is attending PPEC Maintains clinical competency and current knowledge of community resources, and insurance requirements to perform job responsibilities To learn more about Little Angels PPEC, please visit - ********************************************* Requirements Associate of Science degree in Nursing (ASN) or MSN Current valid license as a Registered Nurse in the state of Florida Two (2) years of medical/hospital nursing experience Pediatric Home Health Care experience preferred Pediatric nursing experience preferred Benefits 401(k) Retirement Plan Health Insurance Dental and Vision Insurance Paid Time Off Paid Holidays Work -life balance

Department: LMH Care Management Status: Full-time (40 hours a week) Schedule: First Shift Title: Registered Nurse, Care Management Orlando Health Lake Mary Hospital The NEW Orlando Health Lake Mary Hospital represents Orlando Health's continued commitment to the Seminole County community, which we have proudly served for 40 years. As a comprehensive acute care facility, the hospital offers a full scope of medical and surgical services, including cardiovascular, general surgery, orthopedics, and women's services with labor and delivery, alongside a future NICU. Opening with 124 beds, the 455,000 square foot hospital will be able to expand to up to 240 beds. State-of-the-art facilities include operating rooms, catheterization labs, interventional radiology, a vascular lab, an ICU and a full-service emergency department. For labor and delivery, the hospital features six private suites thoughtfully designed to make you feel at home while providing exceptional medical care. Each suite includes a hydrotherapy tub for laboring, shower, recliner, adjustable bed with a squat bar, wireless and waterproof heart rate monitors for mom and baby, a smart board that integrates patient and nurse information from Epic, WiFi, and televisions. These modern amenities ensure a comfortable and supportive environment for every patient. Labor and delivery services, and a future neonatal intensive care unit 6 state-of-the-art operating rooms 3 catheterization labs with a dedicated interventional radiology and vascular lab Comprehensive cardiovascular care 16 ICU Beds Observation unit Outpatient Scripts Pharmacy Top Reasons to Choose Orlando Health - Lake Mary Hospital: BEST Place to Work, 5 years in a row! As a new hospital, Orlando Health Lake Mary offers unique opportunities for career advancement, leadership roles, and professional development. Benefits Package that begins on day one (Full-Time & Part-Time only). Flexible Schedules Tuition Reimbursement up to $5,000 a year. Promotes and facilitates effective management of hospital resources from admission to discharge, collaborating with the assigned clinical team to identify patients most likely to benefit from care coordination services to include assessing patients' risk factors and the need for care coordination, clinical utilization management and the transition to the next appropriate level of care. Responsibilities Essential Functions • Initially and concurrently assesses all patients within assigned population to include, but not limited to: o Accurate medical necessity screening and submission for Physician Advisor review o Care coordination that includes admitting diagnosis/ medical history, current treatments, age, payment source, resources, support systems, anticipated needs, expected length of stay, appropriate level of service, special/ personal needs, and other relevant information. o Assignment of initial DRG to determine GMLOS, while concurrently monitoring and managing LOS and transition planning as appropriate through assessment and reassessment and the application of InterQual guidelines. o Leading and facilitating multi-disciplinary patient care conferences o Managing concurrent disputes o Making appropriate referrals to other departments o Identifying and referring complex patients to Social Work Services o Communicating with patients and families about the plan of care o Leading and facilitating Complex Case Review o Identification and documentation of potentially avoidable days o Identification and reporting over and underutilization • Ensures compliance with all regulatory standards including Federal, State, Local and Joint Commission with review requirements for Managed Contracts, Medicare, Medicaid, and Campus related to admission and continued stay approval. • Adheres to Utilization Management Plan. • Integrates National standards for care management scope of services including: o Utilization Management supporting medical necessity and denial prevention o Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction o Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and appropriate level of care o Education provided to physicians, patients, families, and caregivers. • Communicates appropriately and timely with the interdisciplinary team and third-party payers. • Prioritizes activities in assigned areas to focus on high risk, high cost, and problem prone areas. • Develops collaborative relationships with patient business, nursing, physicians, and patient/family to facilitate efficient movement through the continuum of care. • Monitors and evaluates data, fiscal outcomes, and other relevant information to develop and implement strategies for improvement. • Forwards identified quality and/or risk issues appropriately. • Maintains positive relationships with outside/onsite reviewers and other payer