Utilization review nurse jobs in Largo, FL

Introduction HCA Florida Brandon Hospital is committed to investing in the latest technology enabling nurses to work more efficiently. Are you passionate about delivering patient-centered care? Submit your application for RN Clinical Nurse Coordinator CVICU position and spend more time at the bedside with the patient. Benefits HCA Florida Brandon Hospital, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Free counseling services and resources for emotional, physical and financial wellbeing 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) Employee Stock Purchase Plan with 10% off HCA Healthcare stock Family support through fertility and family building benefits with Progyny and adoption assistance. Referral services for child, elder and pet care, home and auto repair, event planning and more Consumer discounts through Abenity and Consumer Discounts Retirement readiness, rollover assistance services and preferred banking partnerships Education assistance (tuition, student loan, certification support, dependent scholarships) Colleague recognition program Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. You contribute to our success let us contribute to yours! Whether you choose to focus on bedside care, a leadership or C-suite role, shape business and operational outcomes, or work to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at HCA Florida Brandon Hospital! Job Summary and Qualifications The Clinical Nurse Coordinator (CNC) ensures and delivers high quality, patient-centered care and coordination of all functions in the unit/department during the designated shift. In collaboration with other members of the management team, the CNC directs, monitors, and evaluates nursing care in accordance with established policies/procedures, serves as a resource person for staff, and models a commitment to the organization's vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance. What you will do in this role: Assists with admission and discharge processes to ensure efficient throughput and high quality, patient-centered care. Participates in the ongoing assessment of the quality of patient care services provided in the unit, in collaboration with other members of the management team. Collaborates with subject matter experts and other managers to create an environment of teamwork that supports improved outcomes and service. Supports a patient-first philosophy and engages in service recovery when necessary. Supports the efforts of the facility to improve engagement by operationalizing current nursing strategies, including employee rounding, hourly rounds, and other initiatives. Provides recommendations related to interviewing, selecting, and training new staff. Recommends and implements courses of action, including training and development, conflict resolution, personnel policy compliance, completion of performance evaluations, and/or disciplinary actions to ensure a competitively better organization. Assists with staff scheduling. Manages all practical aspects of staff labor in accordance with patient care needs and established productivity guidelines. Supports proper inventory control and assists with managing supplies and equipment. What qualifications you will need: Advanced Cardiac Life Support must be obtained within 30 days of employment start date Basic Cardiac Life Support must be obtained within 30 days of employment start date NIH Stroke Scale must be obtained within 30 days of employment start date (RN) Registered Nurse Bachelors Degree, or Associate Degree HCA Florida Brandon Hospital is a 400 bed acute care hospital in Brandon, FL. We offer many services including a heart & vascular center, behavioral health center and a women's center. Our women's center includes a 36 bed neonatal intensive care unit. We have a reflux center and a bariatric center. We are dedicated to quality and devoted to our community. We have been named a top 100 hospital in America many times. Our intensive care unit has been named a top 100 ICU. Join our friendly hospital with its caring staff located just south of Tampa. We are proud of our colleagues who contribute to the care and services of patients. Whether it is clinical care or our support staff, everyone has an important role in contributing to the health of our community. We hope you'll consider a career at HCA Florida Brandon Hospital. HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. Join a family that cares about every stage in your career! We are interviewing candidates for our RN Clinical Nurse Coordinator CVICU opening. Apply today and a member of our Talent Acquisition team will reach out. We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Lutheran Services Florida (LSF) envisions a world where children are safe, families are strong, and communities are vibrant. LSF is looking for a talented Program Nurse who wants to make an impact in the lives of others. The preferred ideal candidate will be bilingual and have experience with Microsoft! The schedule for this position is night shift, weekends, and on-call on a rotating basis (4 x 10 hours). Purpose and Impact: This position's primary role is to treat and care for the youth in this program as well as providing information about any treatment procedures or any aspect of their care. This individual works closely with the Nurse Practitioner, Medical Providers, Program Director, Assistant Program Director, and other related departments. Essential Functions: Manage and monitor the delivery of services to patients ensuring compliance in the performance of all aspects of youth care in accordance with Company policy and procedures, State and Federal guidelines. Prepare youth for examinations and record the medical intake, take vital signs, height and weight. Initiate routine lab tests after triage of a youth such as pregnancy tests. Assist the medical providers staff with examination procedures when is needed such as patient screening and triage. Administer medications under the providers' orders. Update youth charts in regards to allergies, medication use, and immunization history at each visit. Administer immunizations under standing orders from provider. Educate and counsel youth concerning their disease, treatment, and prevention of disease. Answer youth's questions after consultation with the provider or as per established procedures in that regard (to include but not limited to: health questions, medication refills, and lab results.) Continually assess for areas of improvement and develop plans and evaluation criteria for such. Oversee and direct all youth care staff to ensure adequate monitoring. Ensure delivery of safe and efficient quality care. Assist in health education classes when necessary. Obtain, compile, and maintain medical files on each intake. Ensure proper daily documentation and maintain hard copy of required documents and medical record. Schedule and comply with required medical appointments and timelines. Respond and comply to individual emergency medical needs immediately. Maintain and review for accurate and complete list of medical supplies, prescribed medications, and over-the-counter medication. Order medical supplies, and medication when necessary. Collect, maintain, and submit weekly, monthly, quarterly, and annual reports and audits to the supervisors. Facilitate and conduct self-administration of medication and side effects training to employees as required. Provide a fail-safe plan with medication count, label accuracy, and self-administration of medication, including over-the-counter drugs. Schedule and provide transportation when is needed to clients on medical appointments with assistance from other staff when necessary. Submit, review and follow up all the Significant Incidents Report regarding Medical Issues. Participate in Quality Improvement as required. Other Functions: Able to react to change productively and handle other essential tasks as assigned. Develop and maintain effective communication and working relationships with staff, co-workers, physicians, and youth. Develop and expand medical, specialty and dental services with local providers. Maintain Health Information Privacy HIPAA. The ability to maintain control and work under pressure to meet deadlines. Physical Requirements: Bending, stooping, and lifting a minimum of 15-25 lbs. required to complete daily tasks. Must have the ability to remain in standing position for extended periods of the workday. Education: Register Nurse degree from an accredited college or university in Nurse or Health Sciences, RN License according to State requirements. Must have graduated from an approved RN nursing program approved by the National Council of State Boards of Nursing (NCSBN) Must have passed the appropriate NCLEX-RN Exam Experience: Minimum 1 years of full-time direct service delivery experience Must possess medical assessment and treatment skills with diverse populations of children/adolescents. One (2-3) year of full-time experience in a hospital, clinic, medical record department or physician's office. One (2-3) year experience in file maintenance working with troubled adolescents or youth services; may include part-time, volunteer or internship experience. Why work for LSF? LSF offers 60 programs across the state of Florida serving a wide range of populations in need. Mission Driven staff members become part of the LSF community while transforming the lives of those in need. Our staff additionally find growth opportunities as they explore areas of interest within the organization. Amazing benefits package including : Medical, Dental and Vision Telehealth (24/7 online access to Doctors) Employee Assistance Program (EAP) Employer paid life insurance (1X salary) 13 paid holidays + 1 floating holiday Generous PTO policy (starting at 16 working days a year) Note: Head Start employees paid time off and holiday schedule may differ 403(b) Retirement plan with 3% discretionary employer match OR 3% student loan repayment reimbursement Tuition reimbursement LSF is proud to be an equal opportunity employer. Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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! Job Description Are you an experienced LPN looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions - this is the position for you! Daily Responsibilities: The Utilization Review LPN is responsible for the pre-certification of determined procedures utilizing the organizations Plan approved criteria. The position helps manage healthcare costs by influencing patient care decision making through case-by-case assessments of the care prior to it's delivery. ESSENTIAL DUTIES AND RESPONSIBILITIES: Evaluates requested services following Plan approved criteria. Demonstrates effective communication methods and skills, using lines of authority appropriately. Establishes a relationship with providers in order to determine/provide needed services for members Arranges discharge planning services prior to pre-planned admissions when available. Acts as liaison and member advocate between the member/family, physician and facilities/agencies. Maintains accurate record of pre-certification decisions. Performs decisions within time frames required by regulatory agencies. Adheres to quality standards and confidentiality policies and procedures. Ensures compliance with all state and federal regulations and guidelines in day-to-day activities. Adapts to changes in policies, procedures, new techniques and additional responsibilities. Qualifications Active FL LPN license with a minimum of 2 years varied clinical experience required. Managed Care experience (utilization review, pre-certification, concurrent review) is preferred. Proficiency in MS Office with basic computer and typing skills. Additional Information Advantages of this Opportunity: • Competitive salary $19 - $26/hr+ (based off experience) • Excellent Medical Benefits Offered • Growth potential • Fun and positive work environment If you are interested in applying to this position please call Jonathan Comstock at (407) 478-0332 Ext. 133

