• Medical Management Nurse

    Elevance Health (Miami, FL)
    …critical thinking skills and nursing judgment and experience. + Collaborates with case management nurses on discharge planning, ensuring patient has appropriate ... treatment is medically necessary and provides consultation to Medical Director on cases that are unclear or do not...about plan benefits and physicians and may assist with case management . + Collaborates with leadership in… more
    Elevance Health (08/23/25)
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  • RN Registered Nurse Supervisor Care…

    AdventHealth (Ocala, FL)
    …for each position may vary based on geographical location. **Category:** Case Management **Organization:** AdventHealth Ocala **Schedule:** Full-time **Shift:** ... Supervisor is under the general leadership of the Care Management Manager or Facility Director and assists...**The expertise and experiences you'll need to succeed:** + Associate Registered Nurse: Associates Degree Nursing OR Social Worker:… more
    AdventHealth (08/07/25)
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  • Ethics and Compliance Analyst

    Chewy (Plantation, FL)
    …Legal team based in Plantation, Florida, with a primary focus on ethics hotline case management and data analytics. This role offers an exciting opportunity to ... of the organization! This role will report to the Associate Director , Ethics & Compliance, and will...with reporters, and proper documentation of cases in the case management system. In addition to … more
    Chewy (08/24/25)
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  • Hybrid Manager, Care Management

    CenterWell (Tampa, FL)
    …a part of our caring community and help us put health first** The Manager Care/ Case Management in **Tampa area (** **_this is not a remote position_** **)** ... Florida RN license or Social Work degree/license + 5 years or more prior nursing, case management , disease management and/or social work experience + **Must… more
    CenterWell (08/08/25)
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  • Utilization Management Nurse Consultant…

    CVS Health (Tallahassee, FL)
    …Review nurses use specific criteria to authorize procedures/services or initiate a Medical Director referral as needed. + Assists management with training new ... feedback, + Actively cross-trains to perform reviews of multiple case types to provide a flexible workforce to meet...of clinical experience. + 1+ Year of Utilization Review Management and/or Medical Management experience. + Must… more
    CVS Health (08/15/25)
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  • RN Registered Nurse Care Management

    AdventHealth (Port Charlotte, FL)
    …for each position may vary based on geographical location. **Category:** Case Management **Organization:** AdventHealth Port Charlotte **Schedule:** Full-time ... supervision of the Care Managment Supervisor or Manager or Director of Nursing and is responsible for patient evaluations...succeed: . 1 years of experience in RN Care Management . Associate 's degree Nursing or RN… more
    AdventHealth (08/07/25)
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  • Clinical Manager, Home Health

    CenterWell (Sarasota, FL)
    …performance review and outcomes of care analysis to determine efficiency, the efficacy of case management system as well as any other systems and process. ... the delivery of care to all patients served by the location. Receives case referrals. Reviews available patient information related to the case , including… more
    CenterWell (08/23/25)
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  • Lead Counselor-Ycp

    MyFlorida (Starke, FL)
    …years of professional experience in Counseling, Social Work, Human Services, Case Management , or related field; OR + An Associate 's Degree from an accredited ... of professional experience in Counseling, Social Work, Human Services, Case Management , or related field; OR +...Responsible for current Counseling Departments operations bases on Deputy Director and Director 's guidance. + Plans workloads,… more
    MyFlorida (08/22/25)
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  • Care Manager - Registered Nurse, PRN

    Community Health Systems (Naples, FL)
    …responsible for coordinating and overseeing discharge planning, transitions of care, and case management activities to ensure optimal patient outcomes. This role ... collaborative care planning. + Maintains accurate and timely documentation of case management activities, including records of referrals, patient interactions,… more
    Community Health Systems (07/03/25)
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  • CMO UChicago Medicine & AdventHealth…

    AdventHealth (Altamonte Springs, FL)
    …as a clinical leader to the hospital's medical staff providing guidance in case management , appropriate levels of care for patients, efficient utilization of ... with medical staff to obtain appropriate documentation and assist case management with clinical interpretation necessary to...training + Graduate Medical Education experience as a Program Director or Associate Program director more
    AdventHealth (08/07/25)
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