representatives. • Identifies cultural, socio-economic, religious, and other factors that may impact treatment. • Involves patient's family in the development of the treatment plan as appropriate while explaining procedures, therapies, systems treatment plans, and discharge plans in age/developmental/educational specific terms to patient/family. • Reviews patient's discharge plan at multidisciplinary meetings and/or staffing to facilitate communication with other healthcare team members. • Prioritizes workload to manage multiple priorities while using problem-solving skills to meet goals. • Enhances professional growth by participating in educational programs, current literature and/or workshops. • Possesses excellent interpersonal skills and ability to work in a team environment. • Respects the rights and privacy of others and holds staff member information in strict confidence. • Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards. • Maintains compliance with all Orlando Health policies and procedures. Qualifications Education/Training • Graduate of an approved school of nursing. Licensure/Certification • Must hold and maintain a current Florida RN license. • Handle with Care (HWC) Certification is required for the Behavioral Health Unit within 90 days of hire. The Handle with Care training and education will be provided onsite to all team members. Experience Three (3) years of experience in chronic disease management, care management, care coordination, utilization management, or acute clinical care. Education/Training • Graduate of an approved school of nursing. Licensure/Certification • Must hold and maintain a current Florida RN license. • Handle with Care (HWC) Certification is required for the Behavioral Health Unit within 90 days of hire. The Handle with Care training and education will be provided onsite to all team members. Experience Three (3) years of experience in chronic disease management, care management, care coordination, utilization management, or acute clinical care. Essential Functions • Initially and concurrently assesses all patients within assigned population to include, but not limited to: o Accurate medical necessity screening and submission for Physician Advisor review o Care coordination that includes admitting diagnosis/ medical history, current treatments, age, payment source, resources, support systems, anticipated needs, expected length of stay, appropriate level of service, special/ personal needs, and other relevant information. o Assignment of initial DRG to determine GMLOS, while concurrently monitoring and managing LOS and transition planning as appropriate through assessment and reassessment and the application of InterQual guidelines. o Leading and facilitating multi-disciplinary patient care conferences o Managing concurrent disputes o Making appropriate referrals to other departments o Identifying and referring complex patients to Social Work Services o Communicating with patients and families about the plan of care o Leading and facilitating Complex Case Review o Identification and documentation of potentially avoidable days o Identification and reporting over and underutilization • Ensures compliance with all regulatory standards including Federal, State, Local and Joint Commission with review requirements for Managed Contracts, Medicare, Medicaid, and Campus related to admission and continued stay approval. • Adheres to Utilization Management Plan. • Integrates National standards for care management scope of services including: o Utilization Management supporting medical necessity and denial prevention o Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction o Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and appropriate level of care o Education provided to physicians, patients, families, and caregivers. • Communicates appropriately and timely with the interdisciplinary team and third-party payers. • Prioritizes activities in assigned areas to focus on high risk, high cost, and problem prone areas. • Develops collaborative relationships with patient business, nursing, physicians, and patient/family to facilitate efficient movement through the continuum of care. • Monitors and evaluates data, fiscal outcomes, and other relevant information to develop and implement strategies for improvement. • Forwards identified quality and/or risk issues appropriately. • Maintains positive relationships with outside/onsite reviewers and other payer representatives. • Identifies cultural, socio-economic, religious, and other factors that may impact treatment. • Involves patient's family in the development of the treatment plan as appropriate while explaining procedures, therapies, systems treatment plans, and discharge plans in age/developmental/educational specific terms to patient/family. • Reviews patient's discharge plan at multidisciplinary meetings and/or staffing to facilitate communication with other healthcare team members. • Prioritizes workload to manage multiple priorities while using problem-solving skills to meet goals. • Enhances professional growth by participating in educational programs, current literature and/or workshops. • Possesses excellent interpersonal skills and ability to work in a team environment. • Respects the rights and privacy of others and holds staff member information in strict confidence. • Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards. • Maintains compliance with all Orlando Health policies and procedures.