Location: Must be located within 50 miles of an Elevance Health PulsePoint office in the state of Florida. Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. 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 HEDIS Medical Records Review Project Nurse is responsible for HEDIS medical record identification and abstraction throughout the year. How you will make an impact: Serves as a resource and subject matter expert on HEDIS quality reviewer processes. Conducts over-reads on HEDIS records for compliance against HEDIS Technical Specifications. Educates providers on HEDIS specifications and medical record documentation via various mediums such as HEDIS Encounter Portal Submission Tool, Hybrid Review Tool, HEDIS reference material development, and any other educational pieces for Provider relations, etc. Provides feedback to providers via the HEDIS Encounter Submission Tool for medical records reviewed throughout the year. Reviews HEDIS Encounter Portal submissions for Star Metrics throughout the calendar year with given set deadlines. Works on projects as assigned. Develops expertise in the requirements and parameters of mandated HEDIS performance measures on an annual basis. Minimum Requirements: Requires a BS in nursing and minimum of 2 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. Current, unrestricted clinical license appropriate to field of specialty (LPN/RN) as required. Active state license required. Preferred Skills, Capabilities and Experiences: Minimum of 2 years of experience as a HEDIS medical chart reviewer preferred. Job Level: Non-Management Non-Exempt Workshift: 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.

HealthAxis is a prominent provider of core administrative processing system (CAPS) technology, business process as a service (BPaaS), and business process outsourcing (BPO) capabilities to healthcare payers, risk-bearing providers, and third-party administrators. We are transforming the way healthcare is administered by providing innovative technology and services that uniquely solve critical healthcare payer challenges negatively impacting member and provider experiences. We live and work with purpose, care about others, act with integrity, communicate with transparency, and don't take ourselves too seriously. We're not just about business - we're about people. Our commitment to a people-first approach shapes everything we do, from collaborating as a team to serving our valued clients. We believe that creating a vibrant and human-centric environment can inspire engagement, empower our team members, and ignite a sense of purpose in all that we accomplish. PURPOSE AND SCOPE: The Utilization Review Nurse is responsible for the medical necessity review of outpatient services that require prior authorization, and/or management of concurrent inpatient admissions. The medical necessity review process includes assessment and interpretation of plan specific benefits, medical criteria, and clinical documentation. PRINCIPAL RESPONSIBILITIES AND DUTIES: Performs prospective, concurrent, and retrospective inpatient and/or outpatient utilization reviews (UR) using evidence-based guidelines, policies and nationally recognized clinical criteria, and internal policies and procedures. Evaluates severity of illness and intensity of service of member's needs at time of inpatient admission utilizing approved criteria. Triage and prioritize cases and other assigned duties to meet CMS turnaround time standards. Prepare and escalate cases to MDs for review when appropriate. Demonstrates effective communication methods and skills, using lines of authority appropriately. Establishes a relationship with providers to determine/provide needed services to member. Maintains accurate record of UR activities. Adheres to quality standards and confidentiality policies and procedures. Ensures compliance with all state and federal regulations and guidelines in day-to-day activities. Adapts to changes in policies, procedures, new techniques, and additional responsibilities. CUSTOMER SERVICE: Responsible for driving the HealthAxis culture through values and customer service standards. Accountable for outstanding customer service to all external and internal contacts. Develops and maintains positive relationships through effective and timely communication. Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner. EDUCATION, EXPERIENCE AND REQUIRED SKILLS: Licensed RN or Associate degree in Nursing required. Minimum of two to three years varied clinical experience required. Managed care experience preferred. An equivalent combination of education, training, and experience. Ability to read and interpret documents and make clinical decisions in alignment with evidence-based criteria. Excellent oral and written communication skills including good grammar, voice and diction. Proficient in MS Office with basic computer and keyboarding skills. Excellent customer service skills (friendly, courteous and helpful). InterQual experience is required.

Job Description Advantmed is a leading provider of risk adjustment, quality improvement and value-based solutions to health plans and providers. We drive market leading performance with integrated technology, service, and program solutions that optimize the risk and quality performance of our partners. Our solutions focus on identifying, managing, and documenting risk and quality performance, and the proactive clinical engagement of high acuity populations. The building B.L.O.C.K.S. of our team's success! Bring the fun Leverage together for better Outperform yourself Care at every touchpoint Keep your word. Keep it real Stay curious & listen well Primary Purpose: We are seeking a highly skilled and compassionate Nurse Practitioner to join our Advantmed provider network. In this role, you will be responsible for conducting in-home* wellness risk adjustment assessments for the Medicare population. Your primary objective will be to assess the overall health and well-being of Medicare beneficiaries to ensure accurate and comprehensive risk adjustment coding, leading to greater value-based care. NP Responsibilities: Perform annual wellness visits and health assessments on a population with chronic conditions Provide patient health education opportunities Assist in closing quality care gaps (i.e. screenings and labs) An enthusiastic collaborator contributing to the enhancement of care delivery Locations: Hillsborough County, FL Requirements NP Qualifications: Must have a valid unencumbered NP License for the state you will be working in Previous In-home Risk Assessment experience a plus but not required 3 years patient care experience required. (Experience in primary care/adult/geriatric, EMR skills preferred) Bilingual a plus! Benefits Advantmed offers: Competitive wages (Position is a contractor position based on client visits, ~$100/per assessment) Flexible work schedule Paid mileage

