• Utilization Review Nurse

    Actalent (Sunrise, FL)
    Utilization Management Nurse !Job Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing service authorization requests to ... Working under the general supervision of the Director and/or Manager /Supervisor of Medical Management, and in collaboration with an...reports on department activities as assigned. Essential Skills + Clinical review + Utilization review + … more
    Actalent (08/21/25)
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  • Dialysis Clinical Manager Registered…

    Fresenius Medical Center (Tampa, FL)
    **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... functions, leading your business, and advanced leadership. As a Clinical Manager , you may advance your career...Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and… more
    Fresenius Medical Center (08/28/25)
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  • Dialysis Clinical Manager Registered…

    Fresenius Medical Center (Venice, FL)
    …the delivery of maximum quality care to all patients. + Must complete Clinical Manager training modules and ongoing developmental programs within the specified ... requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory… more
    Fresenius Medical Center (07/31/25)
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  • Acute Care Manager , Complex Care…

    ChenMed (Pembroke Pines, FL)
    …We're rapidly expanding and we need great people to join our team. The Nurse Case Manager I position is responsible for achieving positive patient outcomes ... quality of care across the continuum of care. The Nurse Case Manager I will first and...aspects of healthcare delivery. + Promote effective and efficient utilization of clinical resources and mobilizes resources… more
    ChenMed (08/16/25)
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  • Utilization Review Specialist Sr.

    BayCare Health System (Tampa, FL)
    …built on a foundation of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior responsibilities include:** ... Opportunity Employer Veterans/Disabled **Position** Utilization Review Specialist Sr. **Location** Tampa:St Josephs | Clinical | Full Time **Req ID** 112758 more
    BayCare Health System (08/26/25)
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  • Utilization Review Spec Sr

    BayCare Health System (Clearwater, FL)
    …built on a foundation of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior responsibilities include:** ... Opportunity Employer Veterans/Disabled_ **Position** Utilization Review Spec Sr **Location** Clearwater:Morton Plant | Clinical | Part Time **Req ID** 112223 more
    BayCare Health System (08/22/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Tampa, FL)
    …decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical /medical ... Officer during Fair Hearings as may be required. + Serves as a clinical resource for Utilization Management, Chief Medical Officer, Physicians, and… more
    Molina Healthcare (08/15/25)
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  • Utilization Management Representative I

    Elevance Health (FL)
    …outpatient precertification, prior authorization, and post service requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for the ... ** Utilization Management Representative I** **Location:** Virtual: This role...inquiries from clients, providers and in-house departments. + Conducts clinical screening process. + Authorizes initial set of sessions… more
    Elevance Health (08/20/25)
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  • Nurse Manager FSED Mt Dora

    HCA Healthcare (Sanford, FL)
    **Description** **Introduction** Are you ready to manage in a new era as a Nurse Manager FSED Mt Dora where building a healthier tomorrow is more than a job? Our ... an HCA Healthcare facility. Be an impact as a(an) Nurse Manager FSED Mt Dora where your...established policies/procedures and holds staff accountable for quality and clinical outcomes in support of facility objectives. + ​… more
    HCA Healthcare (07/23/25)
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  • Nurse Manager - UHealth Palmetto Bay

    University of Miami (Miami, FL)
    …. The University of Miami/UHealth Palmetto Bay has an exciting opportunity for a Nurse Manager . The Manager , Nursing promotes and restores patients' health ... to provide safe, quality care. + Responsible for the utilization and maintenance of appropriate nursing care plans, and...a formal orientation plan and preceptor in coordination with nurse educators and evaluates effectiveness of the clinical more
    University of Miami (08/08/25)
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