LanceSoft is seeking a local contract nurse RN CVOR for a local contract nursing job in Sanford, Florida. Job Description & Requirements Specialty: CVOR Discipline: RN Duration: 52 weeks 40 hours per week Shift: 8 hours, days Employment Type: Local Contract About LanceSoft Established in 2000, LanceSoft is a Certified MBE and Woman-Owned organization. Lancesoft Inc. is one of the highest rated companies in the industry. We have been recognized as one of the Largest Staffing firms and ranked in the top 50 fastest Growing Healthcare Staffing firms in 2022. Lancesoft offers short- and long-term contracts, permanent placements, and travel opportunities to credentialed and experienced professionals throughout the United States. We pride ourselves on having industry leading benefits. We understand the importance of partnering with an expert who values your needs, which is why we're 100% committed to finding you an assignment that best matches your career and lifestyle goals. Our team of experienced career specialists takes the time to understand your needs and match you with the right job Lancesoft has been chosen by Staffing Industry Analysts as one of the Best Staffing Firms to Work for.LanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities. Benefits Weekly pay Medical benefits

Nurse Care Manager Reports To: Director of Quality FLSA Status: Full time - Salaried, exempt as defined under Fair Labor Standards Act Content Last Revised: 10/09/2025 The Central Florida Family Health Center, Inc. dba True Health is a private, not-for-profit federally qualified health center (FQHC) serving Central Florida since 1977. Our mission is to provide high-quality, comprehensive healthcare at a reasonable cost to everyone. Job Summary The Nurse Care Manager is responsible for overseeing and coordinating all aspects of the Medication-Assisted Treatment (MAT) and HIV programs. This role ensures seamless integration of behavioral health and support services to improve patient outcomes. The Nurse Care Manager supports the care teams in the delivery of evidence-based treatment while ensuring compliance with federal, state, and grant regulations. This role blends clinical expertise with care coordination, patient education, and quality improvement. The Nurse Care Manager may also be assigned to work on select clinical projects to reduce health disparities and improve health outcomes and will be assigned to the MAT/HIV programs which may include grant coordination and adherence. This is NOT a remote position. Key Responsibilities Maintains a transparent, effective relationship with the Director of Quality by supporting the organization's activities Fosters an environment and culture that focuses on fulfilling the company's mission, vision, and values Coordinate patient enrollment, intake, and follow-up within the MAT and HIV programs Ensure patients receive timely access to medications, counseling, and support services Maintain scheduling, communication, and coordination between care teams Track outcomes, including retention, relapse prevention, and quality metrics Identify barriers to treatment and work to improve access and continuity of care Facilitate staff education on subjects such as MAT workflows, patient engagement, and evidence-based practices Travel between True Health sites as needed for delivery of supplies and/or staff education in addition to meeting patients face-to-face as needed Develop, implement, and update individual care plans in collaboration with patients, families, and providers using the electronic health record Lead and/or participate in quality improvement projects and risk/compliance activities Maintain patient confidentiality and comply with HIPAA and organizational policies Connect patients to relevant community resources as required, with the goal to increase satisfaction, patient health, and well-being and reduce healthcare costs Act as a liaison between patients, referring providers, or outside agencies to coordinate patient appointments. Coordinate the exchange of information either written or verbal before and after patients are seen Address patients and family members with concern and empathy Perform patient outreach and schedule appointments as needed Assist with data mining and research initiatives Answer phone calls and return messages in a timely manner Monitor the inbox within the electronic health record and send patient letters/correspondence timely Assist with tracking of referrals as necessary, ensuring documentation is current with necessary updates from patients and referral providers Develop, implement, and update individual care plans in collaboration with patients, families, and providers Provide disease management education along with preventative care management, health coaching, and motivational interviewing to support patient self-management and include patient families, other members of the healthcare team, etc. Monitor patient progress, track outcomes, and document interventions in the electronic health record (EHR) and excel spreadsheets as applicable Attend and participate in workgroups, program meetings, and other associated events as appropriate Advocate for patients by addressing barriers such as transportation, financial needs, and access to medication or community resources Provide direct patient education during clinic visits, in the patient portal, and through outreach calls Work collaboratively with other members of the healthcare team in coordination of the patient's care Participate in development activities and maintains professional affiliations Foster and develop partnerships to further the mission of the organization Travel as necessary using personal vehicle (must maintain current auto insurance at own expense) Other responsibilities as assigned Essential Functions Problem Solving Case Management Customer Service Verbal Communication Written Communication Leadership Professional Judgement Planning/Organizing Adaptability Initiative Administration/Operations Vision Minimum Qualifications Education: High School Diploma or equivalent Experience: Minimum of two (2) years' in a clinical nursing environment preferred Case management experience preferred Advanced proficiency in Microsoft Office (Ex. Word, Excel, Outlook, PowerPoint) preferred Federally Qualified Health Center (FQHC) experience preferred Licenses or Certifications: Active registered nurse (RN) license in the state of Florida Current Cardiopulmonary resuscitation (CPR) certification Criminal Background Clearance: True Health is a Health Center Program grantee under 42 U.S.C. 254b, a deemed Public Health Service employee under 42 U.S.C. 233(g)-(n), and partners with agencies that require criminal background checks. True Health has established policies and procedures that may influence the overall employment process, hiring, and “just cause” for the termination of employees. An employee's career could be shortened if there is a violation of any policies and procedures. Prohibited criminal behavior is defined in Florida Statute (F.S.) 408.809. Any employee arrested for any offense outlined in the F.S.408.809 will be immediately suspended and remain suspended until the charges are disposed of in court. The employee will be terminated for an arrest or conviction of any violation listed above. DRUG/ALCOHOL SCREENINGS A post-offer drug and alcohol screen is a requirement for employment. Failure to successfully pass the drug/alcohol screen will be cause for the offer to be rescinded. Employees are subject to random drug/alcohol screenings throughout the duration of their employment with True Health. If an employee fails to pass the drug/alcohol screening, then this shall become grounds for discipline up to and including immediate termination. WORK ENVIRONMENT The employee is subject to prolonged periods of sitting at a desk and working on a computer. The employee is occasionally subject to prolonged periods of standing The employee is subject to perform repetitive hand and wrist motions. The employee is frequently required to stand, walk, talk, and hear. The employee is occasionally required to use hands to handle or feel objects, reach with hands and arms, stoop, kneel, crouch, and move or lift up to twenty-five (25) pounds. The employee is required to use close vision, peripheral vision, depth perception, and adjust focus. A reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. WORKING CONDITIONS The employee will work as the needs of the operation require. Normal work days and hours are Monday through Thursday, 8am - 6pm and Fridays, 8am - 12pm; however, there will be times when the employee will need to come in or work on “off hours” or “off days” to meet the needs of the position.