Would you like a healthcare position helping others and changing lives for the better? Do you want to work alongside an uplifting, compassionate team in a supportive clinic? If so, please read on! AMA Medical Group in Dunedin, FL is looking to hire a full-time Nurse Case Manager. This case management position earns a competitive salary of $75,000 - $85,000/year, depending on experience and certifications. We provide fantastic benefits and perks, including medical, dental, vision, a 401(k) plan with match, 7 paid holidays, 3 weeks of paid time off (PTO), Working Advantage employee perks, an employee assistance program (EAP), and more. If this sounds like the right administrative healthcare opportunity for you, apply today! NURSE CASE MANAGER: YOUR IMPACT As a Nurse Case Manager, your expertise in designing and managing personalized treatment plans allows you to adapt to the unique needs of each patient. You proactively schedule medical appointments accordingly as well. In the event of a missed appointment, you promptly reach out to reschedule and inquire about any potential concerns. Your organizational skills are exceptional as you maintain daily office schedules and admission lists, with special attention given to out-of-area patients. Additionally, you oversee the completion of new member orientation for new patients and administer various tests, including Mini-Mental exams, psychosocial assessments, and activities of daily living (ADLs) screenings. Collaborating with hospital and nursing home teams, you coordinate services for admitted patients and notify facility staff of any possible admissions or ER diversions. You also diligently monitor patient documentation, tracking their progress and noting any status changes or discharges. If any patients require disease management programs, you ensure they receive follow-up care as outlined in the protocol. You also pre-op clearance and assess inpatient and outpatient procedures. You enjoy using your excellent administrative skills to help others! To do this, you need: Current RN certification Accredited Case Management (ACM) OR Certified Case Management (CCM) licensure OR ability to earn a case management certification CPR OR BLS certification Geriatrics OR critical and intensive care medical specialties Primary care case management experience would be preferred. Experience with Medicare Advantage would be a bonus! LEARN A LITTLE BIT ABOUT US: AMA MEDICAL GROUP Established in 2010, we are an adult primary care practice. We are committed to high-quality and compassionate care delivered in a coordinated and patient-centered way. Our approach to healthcare excellence is derived from the industry's standards and best practices as well as the principles of Christian servant leadership. We serve our patients with love, excellence, and respect for the patient as an individual. AMA means heart and represents the founders' two greatest loves, the love of God and the love of neighbor. Our goal is to help our employees rediscover the joy of practicing medicine. In order for our team to compassionately and expertly care for our patients, we focus on the wellness of our staff. We provide excellent employee compensation and benefits as well as ongoing training and support. We truly believe that caring comes from the HEART (honesty, empathy, access, respect, and timeliness). THE IDEAL NURSE CASE MANAGER Are you highly organized and detail-oriented? Can you effectively manage multiple tasks without letting one fall behind? Do you have excellent communication and interpersonal skills? Are you an adaptable problem solver? If yes, you might just be perfect for this administrative position! WORK SCHEDULE FOR A NURSE CASE MANAGER This administrative healthcare position typically works Monday - Friday, 8:00 AM - 5:00 PM. Depending on clinic needs, you may work weekend hours on an on-call rotation. If you're ready to make a difference and feel that you would be right for this administrative healthcare job, please fill out our initial 3-minute, mobile-friendly application. We look forward to meeting you! Location: 34698

Join LifeLink - Join a Life Saving Team! About LifeLink More than four decades ago, a visionary group of innovators, led by renowned nephrologist Dr. Dana Shires, made a life-changing commitment-to save lives through organ and tissue donation. From that bold beginning, LifeLink Foundation was established - founded with heart, purpose, and a mission that still guides us today. What started as a nonprofit with big dreams has grown into a vision-driven organization of more than 700 dedicated professionals across west-central Florida, Georgia, parts of South Carolina, Puerto Rico, and the US Virgin Islands. At LifeLink, we are united by our mission: To honor donors and save lives through organ and tissue donation. Our vision remains clear: To maximize the gift of life while giving hope to donor families and transplant patients. We are grounded in the values that shape our work and culture-Compassion. Excellence. Legacy. People. Quality. If you're inspired by purpose, driven by impact, and ready to help save and heal lives, LifeLink is the place for you. What You'll Do As a Family Care Coordinator, you will directly contribute to LifeLink's life-saving mission. Your primary responsibility is to work in conjunction with Hospitals in our service area to respond to referrals and evaluate for the purpose of determining a potential organ/tissue donor. Applying LifeLink Organ Recovery policies and procedures in performing and documenting, donor evaluation, family approach, authorization/donor designation, and the medical/social behavior interview with appropriate family members/associates for the purpose of transplantation. Participate in rotation call schedule to ensure coverage of this position's responsibilities 24/7. Case dynamics and logistics will warrant regular automobile travel with (infrequent) possible air travel. Key Responsibilities: Participate in the Family Care Coordinator (FCC) call schedule. Referral, pre-authorization and authorization responsibilities will consist of but may not be limited to: Onsite referral evaluation to hospitals in our designated service area Review of patient's hospital chart for determination of medical suitability Responsible for understanding of medical management to preserve the option for donation Determine hospital plan related to brain death testing and/or end of life discussions Determine appropriate time for family discussion related to donation conversation Understanding policy/procedure of both hospital and LifeLink in determination of Brain Death/testing Following LifeLink policy and procedure and state statues when determining legal next of kin and documentation of authorization for the purpose of transplantation. Helping family to navigate the process of organ donation and offering resources and compassion with end of life decisions. Post authorization responsibilities will consist of but may not be limited to: Case start-up consisting of: Starting, beginning organ donation order set, obtaining blood for serologies, and lymph node cutdown for HLA tissue typing Report to oncoming Vascular Coordinator Provide donor families with follow-up information and support as needed Works with hospital development and public education program on development initiatives Who You Are Passionate about helping others and making a difference Aligned with LifeLink's core values of Compassion, Excellence, Legacy, People, and Quality Degreed RN, Critical Care experience Demonstrate excellent interactive verbal communication skills Availability to handle rotation of 24/7 call responsibilities and a work schedule that may require response to emergency back-up call coverage Availability for automobile and possible air travel on a regular basis Current drivers license with good verifiable driving record Bilingual (English/Spanish) a plus A collaborator who thrives in a mission-first environment Why LifeLink? Be part of an organization with a legacy of saving lives and giving hope Join a passionate and supportive team across Florida, Georgia, and Puerto Rico COMPANY PAID Medical, Dental, Disability & Life Insurance Generous COMPANY PAID Pension Plan for your Retirement Paid Vacation, Sick Days & Holidays Growth opportunities in a mission-driven, high-impact nonprofit Work with purpose, knowing your efforts directly touch lives Working Conditions: Local/State auto/air travel is required. Variable/rotation on-call days/hours including nights/weekends/holidays depending on call schedule and case duration. Possible high stress / extended hours while on call. Team-oriented and interactive environment. TB Classification: Medium Diversity, Equity & Inclusion LifeLink is proud to be an equal opportunity employer. We celebrate diversity and are committed to building an inclusive environment that reflects the communities we serve. Ready to Help Change Lives? Your next career move could be the most meaningful one yet.

