• Disease Management Nurse - Remote

    Sharecare (Tallahassee, FL)
    …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Disease Management Nurse works with participating members to… more
    Sharecare (08/13/25)
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  • Second Level Reviewer I PRN Remote

    AdventHealth (Altamonte Springs, FL)
    …CERTIFICATION OR REGISTRATION REQUIRED** **:** . Current active State license as a Registered Nurse , Nurse Practitioner, Physician's Assistant or an ... while understanding that **together** we are even better. **Job Location** : Remote **Shift:** Per-diem **The role you will contribute:** Under general supervision… more
    AdventHealth (08/07/25)
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  • Clinical Documentation Integrity Specialist…

    AdventHealth (Altamonte Springs, FL)
    …LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED: . Current active State license as a Registered Nurse , Nurse Practitioner, Physician's Assistant or an . ... we are even better. **Shift** : Full-time; Monday-Friday **Job Location** : Remote **The role you will contribute:** Under general supervision of the Director… more
    AdventHealth (08/07/25)
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  • Clinical Health Services Associate Manager

    CVS Health (Tallahassee, FL)
    … licensure** in state of residence + 5+ years of acute experience as a Registered Nurse + 3+ years of Utilization Management experience + Must have experience ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...with heart, each and every day. **Position Summary** Fully remote , Monday-Friday 8am - 5pm EST position (shifts may… more
    CVS Health (08/08/25)
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  • Pediatric Care Manager - Behavioral…

    Centene Corporation (Fort Myers, FL)
    …LMSW, LMFT, LMHC, LPC and RN with BH experience required This is a Remote /field based position, Must reside in Lee County for face to face visits with members. ... workplace flexibility. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs… more
    Centene Corporation (06/03/25)
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  • Hybrid Bilingual Manager , Care

    CenterWell (Tampa, FL)
    **Become 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 ... coordinating care to reduce acute and post-acute care utilization. The Manager role is hybrid...an impact** **Required Qualifications** + A current unrestricted Florida RN license or Social Work degree/license + **Bilingual in… more
    CenterWell (08/09/25)
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  • Care Manager , Telephonic…

    CenterWell (Tallahassee, FL)
    …it will allow for off-days during the week.** The **Clinical Care Coordinator/ Care Manager , Telephonic Nurse ** helps to ensure optimal continuity of ... The Clinical Care Coordinator is under the general supervision of the Manager of Care Coordination and under established performance criteria. This is a… more
    CenterWell (08/16/25)
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  • Care Manager

    Centene Corporation (Tallahassee, FL)
    …workplace flexibility. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs ... members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families related to mental… more
    Centene Corporation (08/17/25)
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  • Senior Specialist, Member & Community…

    Molina Healthcare (FL)
    …initiating and managing member and/or community interventions (eg, removing barriers to care ) and other federal and state-required quality activities + Monitors and ... within the organization + Supports provision of high-quality clinical care and services by facilitating/building strategic relationships with community-based… more
    Molina Healthcare (07/31/25)
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  • Lead Abstractor, HEDIS/Quality Improvement…

    Molina Healthcare (St. Petersburg, FL)
    …meetings with vendors for the medical record collection process. + Assists Manager and Supervisor(s) in training, utilizing the standardized training materials and ... entry and Sr. level abstractors. + Works with the Manager to monitor accuracy of abstracted records as required...of medical record abstraction experience + 3+ years managed care experience. + Advanced knowledge of HEDIS and NCQA.… more
    Molina Healthcare (08/08/25)
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