• Utilization Management Registered

    AdventHealth (Daytona Beach, FL)
    …Beach, 32117 **The role you'll contribute:** The role of the Utilization Management (UM) Registered Nurse ( RN ) is to use clinical expertise by analyzing ... RN is responsible for denial avoidance strategies including concurrent payer communications to resolve status disputes. The Utilization...+ Current and valid license to practice as a Registered Nurse (ADN or BSN) required. +… more
    AdventHealth (09/18/25)
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  • Registered Nurse - Clinical Appeals…

    Cognizant (Tallahassee, FL)
    …expectations. **What you need to have to be considered** . Educational background - Registered Nurse ( RN ) . 2-3 years combined clinical and/or utilization ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...as well as timely filing deadlines and processes. . Review clinical denials including but not limited to referral,… more
    Cognizant (10/09/25)
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  • Utilization Management Registered

    Wellpath (Fort Lauderdale, FL)
    …and point of care support. **How you make a difference** The Utilization Management Registered Nurse works under the guidance of the Utilization Provider to ... and acute care using InterQual Criteria, ensuring adherence to department procedures. * Review concurrent clinical information and document it in the ERMA Care… more
    Wellpath (10/02/25)
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  • Utilization Management RN PRN

    AdventHealth (Altamonte Springs, FL)
    …: Remote **The role you will contribute:** The role of the Utilization Management (UM) Registered Nurse ( RN ) is to use clinical expertise by analyzing ... RN is responsible for denial avoidance strategies including concurrent payer communications to resolve status disputes. The Utilization...carrier. **The expertise and experiences you'll need to succeed:** RN - Registered Nurse -… more
    AdventHealth (10/06/25)
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  • RN Coordinator Trauma PI

    HCA Healthcare (Kissimmee, FL)
    …+ Trauma Nursing Core Course must be obtained within 6 months of employment start date + ( RN ) Registered Nurse + Associate Degree, or Registered Nurse ... adequate documentation as required by regulatory agencies. + Complete concurrent review of cases to identify quality,...personal growth, we encourage you to apply for our RN Coordinator Trauma opening. We promptly review more
    HCA Healthcare (08/21/25)
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  • RN Case Manager Part Time

    HCA Healthcare (Lake City, FL)
    …chain of command in a timely manner. **What qualifications you will need:** + ( RN ) Registered Nurse + Associate Degree + One year experience ... over 156,000 hours volunteering in our communities. As a(an) RN Case Manager Part Time with HCA Florida Lake...setting required. + Current State of Florida license for Registered Nurse or appropriate compact licensure. If… more
    HCA Healthcare (09/19/25)
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  • RN Case Manager PRN

    HCA Healthcare (Lake City, FL)
    …chain of command in a timely manner. **What qualifications you will need:** + ( RN ) Registered Nurse + Associate Degree + One year experience ... join an organization that invests in you as an RN Case Manager PRN? At HCA Florida Lake City...setting required. + Current State of Florida license for Registered Nurse or appropriate compact licensure. If… more
    HCA Healthcare (09/13/25)
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  • RN Stroke Program Coordinator

    HCA Healthcare (Orange Park, FL)
    …safety and customer service of the patient first.** **What qualifications you will need:** + ( RN ) Registered Nurse in the state in which you practice + ... **Introduction** Do you have the career opportunities as an RN Stroke Program Coordinator you want in your current...Associate Degree, or Bachelors Degree, or Registered Nurse Diploma + APRN preferred +… more
    HCA Healthcare (08/30/25)
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  • Behavioral Health Utilization Review

    Actalent (Sunrise, FL)
    Job Title: Behavioral Health Utilization Review NurseJob Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing requests for ... management, behavioral health, and mental health. + Proficiency in clinical and utilization review processes. + Current unrestricted Florida RN or LPN License. +… more
    Actalent (10/04/25)
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  • Clinical Nurse Education Facilitator CVICU

    AdventHealth (Celebration, FL)
    …in specialty unit_ Current valid State of Florida or multistate license as a Registered Nurse Basic Life Support (BLS) certification * ACLS certification, per ... the defeat of illness and disease **The role you'll contribute:** The Clinical Nurse Education Facilitator (CNEF) is an expert clinician, highly skilled in nursing… more
    AdventHealth (08/28/25)
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