Job Details Buschwood - Tampa, FLDescription Mission Statement The Children's Network of Hillsborough is committed to working with the community to protect children and preserve families. General Purpose of Job To provide nurse care coordination for children in the child welfare system. This includes children with special health care needs. The Nurse Care Coordinator (NCC) will coordinate, assist, and consult regarding medical health services to promote quality outcomes. The NCC will monitor the timelines and coordination of health services and integration of those services in support of permanency goals for children in care, ensuring a coordinated effort to maximize the potential of children and to provide them with optimal care. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Essential Duties and Responsibilities Act as liaison between Health Plans, Case Management Organization (CMO), the Department of Children & Families (DCF) and specialty and/or community providers regarding health services. Create plan of care and coordinate medical services for dependent children, including Health Risk Assessments, timely Well-Child Checkups and follow-up for specialty appointments and required referrals. Works with child welfare case managers to coordinate health care and meet all wellness measures. Provide reviews of medical, dental and optometric services and inform child welfare case managers and caretakers of needed follow-up. Documents reviews in FSFN and assures records are uploaded into the appropriate computer program. Provide information for and attend court hearings and case staffings as needed or requested. Participate in health plan case management integrated care team and/or CBC Multidisciplinary team meetings if needed. Participate with health care plan in discharge planning and coordination from in-patient health care facility including monitoring of post-discharge follow-up appointments, ordered services, durable medical equipment and assuring that prescriptions are filled as needed. Process information on any medication compliance concerns and notify physician, case manager and health plan. Review the health and wellness reports, FSFN reports and other data sources for status of required annual physical, dental and vision screenings for children placed in out of home care. Participate, as needed, in planning for youth who are transitioning from the child welfare system. This may include participation in routine staffings to providing education and coordination of services. Cultivate and coordinate an effective communication system with providers and child welfare staff for the exchange of appropriate information. Provide education and support to families related to the care of their child. Monitor email on daily basis. Circulate pertinent child-related information to Child Welfare Case Managers and other designated Case Management Organization employees. Enter data into automated systems and produce required reports from the data system. Data entered into FSFN must be done within 48 hours of receiving the information. Works in a collaborative and positive manner as a member of the healthcare team with the co-workers, families, caseworkers, guardians, physicians and their office personnel, schools, vendors and other related organizations. Other duties may be assigned as special projects may be requested. Working Hours CNHC's believes in work life balance for all employees. This is an in-office position, Monday-Friday from 8:00am to 5:00pm averaging forty (40) hours per week. Working hours may vary based on business needs. Travel Travel inside Circuit 13 (Hillsborough County) may be required as well as occasional travel outside the circuit for training purposes. Training CNHC's believes in work life balance for all employees. This is an in-office position, Monday-Friday from 8:00am to 5:00pm averaging forty (40) hours per week. Working hours may vary based on business needs. Supervisory Responsibilities This position does not have supervisory responsibilities Qualifications Education and/or Experience Registered Nurse (RN), with current Florida nursing license is required. Three (3) years nursing experience in the child welfare or behavioral health care setting, preferred Pediatric and/or care coordination experience is helpful. Skills and Abilities Must possess strong clinical expertise and the ability to assess the medical and developmental needs of children and families involved in the welfare system. Exceptional organizational and time-management skills are essential for coordinating care plans, managing health records, and ensuring timely access to medical, therapeutic, and support services. Effective communication and interpersonal abilities are crucial for collaborating with child welfare staff, healthcare providers, and families to advocate for the well-being of children. The role requires critical thinking and problem-solving skills to navigate complex cases, address barriers to care, and adapt to evolving needs while prioritizing the safety and health of children. Proficiency in documenting and utilizing care management systems is necessary for tracking progress and maintaining compliance with regulations Pre-employment Requirements Certificates, License, Registrations, backgrounds, drug screens, Etc. Proof of education is required Proof of State of Florida Licensure as a Nurse Valid driver's license required, with proof of insurance Driver's license check is a requirement Criminal background screening (fingerprinting) (Local Law Enforcement and FBI/FDLE) Drug Screening is a requirement Children's Network participates in E-Verify Other Requirements Language Skills Must possess strong language skills, including the ability to communicate clearly and effectively with diverse stakeholders, such as families, healthcare providers, social workers, and legal professionals. This involves the ability to explain medical information in an easily understandable way, ensuring that families and caregivers can make informed decisions about their child's care. Strong written communication skills are essential for documenting care plans, progress notes, and reports accurately and professionally. Additionally, the ability to listen actively and empathetically, especially in sensitive or high-stress situations, is critical for building trust and supporting families in navigating the child welfare system. Cultural competency in language use is also important to ensure that communication is respectful, inclusive, and tailored to the needs of the children and families served. Mathematical Skills Must possess the ability to interpret and analyze numerical data from medical records, treatment plans, and financial documents. Proficiency in using mathematical formulas for health assessments, tracking growth and development metrics, and calculating medical statistics is essential. Additionally, the role may require the ability to manage and allocate resources effectively, ensuring the most efficient use of healthcare services within a budget. Attention to detail and accuracy in all numerical tasks are critical to ensuring the safety and well-being of children and families under care. Reasoning Ability Must demonstrate strong reasoning abilities to assess complex medical and emotional needs of children and families, ensuring that care plans are both effective and responsive. This includes the capacity to analyze medical histories, understand psychosocial factors, and apply clinical guidelines to create comprehensive care strategies. The role requires critical thinking to evaluate the effectiveness of interventions, address emerging challenges, and identify barriers to achieving optimal health outcomes. The ability to anticipate potential risks, prioritize urgent needs, and make informed decisions that align with child welfare policies is essential. Additionally, strong reasoning skills help in collaborating with other professionals, ensuring that decisions are evidence-based, ethical, and focused on the best interests of the children and families served. Physical Demands The physical demands of this position are generally moderate. The role may require extended periods of sitting, standing, and using a computer. Occasional lifting of office supplies, files, or materials up to 25 pounds may be required. Reasonable accommodation can be made to enable individuals with disabilities to perform the essential job functions. Work Environment This is an in-office-based position focused on administrative work, where the noise level may be moderate. The role may involve occasional travel among agency locations, extended periods of computer work, and frequent interactions across multiple departments. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential job functions. ADA: Children's Network of Hillsborough, LLC will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990. EEO: Children's Network of Hillsborough, LLC does not discriminate based on race, national origin, gender, religion, veteran status, or disability in employment, in provision of services, or in access to programs. Children's Network of Hillsborough, LLC is a Drug-Free Workplace. Remember: If you are currently an employee of Children's Network of Hillsborough Florida, LLC, or one of our Case Management Organizations, it is necessary that you notify your current leadership, prior to applying.

