• Oncology Prior Authorization Case Manager…

    University of Miami (Miami, FL)
    …of UMHC SCCC Business Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote. The incumbent conducts ... reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the...the clinical team and or the patient. He/she monitors care and acts as a liaison between patient/family, healthcare… more
    University of Miami (09/25/25)
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  • Oncology Prior Authorization Case Manager…

    University of Miami (Miami, FL)
    …worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Utilization Review Case Manager RN ... - Full Time The University of Miami is currently seeking a Prior Authorization Nurse Case Manager . The incumbent purose is to conduct initial chart reviews for… more
    University of Miami (08/23/25)
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  • Manager Care Management

    Cleveland Clinic (Port Saint Lucie, FL)
    …Education. + **For Registered Nurses:** Current and valid license to practice as a Registered Nurse ( RN ) in state of employment. + 3 years of experience ... where you belong, here at Tradition Hospital. As a Manager of Care Management, you will supervise...either the Nursing or Social Work education requirements.** + ** Registered Nurse :** Bachelor of Science in Nursing… more
    Cleveland Clinic (09/03/25)
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  • RN Clinical Appeals Nurse

    Molina Healthcare (Tampa, FL)
    …outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied ... these guidelines. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred… more
    Molina Healthcare (10/04/25)
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  • Manager Care Management

    AdventHealth (Daytona Beach, FL)
    …in an acute care setting. + State specific RN license if a nurse . **Preferred qualification:** + Registered Nurse : BSN Masters in related field. + ... experience you'll need to succeed:** **Minimum qualifications** : + Registered Nurse : BSN + or Social Worker:...of supervisory/lead/ manager level of responsibility experience. + RN -BC Certification in Care Management. + LCSW.… more
    AdventHealth (10/02/25)
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  • RN Case Mgr

    HCA Healthcare (Fort Pierce, FL)
    …and integrity. We care like family! Jump-start your career as a(an) RN Case Mgr today with HCA Florida Lawnwood Hospital. **Benefits** HCA Florida Lawnwood ... vary by location._** Come join our team as a(an) RN Case Mgr. We care for our...organizations. Apply Today! **Job Summary and Qualifications** The Case Manager (CM) ensures high-quality, patient-centered care by… more
    HCA Healthcare (07/14/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Tampa, FL)
    …state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing. ... **JOB DESCRIPTION** Looking for a RN that has a current active unrestricted license...documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations,… more
    Molina Healthcare (09/06/25)
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  • RN Case Mgr

    HCA Healthcare (Aventura, FL)
    …opening and continue to learn! **Job Summary and Qualifications** The Case Manager (CM) ensures high-quality, patient-centered care by managing Rehabilitative ... Are you looking for a place to deliver excellent care patients deserve? At HCA Florida Aventura Hospital we...colleagues in their positions. Join our Team as a(an) RN Case Mgr and access programs to assist with… more
    HCA Healthcare (07/14/25)
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  • Manager Care Management East

    AdventHealth (Orlando, FL)
    …in direct Care Management/ Utilization Management experience in an acute care setting **Preferred qualifications:** Registered Nurse : BSN Masters in ... and experiences you'll need to succeed:** **Minimum qualifications** : Registered Nurse : BSN or Social Worker: BSW...years of supervisory/lead/ manager level of responsibility experience RN -BC Certification in Care Management LCSW This… more
    AdventHealth (09/13/25)
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  • RN Case Mgr PRN

    HCA Healthcare (Port St. Lucie, FL)
    …do. We want you to apply! **Job Summary and Qualifications** The Case Manager (CM) ensures high-quality, patient-centered care by managing Rehabilitative care ... of critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred HCA Florida St. Lucie Hospital is… more
    HCA Healthcare (10/02/25)
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