• Clinical Registered Nurse

    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 (11/25/25)
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  • Utilization Review RN

    BayCare Health System (Tampa, FL)
    …**Weekend Requirement:** Occasional + **On Call:** No **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred ACM (Case Management) + ... parties to ensure appropriate level of care through comprehensive concurrent review for medical necessity of outpatient...years in Case Management or + Required 3 years Registered Nurse + Preferred experience in Critical… more
    BayCare Health System (10/10/25)
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  • Utilization Review RN

    Community Health Systems (Naples, FL)
    Join us as a ** Registered Nurse ( RN ) - Utilization Review position** at Physicians Regional Collier Unit: Utilization Review Shift: Mon-Fri (this is ... for Full and Part-Time roles **Job Summary** The Utilization Review Nurse - RN reviews...patient-centered service and continuous improvement. **Licenses and Certifications** + RN - Registered Nurse -… more
    Community Health Systems (11/20/25)
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  • RN Quality Coordinator

    HCA Healthcare (Miami, FL)
    …, and CancerCare. **What qualifications you will need:** + Associate Degree, Preferred + ( RN ) Registered Nurse , Required + Quality/PI, Acute Care Nursing, ... Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) RN Quality Coordinator with HCA Florida Mercy Hospital you can be a part… more
    HCA Healthcare (11/21/25)
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  • RN Trauma Injury Prevention Outreach Coord

    HCA Healthcare (Aventura, FL)
    …database to ensure adequate documentation as required by regulatory agencies. + Complete concurrent review of cases to identify quality, timelines and systems of ... from any other healthcare provider. We are seeking a RN Trauma Injury Prevention Outreach Coord to join our...+ Quality/Performance Improvement preferred. + Current Florida license as Registered Nurse or Recognized Compact Licensure (subject… more
    HCA Healthcare (11/01/25)
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  • RN Case Manager

    HCA Healthcare (Panama City, FL)
    …to appropriate agencies and third party payers regarding pre-admission screening, concurrent , outpatient and retrospective review process as it relates ... from any other healthcare provider. We are seeking a(an) RN Case Manager to join our healthcare family. **Benefits**...nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want… more
    HCA Healthcare (11/10/25)
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  • Utilization Review Team Lead

    BayCare Health System (St. Petersburg, FL)
    …Utilization Management or 6 years of clinical nursing **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred ACM (Case Management) + ... respect, responsibility and clinical excellence. **The Team Lead Utilization Review responsibilities include:** + Directing and coordinating the daily operations… more
    BayCare Health System (11/12/25)
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  • Manager Case Management

    HCA Healthcare (Tallahassee, FL)
    …options and costs to patient and patient families. **What qualifications you will need:** + Registered Nurse , or Advance Practice Registered Nurse (APRN) ... accordance with Utilization Plan using ISD criteria, and performs concurrent stay reviews at least every 72 hours for...to apply for our Manager Case Management opening. We review all applications. Qualified candidates will be contacted by… more
    HCA Healthcare (11/10/25)
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  • Clinical Documentation Auditor

    AdventHealth (Orlando, FL)
    …**The role you'll contribute:** The Clinical Documentation Integrity Manager is a Registered Nurse and/or a Registered Health Information Administrator ... and clinical documentation specialists. This role will oversee the review processes of complex patients that vary in age...Licenses and Certifications Current active State license as a Registered Nurse , Nurse Practitioner, Physicians… more
    AdventHealth (11/14/25)
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  • Physician Quality Coordinator

    AdventHealth (Daytona Beach, FL)
    …in Critical Care or Emergency Care + Experience in Performance Improvement + Registered Nurse ( RN ) Required **Preferred qualifications** : + Bachelor's ... Ancillary Departments to develop and implement improvement initiatives. Actively participates in concurrent case review to assure that evidence based best… more
    AdventHealth (11/11/25)
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