Benefits: * Employee discounts * Wellness resources * Health insurance Benefits/Perks * A competitive compensation and benefits program starting at $34/hr with potential to exceed $40/hr with performance compensation * Opportunities for growth and advancement * Fun, wellness-focused work environment Company Overview Restore Hyper Wellness is the leading retail provider of alternative health and wellness modalities in the United States. Our goal is to make Hyper Wellness widely accessible, affordable, and fun. This means helping people from all walks of life feel better and perform at a higher level so they can do more of what they love in life. Inc. 5000 ranked Restore as the #113 Fastest Growing Company in America, the #17 Fastest Growing Company in Texas, and the #1 Hottest Franchise in America. Job Summary Are you a skilled Nurse seeking to advance your career in a dynamic wellness environment? Restore Hyper Wellness is recruiting an experienced, client-focused Nurse with a background in wellness or hospitality to join our professional team dedicated to optimizing client health and performance. Unlike traditional clinics or ER settings, Restore delivers cutting-edge wellness therapies in a modern, engaging facility designed for efficiency and client satisfaction. Our Nurses consistently report high job fulfillment, noting it as "the most rewarding nursing role that combines clinical expertise with meaningful client impact." In this prescriptive sales role, you will leverage your wellness or hospitality experience to consult with clients, recommend personalized therapy protocols, and drive revenue growth while supporting their health journeys and upholding Restore's mission of empowering peak performance. Responsibilities Medical Operations & Clinical Duties * Administer IV Drip Therapy and Intramuscular (IM) Shots to deliver our menu of vitamins, minerals, and antioxidants. * Assessing client needs to make qualified recommendations for corresponding services. * Promote sales of memberships and medical services based on client needs. * Educate clients on the qualities and benefits of our IV Drip and Intramuscular (IM) Shot ingredients. * Administer Hyperbaric Oxygen Therapy sessions. * Utilize blood test offerings to help clients optimize their wellness. * Document client visits via electronic medical records. * Address and answer client questions using the Restore Nursing Reference Guide under the supervision of the Medical Director and network of licensed Advanced Practice Providers. * Communicate to the medical compliance team any issues or adverse effects clients experience. * Provide therapeutic communication along with exceptional customer service * Assist staff with store services. * Assist with off-site nursing events and special projects. * This position reports to the Regional Nurse Manager. * Maintain a safe and clean working environment. Qualifications * You're a licensed Registered Nurse (RN). * You have at least two years of experience as a nurse in an acute care setting (ER, ICU, Med-Surg, or similar). * You are BLS (Basic Life Support) certified * You have at least one year of experience administering injections. * You're comfortable using electronic medical records to document client details. * You maintain a non-judgemental outlook and have a demonstrated ability to work with a diverse clientele. * Your verbal and written communication skills are on point. * You value ethics and integrity. * You embrace a team environment and also excel at working independently. * You're willing to adhere to all policies and procedures and understand the importance of maintaining medical compliance. * Willing to work hours in both Seminole and Clearwater (15 miles apart) * Willing to work weekends (predominately Thursday through Sunday schedule)

Benefits: Employee discounts Wellness resources Health insurance Benefits/Perks A competitive compensation and benefits program starting at $34/hr with potential to exceed $40/hr with performance compensation Opportunities for growth and advancement Fun, wellness-focused work environment Company OverviewRestore Hyper Wellness is the leading retail provider of alternative health and wellness modalities in the United States. Our goal is to make Hyper Wellness widely accessible, affordable, and fun. This means helping people from all walks of life feel better and perform at a higher level so they can do more of what they love in life. Inc. 5000 ranked Restore as the #113 Fastest Growing Company in America, the #17 Fastest Growing Company in Texas, and the #1 Hottest Franchise in America. Job SummaryAre you a skilled Nurse seeking to advance your career in a dynamic wellness environment? Restore Hyper Wellness is recruiting an experienced, client-focused Nurse with a background in wellness or hospitality to join our professional team dedicated to optimizing client health and performance. Unlike traditional clinics or ER settings, Restore delivers cutting-edge wellness therapies in a modern, engaging facility designed for efficiency and client satisfaction. Our Nurses consistently report high job fulfillment, noting it as “the most rewarding nursing role that combines clinical expertise with meaningful client impact.” In this prescriptive sales role, you will leverage your wellness or hospitality experience to consult with clients, recommend personalized therapy protocols, and drive revenue growth while supporting their health journeys and upholding Restore's mission of empowering peak performance. Responsibilities Medical Operations & Clinical Duties Administer IV Drip Therapy and Intramuscular (IM) Shots to deliver our menu of vitamins, minerals, and antioxidants. Assessing client needs to make qualified recommendations for corresponding services. Promote sales of memberships and medical services based on client needs. Educate clients on the qualities and benefits of our IV Drip and Intramuscular (IM) Shot ingredients. Administer Hyperbaric Oxygen Therapy sessions. Utilize blood test offerings to help clients optimize their wellness. Document client visits via electronic medical records. Address and answer client questions using the Restore Nursing Reference Guide under the supervision of the Medical Director and network of licensed Advanced Practice Providers. Communicate to the medical compliance team any issues or adverse effects clients experience. Provide therapeutic communication along with exceptional customer service Assist staff with store services. Assist with off-site nursing events and special projects. This position reports to the Regional Nurse Manager. Maintain a safe and clean working environment. Qualifications You're a licensed Registered Nurse (RN). You have at least two years of experience as a nurse in an acute care setting (ER, ICU, Med-Surg, or similar). You are BLS (Basic Life Support) certified You have at least one year of experience administering injections. You're comfortable using electronic medical records to document client details. You maintain a non-judgemental outlook and have a demonstrated ability to work with a diverse clientele. Your verbal and written communication skills are on point. You value ethics and integrity. You embrace a team environment and also excel at working independently. You're willing to adhere to all policies and procedures and understand the importance of maintaining medical compliance. Willing to work hours in both Seminole and Clearwater (15 miles apart) Willing to work weekends (predominately Thursday through Sunday schedule) Compensation: $34.00 per hour Restore Hyper Wellness is the award-winning industry leader and creator of an innovative new category of care-Hyper Wellness . Restore delivers expert guidance and the most extensive array of cutting-edge modalities available under one roof. With over 100+ locations nationwide and a fast-growing retail footprint, Restore is making true health more accessible than ever before. Restore is one of America's fastest-growing companies right now, and for good reason. Inc. 5000 just named Restore the #1 hottest franchise in America, and #113th company in America. We are on a blazing mission to restore people's health and wellness so that they can do more of what they love every day. Our daily metric? How many people we helped that day. That's why it is paramount that we attract people who are as passionate about helping people as we are. Join us on our mission to help people feel better so they can do more of what they love. This franchise is independently owned and operated by a franchisee. Your application will go directly to the franchisee, and all hiring decisions will be made by the management of this franchisee. All inquiries about employment at this franchisee should be made directly to the franchise location, and not to Restore Hyper Wellness.