Premier Medical Staffing Services is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Titusville, Florida. Job Description & Requirements Specialty: Med Surg / Telemetry Discipline: RN Start Date: 01/05/2026 Duration: 13 weeks 36 hours per week Shift: 12 hours Employment Type: Travel Premier Medical Staffing Job ID #607173. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN About Premier Medical Staffing Services Premier Medical Staffing Services, LLC is a nationally expanding healthcare staffing firm for healthcare professionals and companies. We understand our clients' need for highly qualified, expertly trained medical professionals and are passionate about helping clinicians find employment opportunities that fit their personality and needs. Able to accommodate the ever-changing needs of the healthcare landscape, we offer per-diem, contract and direct hire placements to support the unique needs of each industry sector. Premier Medical Staffing Services is Joint Commission Certified, a Military Spouse Employment Partner and is certified as a Women's Business Enterprise. We are proudly nurse owned.

Shift: Monday - Friday; 1st shift Polk County (City: Winter Haven, St Cloud, Haines City) , Osceola County (City: Davenport, Kissimmee), Orange County (Winter Garden, Orlando) Field: This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law The Nurse Case Manager I is responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically or on-site such as at hospitals for discharge planning. How you will make an impact: * Ensures member access to services appropriate to their health needs. * Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment. * Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements. * Coordinates internal and external resources to meet identified needs. * Monitors and evaluates effectiveness of the care management plan and modifies as necessary. * Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans. * Negotiates rates of reimbursement, as applicable. * Assists in problem solving with providers, claims or service issues. Minimum requirements: * Requires BA/BS in a health related field and minimum of 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. * Current, unrestricted RN license in applicable state(s) required. * Multi-state licensure is required if this individual is providing services in multiple states. Preferred skills, capabilities, and experiences: * Spanish speaking bilingual strongly preferred. * 2+ years of experience with the pediatric population strongly preferred. * Certification as a Case Manager is preferred. For URAC accredited areas the following applies: Requires BA/BS and 3 years of clinical care experience; or any combination of education and experience, which would provide an equivalent background. Current and active RN license required in applicable state(s). Multi-state licensure is required if this individual is providing services in multiple states. Certification as a Case Manager and a BS in a health or human services related field preferred. Job Level: Non-Management Exempt Workshift: 1st Shift (United States of America) Job Family: MED > Licensed Nurse Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Shift: Monday - Friday; 1st shift Polk County (City: Winter Haven, St Cloud, Haines City) , Osceola County (City: Davenport, Kissimmee), Orange County (Winter Garden, Orlando) Field: This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law The Nurse Case Manager I is responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically or on-site such as at hospitals for discharge planning. How you will make an impact: Ensures member access to services appropriate to their health needs. Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment. Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements. Coordinates internal and external resources to meet identified needs. Monitors and evaluates effectiveness of the care management plan and modifies as necessary. Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans. Negotiates rates of reimbursement, as applicable. Assists in problem solving with providers, claims or service issues. Minimum requirements: Requires BA/BS in a health related field and minimum of 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. Current, unrestricted RN license in applicable state(s) required. Multi-state licensure is required if this individual is providing services in multiple states. Preferred skills, capabilities, and experiences: Spanish speaking bilingual strongly preferred. 2+ years of experience with the pediatric population strongly preferred. Certification as a Case Manager is preferred. For URAC accredited areas the following applies: Requires BA/BS and 3 years of clinical care experience; or any combination of education and experience, which would provide an equivalent background. Current and active RN license required in applicable state(s). Multi-state licensure is required if this individual is providing services in multiple states. Certification as a Case Manager and a BS in a health or human services related field preferred. Job Level: Non-Management Exempt Workshift: 1st Shift (United States of America) Job Family: MED > Licensed Nurse Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

