• 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 (06/21/25)
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  • Utilization Management Nurse

    Actalent (Sunrise, FL)
    …+ Medicare + Managed care + Patient care + Medical record + Case management + Concurrent review + Discharge planning + Medical + Acute care Additional Skills & ... Actalent is hiring a Utilization Management Nurse ! Job Description The Utilization Management Nurse...cases, develops internal processes, and educates physicians on utilization review issues. The role involves managing continuity of care,… more
    Actalent (08/21/25)
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  • Utilization Review Clinician - Behavioral…

    Centene Corporation (Tallahassee, FL)
    …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient...Care only: LMSW, LCSW, LMHC, LPC, LMFT, LMHP or RN required Pay Range: $26.50 - $47.59 per hour… more
    Centene Corporation (08/10/25)
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  • Assistant Director Of Nursing\ADON\12k Sign ON

    BrightSpring Health Services (Gainesville, FL)
    …and + Must have completed post-secondary education coursework to facilitate licensure as a Registered Nurse ( RN ) + Must have healthcare management experience ... unavailable + Participates on the safety, infection control, incident review and human rights committees + Facilitates communication and...intellectually disabled individuals is preferred + Must be a Registered Nurse ( RN ) in good… more
    BrightSpring Health Services (06/13/25)
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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 (07/18/25)
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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 (08/18/25)
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  • Outcomes Coordinator

    HCA Healthcare (Tallahassee, FL)
    …data collection and follow up for multiple quality measures. Abstraction consists of concurrent review of in-house patients for multiple populations; eg, Heart ... + Bachelor's Degree in Nursing preferred + Current FL RN license required or appropriate compact licensure. If compact...required within 90 days of hire + Advanced Practice Registered Nurse license is acceptable for position… more
    HCA Healthcare (06/25/25)
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  • Clinical Document Spec III

    AdventHealth (Orlando, FL)
    …Department experience. + BSN and 3 years of Clinical Documentation Specialist experience + RN - Registered Nurse - State Licensure and/or Compact State ... stewardship in the management of resources entrusted to them. + Reviews concurrent medical record for compliance including completeness and accuracy for severity of… more
    AdventHealth (08/15/25)
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  • Clinical Documentation Specialist II

    AdventHealth (Apopka, FL)
    …unit, or Emergency Department experience. + 3 of Clinical Documentation Specialist experience + RN - Registered Nurse - State Licensure and/or Compact State ... stewardship in the management of resources entrusted to them. + Reviews concurrent medical record for compliance including completeness and accuracy for severity of… more
    AdventHealth (08/07/25)
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  • Burn Svcs Clinician

    HCA Healthcare (Miami, FL)
    …Supt must be obtained within 30 days of employment start date + TNCC required + ( RN ) Registered Nurse + Associate Degree + BSN-preferred + **3-5 years ... nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want...and Qualifications** The Burn PI Coordinator performs retrospective and concurrent reviews of patient care records and assesses for… more
    HCA Healthcare (07/14/25)
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