**************************** 5K SIGN ON BONUS Freedom Square of Seminole is an upscale Senior Living Community located in beautiful Seminole, Florida. Designed like a quaint town square with paved brick streets and a welcoming gazebo, Freedom Square retirement community in Seminole, Florida offers a wide variety of elegantly appointed residential options, a wealth of exceptional services and amenities and a full calendar of fun, engaging activities - all just a short drive from Lake Seminole and the beautiful beaches of the Gulf Coast! Situated on 15 acres with two ponds, we offer a beautiful garden-like setting for retirement living. As a life care community, Freedom Square makes aging in place simple. Residents are able to seamlessly transition from independent living to assisted living, memory care and skilled nursing care, as their healthcare needs change. Freedom Square of Seminole is looking for patient-centered LPN's to help care for our residents. Come experience the Freedom Square of Seminole difference! We are an elegant, upscale Senior Living Community, nestled in a 15-acre certified wildlife habitat. What makes us stand out against the others? * We provide a fun workplace culture - including monthly luncheons and campus-wide events * Our community and facilities are clean * Our patients are low acuity * We have good staffing ratios * Benefits for Full and Part Time Staff * Paid Time Off and Paid Holidays * Career Advancement Opportunities * Paid Training * Revised Wage and Bonus Structure * Resident Scholarship Fund We are looking for energetic individuals who enjoy working in a fast-paced, team-focused environment. As a nurse at Freedom Square of Seminole, you are held to a high standard. Our team members provide extraordinary care and hold each other accountable. If this sounds like a good fit, we'd love to hear from you! The staff nurse is responsible for the accurate and timely administration of medications, treatments, documentation and emergency call lights, inside our skilled nursing center. Duties: * Administer medication and treatments to residents of our healthcare center. * Assist with admission and discharge process * Keep physician and family aware of change(s) in resident condition * Make rounds with physicians and transcribes orders * Assure continuity of services and care Qualifications: * Current nursing license with the state of Florida * 6 months nursing experience, preferred * Geriatric involvement preferred What We Offer: * Work today, get paid tomorrow with DailyPay! Freedom Square of Seminole now offers DailyPay - a program that allows employees to access their earned income on-demand, as it's earned. * Benefits for full and part time staff, including health, dental, vision, 401K and more! * Fun, caring, inclusive work environment! * Monthly company luncheons and employee appreciation events! Freedom Square of Seminole fully embraces a culture of hospitality. To that end, we include the following hospitality promises as a guide for our interpersonal interactions with residents, co-workers and guests: * We greet residents, employees and guests, warmly, by name and with a smile. * We treat everyone with courteous respect. * We strive to anticipate resident, employee and guest needs and act accordingly. * We listen and respond enthusiastically in a timely manner. * We hold ourselves and one another accountable. * We embrace and value our differences. * We make residents, employees and guests feel important. * We ask "Is there anything else I can do for you?" * We maintain high levels of professionalism, both in conduct and appearance, at all times. * We pay attention to the details. #clinical

At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary Provides planning and delivery of direct and indirect patient care through the nursing process of Assessment, Planning, Intervention, and Evaluation. Develops nursing care plan in coordination with patient, family and interdisciplinary staff as necessary. Communicates changes in patient's clinical condition with Physicians, Nursing Supervisor/Manager, and co-workers as appropriate. Participates in discharge planning process. Essential Functions * Maintains the standard of nursing care and implements policies and procedures of the hospital and nursing department. * Directs, supervises and evaluates nursing care provided to patients. * Assigns nursing care team members in accordance to patient needs, team members capabilities and qualifications. * Documents patient admission assessment and reassessments, patient care plans and other pertinent information, completely in the patient's medical record according to nursing standards and policies. * Performs assessment on all patients on admission and reassessments as per policy. * Develops nursing care plan of assigned patient on admission, updates plan of care as needed and ensures plan of care is coordinated with patient, family, and other members of the team. * Assesses and reassess pain. * Utilizes appropriate pain management techniques. * Educates the patient and family regarding pain management. * Revises the plan of care as indicated by the patient's response to treatment, and evaluates overall plan daily for effectiveness. * Performs patient care responsibilities considering needs specific to the standard of care for patient's age. * Performs treatments and provide services to level of license * Receives physician's orders, ensures transcription is accurate and documents completion. * Assists physicians with examinations, treatments and special procedures and performs services requiring technical and manual skills within scope of practice. * Administers medication utilizing the five rights of medication administration reducing the potential for medication errors. * Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning; family is included in teaching as appropriate. * Interacts professionally with patient/family and involves patient/family in the formation of the plan of care. * Treats patients and their families with respect and dignity. * Identifies and addresses psychosocial, cultural, ethnic and religious/spiritual needs of patients and their families. Knowledge/Skills/Abilities/Expectations * Excellent oral and written communication and interpersonal skills. * Knowledge of medications and their correct administration based on age of the patient and their clinical condition. * Basic computer knowledge. * Able to organized tasks, develop action plans, set priorities and function under stressful situations. * Ability to maintain a good working relationship both within the department and with other departments. * Must have good and regular attendance. * Must read, write and speak fluent English. * Approximate percent of time required to travel: 0% * Performs other related duties as assigned. Qualifications Education * Graduation from an accredited Bachelor of Science in Nursing, Associate Degree in Nursing or Nursing Diploma program. Licenses/Certifications * Current state licensure as Registered Nurse. * BCLS certification. * ACLS preferred. Experience * Minimum six months' Medical/Surgical experience in an acute care setting preferred.

Incredible New Nurse Practitioner/Physician Assistant opportunity! We are seeking a talented and dedicated APP for a Family Medicine/Primary Care opportunity practice to join a leading primary care platform, focused on providing high quality, integrated care to adults and senior patients throughout Florida. Highlights: -100% Outpatient Family Practice/Primary Care -Fully established, busy clinic -Base salary $130K-$145 based on experience plus bonus -Full Benefits package -NO CALL If you are interested, please reply directly! Looking forward to speaking with you!