HealthTrust Workforce Solutions HCA is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Orlando, Florida. Job Description & Requirements Specialty: Labor and Delivery Discipline: RN Duration: 13 weeks 36 hours per week Shift: 12 hours, nights Employment Type: Travel Certifications Required: NRP, ACLS. BLS, fetal monitoring Patient Ratios : 1:1 labor, 3 couplets: 1RN 932968 About HealthTrust Workforce Solutions HCA At HealthTrust Workforce Solutions, healthcare is not just about the four walls of a facility but about the people who provide and receive care. Our focus is on empowering healthcare professionals to deliver exceptional patient experiences by providing them with the necessary skills, tools, and support. We partner with healthcare facilities nationwide to ensure that the right professionals are in the right roles. We prioritize our clinicians by giving them a voice and access to opportunities to fulfill their mission of improving lives by providing quality patient care. We are committed to our core values of Trust, Innovation, Adaptability, Courage, and Accountability. We are dedicated to positively impacting the healthcare industry by providing first-priority access to more than 200,000 jobs nationwide to our healthcare professionals. Join us and be part of the HealthTrust family, where you can make a difference every day. We embrace our changing environment, and we maintain a culture that has a rich tradition of transforming itself to meet the challenges of the future. MISSION STATEMENT While putting great people in the right roles is essential, our mission is far greater. We want our clinicians to be part of the HealthTrust family, where healthcare professionals have a voice and are empowered with the right tools and opportunities to fulfill their personal mission of improving lives. Plus, as a preferred partner to thousands of top-performing hospitals, we provide our healthcare professionals with first-priority access to more than 200,000 jobs nationwide. Benefits Dental benefits Vision benefits Referral bonus Continuing Education Life insurance

To be eligible to enlist in the U.S. Navy, candidates must be between the ages of 18-34 The greatest reward for nearly every nurse is the joy of serving others. But in the Navy Nurse Corps, when you work to improve the lives of others, you can vastly improve your ownboth professionally and personally. As a Navy Nurse, you will serve your country by helping not only those in the military who defend it but also their families and people in need around the globe. Excellent scholarship opportunities mean you may graduate from nursing school potentially debt-free, and specialty training opportunities can give you a competitive edge in your field. NURSING CAREERS IN THE NAVY NURSE ANESTHETISTS Administer general and regional anesthesia, monitor patients receiving anesthesia and assist in instructing medical trainees and other Officers. PRIMARY CARE NURSE PRACTITIONERS Provide comprehensive health care and health maintenance for service members and their families. MEDICAL-SURGICAL NURSES Assess, plan and implement direct nursing care of patients on an assigned unit and assume charge nurse responsibilities. PERIOPERATIVE NURSES Plan, implement and evaluate nursing care of surgery patients. CRITICAL CARE NURSES Provide highly skilled, specialized nursing care to critical patientsincluding en route careand train personnel in critical care nursing procedures. MENTAL HEALTH NURSES AND NURSE PRACTITIONERS Provide direct patient care in mental health services, and lead and train other military and civilian personnel. MILITARY-SPECIFIC SPECIALIZATIONS Focus on education and training, manpower systems analysis and nursing research. PAY AND BENEFITS Attend the medical school of your choice and graduate debt-free through our scholarship and loan repayment programs, up to 100% tuition coverage. Competitive salary Free health insurance Free housing A retirement plan 30 days paid vacation per year EDUCATION OPPORTUNITIES Wherever you are in your nursing career, the Navy can help ease your financial burdens and advance your career with generous financial assistance and continuing education programs. Available offers could consist of anything from scholarships to sign-on bonuses to loan repayment assistance. And help could potentially be available whether youre in graduate school or already in practice. High School Students Through a Naval Reserve Officers Training Corps (NROTC) Nurse Option scholarship, the Navy can cover the full costup to $180,000of your nursing education at some of the best colleges and universities in the country. Nursing Students If youre a nursing student opting to serve full-time in the Navy, you could get up to $34,000 to help pay your way through nursing school through the Nurse Candidate Program (NCP). Graduate Students If youre a graduate student enrolled in a postgraduate nursing program in certain nursing specialties and opting to serve part-time as a Reserve Officer, you may qualify for up to $50,000 in nursing school loan repayment assistance. Practicing Nurses If youre a practicing nurse opting to serve part-time as a Reserve Officer, you may qualify for an immediate, one-time sign-on bonus of up to $30,000. And depending on your specialty, you may have the option of choosing between a sign-on bonus, nursing school loan repayment assistance or specialty pay. Speak to a recruiter to learn what you qualify to receive. WORK ENVIRONMENT Nurse Corps Officers may serve at any one of more than 250 Navy and medical facilities around the globe, from Hawaii to Japan, Germany to Guam and Washington, D.C., to Washington state. As a Navy Nurse, you could work at one of the highly acclaimed National Naval Medical Centers in Bethesda, MD, Portsmouth, VA or San Diego, CA. Or you could provide medical support aboard one of two dedicated hospital shipsthe USNS Comfort and USNS Mercy. Additional opportunities are available on surface ships, with aircraft squadrons or even with the Fleet Marine Force. QUALIFICATIONS AND REQUIREMENTS To become a Commissioned Officer in the Nurse Corps, qualifications include: U.S. Citizen between the ages of 18 and 41 Currently licensed and practicing nursing in the U.S. (new graduates must obtain a license within one year of beginning Active Duty service) In good standing (as a student or graduate) with a CCNE-accredited U.S. education program granting a Bachelor of Science degree General qualifications may vary depending upon whether youre currently serving, whether youve served before or whether youve never served before. PART-TIME OPPORTUNITIES There are part-time opportunities as a Reserve Navy Nurse. Serving part-time as a Navy Reserve Nurse, your duties will be carried out during your scheduled drilling and training periods. During monthly drilling, Nurse Corps Officers in the Navy Reserve typically work at a location close to their homes. Take a moment to learn more about the general roles and responsibilities of Navy Reserve Sailors. RequiredPreferredJob Industries Government & Military