QUALIFICATIONS * Active practicing licensure with the College of Registered Nurses of Manitoba or eligible for active practicing licensure with the College of Registered Nurses of Manitoba (CRNM) * Current Basic Cardiac Life Support (BCLS) Training * One (1) year equivalent full-time experience in acute care as a Registered Nurse within the last three (3) years * Knowledge, competence and ability to demonstrate clinical nursing skills and concepts in accordance with approved nursing standards * Ability to make effective decisions regarding nursing care * Basic knowledge and skills to work with computers, and electronic software programs * Demonstrated effective problem solving, organizational skills and the ability to work independently * Demonstrated effective verbal and written communication skills * Ability to maintain positive working relationships with co-workers and clients * Satisfactory employment record required

Why You Should Work For Us: 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! Job Description You, as the Nurse Reviewer will be held responsible for the comprehensive review of the medical information for the assigned medical record review and completion of all paperwork, communication and data entry involved. Reviews will include quality of care, medical necessity; DRG validation, focused, readmission, Emergency Medical Treatment and Active Labor Act [EMTALA], and all others are required by contract. Communicates with the Medicare beneficiary/family members, healthcare providers and/or practitioners as needed during the course of the identified review. Essential Duties: • Maintains current knowledge of the QIO contract, QIO Manual, SDPS Memorandums and Healthcare Communities Website to locate and apply up to date rules and protocols • Recognizes barriers to completing work and uses clinical judgment to determine when to seek assistance from the Review Supervisor • Communicates with the providers/practitioners via mail or phone regarding the need for clarification of requests and information provided in the correspondence letters. • Responds in a timely manner to the providers and/or practitioners if there is a request for information or assistance in order to facilitate the completion of the assigned medical record reviews. • Applies knowledge and expertise, analytical skills, critical thinking and business acumen to best meet customer needs. • Communicates with Medicare beneficiary via mail or phone as needed • Responds in a timely manner to the beneficiary if there is a request for information • Frequently seeks and accepts feedback with regards to the review process; listens actively; maintains frequent and open communication. • Collaborates to accomplish common goals to include accurate medical assessment of the beneficiary complaint and accurate Quality of Care Reviews. • Recommend actions that may increase quality /productivity related to the review process. • Communicates the current status of workload and availability for additional assignments • Collaborates with the KEPRO team to identify additional process improvements that support enhanced beneficiary satisfaction and overall improvement of heal care. • Collaborates with the KEPRO staff to support all contract requirements and identify additional contract improvements. Qualifications • Active RN or LPN Licensure • Graduate from an accredited School of Nursing or college • 3+ years of clinical experience within any healthcare setting [Acute Care, Inpatient, Outpatient, etc] • Quality Review experience [Medical Necessity, Utilization Review/Management, HEDIS, Chart Auditing, Medical Record Reviews] Additional Information Shift: Monday - Friday 8:00am - 5:00pm • This is an immediate contract opening! • Pay range $29.00 - $30.00/hr), salary negotiated based on relevant experience

Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. 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. Hours: Monday - Friday 9:00am to 5:30pm EST and 1-2 late evenings 11:30am to 8:00pm EST. * This position will service members in different states; therefore, Multi-State Licensure will be required. This position requires an on-line pre-employment skills assessment. The assessment is free of charge and can be taken from any PC with Internet access. Candidates who meet the minimum requirements will be contacted via email with instructions. In order to move forward in the process, you must complete the assessment within 48 hours of receipt and meet the criteria. The Telephonic Nurse Case Manager II is responsible for 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. 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. * Assists with development of utilization/care management policies and procedures. Minimum Requirements: * Requires BA/BS in a health-related field and minimum of 5 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. * Current, unrestricted RN license in applicable state required. * Multi-state licensure is required if this individual is providing services in multiple states. Preferred Capabilities, Skills and Experiences: * Case Management experience. * Certification as a Case Manager. * Minimum 2 years' experience in acute care setting. * Managed Care experience. * Ability to talk and type at the same time. * Demonstrate critical thinking skills when interacting with members. * Experience with (Microsoft Office) and/or ability to learn new computer programs/systems/software quickly. * Ability to manage, review and respond to emails/instant messages in a timely fashion. For candidates working in person or virtually in the below locations, the salary* range for this specific position is $76,944 to $126,408. Locations: Colorado; New York; New Jersey In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Job Level: Non-Management Exempt Workshift: 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.

Job Description Would you like a healthcare position helping others and changing lives for the better? Do you want to work alongside an uplifting, compassionate team in a supportive clinic? If so, please read on! AMA Medical Group in Dunedin, FL is looking to hire a full-time Nurse Case Manager. This case management position earns a competitive salary of $75,000 - $85,000/year, depending on experience and certifications. We provide fantastic benefits and perks, including medical, dental, vision, a 401(k) plan with match, 7 paid holidays, 3 weeks of paid time off (PTO), Working Advantage employee perks, an employee assistance program (EAP), and more. If this sounds like the right administrative healthcare opportunity for you, apply today! NURSE CASE MANAGER: YOUR IMPACT As a Nurse Case Manager, your expertise in designing and managing personalized treatment plans allows you to adapt to the unique needs of each patient. You proactively schedule medical appointments accordingly as well. In the event of a missed appointment, you promptly reach out to reschedule and inquire about any potential concerns. Your organizational skills are exceptional as you maintain daily office schedules and admission lists, with special attention given to out-of-area patients. Additionally, you oversee the completion of new member orientation for new patients and administer various tests, including Mini-Mental exams, psychosocial assessments, and activities of daily living (ADLs) screenings. Collaborating with hospital and nursing home teams, you coordinate services for admitted patients and notify facility staff of any possible admissions or ER diversions. You also diligently monitor patient documentation, tracking their progress and noting any status changes or discharges. If any patients require disease management programs, you ensure they receive follow-up care as outlined in the protocol. You also pre-op clearance and assess inpatient and outpatient procedures. You enjoy using your excellent administrative skills to help others! To do this, you need: Current RN certification Accredited Case Management (ACM) OR Certified Case Management (CCM) licensure OR ability to earn a case management certification CPR OR BLS certification Geriatrics OR critical and intensive care medical specialties Primary care case management experience would be preferred. Experience with Medicare Advantage would be a bonus! LEARN A LITTLE BIT ABOUT US: AMA MEDICAL GROUP Established in 2010, we are an adult primary care practice. We are committed to high-quality and compassionate care delivered in a coordinated and patient-centered way. Our approach to healthcare excellence is derived from the industry's standards and best practices as well as the principles of Christian servant leadership. We serve our patients with love, excellence, and respect for the patient as an individual. AMA means heart and represents the founders' two greatest loves, the love of God and the love of neighbor. Our goal is to help our employees rediscover the joy of practicing medicine. In order for our team to compassionately and expertly care for our patients, we focus on the wellness of our staff. We provide excellent employee compensation and benefits as well as ongoing training and support. We truly believe that caring comes from the HEART (honesty, empathy, access, respect, and timeliness). THE IDEAL NURSE CASE MANAGER Are you highly organized and detail-oriented? Can you effectively manage multiple tasks without letting one fall behind? Do you have excellent communication and interpersonal skills? Are you an adaptable problem solver? If yes, you might just be perfect for this administrative position! WORK SCHEDULE FOR A NURSE CASE MANAGER This administrative healthcare position typically works Monday - Friday, 8:00 AM - 5:00 PM. Depending on clinic needs, you may work weekend hours on an on-call rotation. If you're ready to make a difference and feel that you would be right for this administrative healthcare job, please fill out our initial 3-minute, mobile-friendly application. We look forward to meeting you! Location: 34698 Job Posted by ApplicantPro

Job Details Buschwood - Tampa, FLDescription Mission Statement The Children's Network of Hillsborough is committed to working with the community to protect children and preserve families. General Purpose of Job To provide nurse care coordination for children in the child welfare system. This includes children with special health care needs. The Nurse Care Coordinator (NCC) will coordinate, assist, and consult regarding medical health services to promote quality outcomes. The NCC will monitor the timelines and coordination of health services and integration of those services in support of permanency goals for children in care, ensuring a coordinated effort to maximize the potential of children and to provide them with optimal care. QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Essential Duties and Responsibilities Act as liaison between Health Plans, Case Management Organization (CMO), the Department of Children & Families (DCF) and specialty and/or community providers regarding health services. Create plan of care and coordinate medical services for dependent children, including Health Risk Assessments, timely Well-Child Checkups and follow-up for specialty appointments and required referrals. Works with child welfare case managers to coordinate health care and meet all wellness measures. Provide reviews of medical, dental and optometric services and inform child welfare case managers and caretakers of needed follow-up. Documents reviews in FSFN and assures records are uploaded into the appropriate computer program. Provide information for and attend court hearings and case staffings as needed or requested. Participate in health plan case management integrated care team and/or CBC Multidisciplinary team meetings if needed. Participate with health care plan in discharge planning and coordination from in-patient health care facility including monitoring of post-discharge follow-up appointments, ordered services, durable medical equipment and assuring that prescriptions are filled as needed. Process information on any medication compliance concerns and notify physician, case manager and health plan. Review the health and wellness reports, FSFN reports and other data sources for status of required annual physical, dental and vision screenings for children placed in out of home care. Participate, as needed, in planning for youth who are transitioning from the child welfare system. This may include participation in routine staffings to providing education and coordination of services. Cultivate and coordinate an effective communication system with providers and child welfare staff for the exchange of appropriate information. Provide education and support to families related to the care of their child. Monitor email on daily basis. Circulate pertinent child-related information to Child Welfare Case Managers and other designated Case Management Organization employees. Enter data into automated systems and produce required reports from the data system. Data entered into FSFN must be done within 48 hours of receiving the information. Works in a collaborative and positive manner as a member of the healthcare team with the co-workers, families, caseworkers, guardians, physicians and their office personnel, schools, vendors and other related organizations. Other duties may be assigned as special projects may be requested. Working Hours CNHC's work week is Monday through Friday, 20-30 hours per week. This is an hybrid based position with business office hours are 8:00 am to 5:00 pm. You direct supervisor will discuss expectations for in-office requirements. Travel Travel inside of Circuit 13 (Hillsborough County) may be required as well as occasional travel outside the circuit for training purposes. Training All employees must complete fifteen (15) hours of on-line or classroom Training on an annual basis. If the employee is a Certified Child Welfare Professional, Training hours must total twenty (20) annually. Complete required training to maintain license as a nurse. Supervisory Responsibilities This position does not have supervisory responsibilities Qualifications Education and/or Experience Registered Nurse (RN), with current Florida nursing license is required. Three (3) years nursing experience in the child welfare or behavioral health care setting, preferred Pediatric and/or care coordination experience is helpful. Skills and Abilities Must possess strong clinical expertise and the ability to assess the medical and developmental needs of children and families involved in the welfare system. Exceptional organizational and time-management skills are essential for coordinating care plans, managing health records, and ensuring timely access to medical, therapeutic, and support services. Effective communication and interpersonal abilities are crucial for collaborating with child welfare staff, healthcare providers, and families to advocate for the well-being of children. The role requires critical thinking and problem-solving skills to navigate complex cases, address barriers to care, and adapt to evolving needs while prioritizing the safety and health of children. Proficiency in documenting and utilizing care management systems is necessary for tracking progress and maintaining compliance with regulations Pre-employment Requirements Certificates, License, Registrations, backgrounds, drug screens, Etc. Licensure in the State of Florida as a Nurse Valid driver's license required, with proof of insurance Driver's license check is a requirement Criminal background screening (fingerprinting) (Local Law Enforcement and FBI/FDLE) Drug Screening is a requirement Children's Network participates in E-Verify Other Requirements Language Skills Must possess strong language skills, including the ability to communicate clearly and effectively with diverse stakeholders, such as families, healthcare providers, social workers, and legal professionals. This involves the ability to explain medical information in an easily understandable way, ensuring that families and caregivers can make informed decisions about their child's care. Strong written communication skills are essential for documenting care plans, progress notes, and reports accurately and professionally. Additionally, the ability to listen actively and empathetically, especially in sensitive or high-stress situations, is critical for building trust and supporting families in navigating the child welfare system. Cultural competency in language use is also important to ensure that communication is respectful, inclusive, and tailored to the needs of the children and families served. Mathematical Skills Must possess the ability to interpret and analyze numerical data from medical records, treatment plans, and financial documents. Proficiency in using mathematical formulas for health assessments, tracking growth and development metrics, and calculating medical statistics is essential. Additionally, the role may require the ability to manage and allocate resources effectively, ensuring the most efficient use of healthcare services within a budget. Attention to detail and accuracy in all numerical tasks are critical to ensuring the safety and well-being of children and families under care. Reasoning Ability Must demonstrate strong reasoning abilities to assess complex medical and emotional needs of children and families, ensuring that care plans are both effective and responsive. This includes the capacity to analyze medical histories, understand psychosocial factors, and apply clinical guidelines to create comprehensive care strategies. The role requires critical thinking to evaluate the effectiveness of interventions, address emerging challenges, and identify barriers to achieving optimal health outcomes. The ability to anticipate potential risks, prioritize urgent needs, and make informed decisions that align with child welfare policies is essential. Additionally, strong reasoning skills help in collaborating with other professionals, ensuring that decisions are evidence-based, ethical, and focused on the best interests of the children and families served. Physical Demands The physical demands of this position are generally moderate. The role may require extended periods of sitting, standing, and using a computer. Occasional lifting of office supplies, files, or materials up to 25 pounds may be required. Reasonable accommodation can be made to enable individuals with disabilities to perform the essential job functions. Work Environment This is an in-office-based position focused on administrative work, where the noise level may be moderate. The role may involve occasional travel among agency locations, extended periods of computer work, and frequent interactions across multiple departments. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential job functions. ADA: Children's Network of Hillsborough, LLC will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990. EEO: Children's Network of Hillsborough, LLC does not discriminate based on race, national origin, gender, religion, veteran status, or disability in employment, in provision of services, or in access to programs. Children's Network of Hillsborough, LLC is a Drug-Free Workplace.