$10,000 Sign On Bonus *RN License Required* Cornerstone Hospice is looking to hire a Full-Time Registered Nurse Team Manager for our Orlando, FL location. The RN Team Manager manages all aspects (i.e. staffing, financial performance and quality) of the care provided by their respective IDT. Schedule: M-F 8am-5pm With rotating on call Job Duties Supervises daily activities of the IDT; ensuring that Patient care delivered is of the highest quality and is provided in the most efficient and cost-effective manner. Works with the ED to ensure availability of qualified team staff within Company guidelines. Assists in recruiting, hiring and orienting all team staff. Follows up and resolves internal and external concerns, incidents and suggestions. Develops processes to track and resolve recurring systems issues. Ensures that evaluations & competencies are completed in a timely manner and that the evaluation serves as an accurate, constructive management tool. Provides supervisory visits and coaching on a regularly scheduled basis. Creates scheduled reporting of Team performance. Uses available reports (i.e. KPI reporting, CAHPS reporting, departmental PPD summaries, Observation quality forms, budget statements) to monitor and manage team performance. This includes but is not limited to: documentation (quality/timeliness), staff productivity and utilization, and overall budget accountability. Provides education to new staff and assists all staff with needed education in collaboration with the ED and the education department. Accountable to ensure full time staff completes all mandatory training and testing within deadline. Performs Case Manager duties as a backup when needed. Qualifications R.N. licensed in the State of Florida required, B.S.N. preferred. If not already certified, the Manager will be expected to obtain their CHPN within 12 months of hire date. Five years nursing experience required, Hospice preferred. Management experience strongly preferred. Excellent oral and written skills. Personable, strong initiative and ability to work independently. Valid Florida driver's license, reliable transportation and agency-required liability insurance. Must be able to work flexible hours Benefits Competitive Compensation, Full benefits package, 403 (b) plan match, Generous PTO, Tuition Reimbursement program, and Learning resources to be successful in your career, plus more! Cornerstone Hospice & Palliative Care is an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived, race, religion, color, sex (including pregnancy and gender identity), sexual orientation, parental status, national origin, age, disability, family medical history or genetic information, political affiliation, military service, any other non-merit based factor or any other characteristic protected by applicable federal, state or local laws. Our leadership team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment. If you'd like more information about your EEO rights as an applicant under the law, please click here: *****************************************

RN Utilization Management Nurse - Frontline Opportunity Greater Orlando, Florida The RN Utilization Management Nurse uses clinical expertise by analyzing patient records to determine legitimacy of hospital admission, treatment, and appropriate level of care. The Utilization Management RN leverages the algorithmic logic of the platform, utilizing key clinical data points to assist in status and level of care recommendations. The UM RN is responsible for documenting findings based on department and regulatory standards. When screening criteria does not align with the physician order or a status conflict is indicated, the Utilization Management Nurse is responsible for escalation to the Physician Advisor or designated leader for additional review as determined by department standards. Additionally, the RN Utilization Management Nurse is responsible for denial avoidance strategies including concurrent payer communications to resolve status disputes. Qualifications: Registered Nurse ADN or BSN required 3 years Acute Care Clinical Nursing experience required 2 years Utilization Management experience Excellent interpersonal communication and negotiation skills Strong analytical, data management, and computer skills Strong organizational and time management skills, as evidenced by capacity to prioritize multiple tasks and role components Preferred: Bachelor of Science in Nursing - or other related BS or BA in addition to Nursing Clinical experience in acute care facility - greater than five years 4 years Utilization Management within Acute Care Hospital setting Responsibilities: Monitors admissions and performs initial patient reviews within 24 hours of admission; and when warranted by length of stay, utilization review plan, and/or best practice guidelines, on a continuing basis Performs pre-admission status recommendation in Emergency Department or elective procedure settings as assigned, to communicate with providers status guidance based on available information Maintains thorough knowledge of payer guidelines, familiarity with payer processes for initiating authorizations, and following through accordingly to prevent loss of reimbursement, including the management of concurrent and pre-bill denials Ensuring all benefits, authorization requirements, and collection notes are obtained and clearly documented on accounts in the pursuit of timely reimbursement within established timeframes to avoid denials Works collaboratively and maintains active communication with physicians, nursing and other members of the multi-disciplinary care team to effect timely, appropriate management of claims Utilizes advanced conflict resolution skills as necessary to ensure timely resolution of issues Collaborates with the physician and all members of the multidisciplinary team to facilitate care for designated case load; monitors the patient's progress, intervening as necessary and appropriate to ensure that the plan of care and services provided are patient focused, high quality, efficient, and cost effective; facilitates the following on a timely basis Communication to third party payors and other relevant information to the care team Assignment of appropriate levels of care Ability to work independently and exercise sound judgment in interactions with physicians, payors, patients and their families Completion of all required documentation in the Cortex platform and in the system's electronic health record Escalating otherwise unresolved status conflicts appropriately and timely to the physician advisor to avoid concurrent denials Collaborates with medical staff, nursing staff, payor, and ancillary staff to eliminate barriers to efficient delivery of care in the appropriate setting Communicates with all parties (i.e., staff, physicians, payers, etc.) in a helpful and courteous manner while extending exemplary professionalism Anticipates and responds to inquiries and needs in an assertive, yet courteous manner. Demonstrates positive interdepartmental communication and cooperation Actively participates in clinical performance improvement activities Assists in the collection and reporting of resource and financial indicators including LOS, cost per case, avoidable days, Resource Utilization, readmission rates, concurrent denials, and appeals Uses data to drive decisions and plan/implement performance improvement strategies related to care management for assigned patients, including fiscal, clinical, and patient satisfaction data Collects, analyzes, and addresses variances from the plan of care/care path with physician and/or other members of the healthcare team Uses concurrent variance data to drive practice changes and positively impact outcomes Collects delay and other data for specific performance and/or outcome indicators as determined by Director of Care Management Documents key clinical path variances and outcomes which relate to areas of direct responsibility (e.g., discharge planning) Uses pathway data in collaboration with other disciplines to ensure effective patient management concurrently Ensures requested clinical information has been communicated as requested Monitors daily discharge reports to assure all patient stay days are authorized Follows up with insurance carrier to obtain complete authorization to avoid concurrent or retrospective denials Communicates with the other departments / team members for resolutions of conflicts between status and authorization Evaluates clinical review(s) and physician documentation for at-risk claims; performs additional reviews and/or include pertinent addendums to fortify/reinforce basis for accurate claim reimbursement Demonstrates a strong understanding of medical necessity (i.e., severity of illness, intensity of service, risk), level of acuity, and appropriate plan of care Interacts with physicians, physician office personnel, and/or Case Management departments on an as-needed basis to assure resolution of pending denials, which have been referred to the physician for peer-to-peer review with the Medical Director of the insurance carrier How to Apply: Interested candidates, please submit your resume to Michelle Boeckmann at ************************. Visit ********************************************* for more details and additional opportunities. Feel free to share these contact details with anyone interested in Case Management or Utilization Management roles. Contact: Michelle Boeckmann | President, Case Management Recruitment Direct Dial: ************ ************************ | ********************************************* America's Best Professional Recruiting Firms | Forbes 2025 Top 10 U.S. Search Firm - Executive Search Review Member of the Sanford Rose Associates network of offices

Care Options for Kids connects leading pediatric specialists with families to provide best-in-class pediatric nursing, therapy, and school-based services. We seamlessly integrate into children's lives by bringing individualized care to children where they live, work, and play. Our pediatric specialists are committed to providing high-quality pediatric services that help children and families live their best lives. We empower our community of clinicians to meet children where they are by providing the support and resources necessary to decrease administrative burdens. This focus allows our clinicians to obtain optimal work-life balance. Position Types Available: Full-Time, In Office with On-Call Hybrid - Must live in Orlando, FL RN Clinical Supervisor responsibilities include: Assists with the planning, coordination, leading, controlling, and evaluating of home health services and assists the Director/Area Director of Clinical Services with the coordination and management of home health clinical delivery. Acts on behalf of the Director/Area Director of Clinical Services as a liaison with the medical community, clients, and branch personnel. Provides daily supervision of nurses and home health aides to ensure the quality of services is within the required plan of care. Initiates and reviews the clinical content, diagnoses, medical history, medications, and other statuses from client records. Appraises staff performance during their probationary period and annually with the Director of Nursing; provides the teaching and counseling necessary to enhance the delivery of services and the professional development of nursing and home health aide staff. Identifies and evaluates client needs and appropriateness of home care by reviewing the initial intake screening form before assignment of direct care staff. Assists with the orientation of new clinical staff to familiarize them with policies and procedures. Conducts client visits in the appropriate setting as needed. Initiates in-home supervisory visits of clinical staff as needed. The ability to handle on-call, which is after work hours. Maintains confidentiality of records within the scope of their position. Participates in any required functions in the absence of, or request by, the Director of Nursing. Works closely with the electronic medical record (EMR) to ensure client electronic charts are maintained, updated, and remain in compliance with company standards. Understands details around the knowledge of clinical workflow as it pertains to the use of EMR. Participates in formal and informal problem-solving processes to meet the EMR computer education needs and established outcomes for users. Provides trainer sessions for peers and field staff to expand training team expertise. Provides coaching support to new staff to ensure compliance and consistency as it relates to the EMR. Conducts EMR chart audits. Prepares and submits a course of study including program objectives, student performance objectives, and lesson plans for training in accordance with all regulations and company policies. Plans, provides, and supervises training in a classroom setting, informing students of standard best practices and laws surrounding specialized hands-on nursing skills. Performs other duties as assigned in a professional matter. QUALIFICATIONS: Active RN license in good standing 2+ years of combined public health nursing experience and progressive professional responsibilities in public health nursing; or having 3+ years of combined public health nursing experience and progressive professional responsibilities in public health nursing. 1+ years of experience in home health care or equivalent experience is required. Current and Active BLS Certification Required. Knowledge and experience in trach, vent, g-tube, and pediatric care. Ability to demonstrate self-confidence and positive attitude toward self and others; maintains commitment and enthusiasm to goal achievement. Ability to identify and evaluate personal strengths and weaknesses. Customer-service oriented. Working knowledge of, or proficient in, Microsoft office applications, electronic medical records, and quick-to-learn proprietary software package. Bilingual - Spanish/English What we offer: A supportive and collaborative work environment. Opportunity to Join a Rapidly Growing, Fast-Paced Organization! Comprehensive benefits package, including health, dental, and vision insurance. Generous Paid Time Off 401K A chance to make a meaningful impact in the lives of children and families. Annual Salary Range: Full-Time, In Office: $68,000 - $74,000 annually *Compensation dependent on experience. Location: 100 South Lucerne Circle West, Orlando, FL 32801 If you are the best at what you do, and are ready to work with an innovative, positive and supportive organization, please contact us today. Care Options For Kids is an equal opportunity employer. The Equal Employment Opportunity Policy of Care Options For Kids is to provide a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religion, national origin, gender, sexual orientation, age, marital status or disability. Care Options For Kids hires and promotes individuals solely on the basis of their qualifications for the job to be filled. Care Options For Kids believes that associates should be provided with a working environment which enables each associate to be productive and to work to the best of his or her ability. We do not condone or tolerate an atmosphere of intimidation or harassment based on race, color, religion, national origin, gender, sexual orientation, age, marital status or disability. We expect and require the cooperation of all associates in maintaining a discrimination and harassment-free atmosphere. *Restrictions Apply #RDADMIN

LanceSoft is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job in Orlando, Florida. Job Description & Requirements Specialty: Cardiac Cath Lab Discipline: RN Duration: 13 weeks 40 hours per week Shift: 10 hours, days Employment Type: Travel Years Experience 2 REQUIRED docs BLS ACLS FLORIDA State LICENCE Candidate must be 50 MILE AWAY FROM FACILITY LOCATION CARDIAC CATH LAB EXPERIENCE REQUIERED #HCRR MDAbout LanceSoft Established in 2000, LanceSoft is a Certified MBE and Woman-Owned organization. Lancesoft Inc. is one of the highest rated companies in the industry. We have been recognized as one of the Largest Staffing firms and ranked in the top 50 fastest Growing Healthcare Staffing firms in 2022. Lancesoft offers short- and long-term contracts, permanent placements, and travel opportunities to credentialed and experienced professionals throughout the United States. We pride ourselves on having industry leading benefits. We understand the importance of partnering with an expert who values your needs, which is why we're 100% committed to finding you an assignment that best matches your career and lifestyle goals. Our team of experienced career specialists takes the time to understand your needs and match you with the right job Lancesoft has been chosen by Staffing Industry Analysts as one of the Best Staffing Firms to Work for.LanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities. Benefits Weekly pay Medical benefits