• 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 (09/19/25)
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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 ... medical appropriateness in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine… more
    Centene Corporation (10/01/25)
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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 (09/12/25)
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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 (07/18/25)
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  • Quality Coordinator

    HCA Healthcare (Miami, FL)
    …and Cancer Care. **What qualifications you will need:** + Associate Degree, Preferred + ( RN ) Registered Nurse , Required + Quality/PI, Acute Care Nursing, ICU ... Summary and Qualifications** The Quality Coordinator is responsible for performing concurrent and retrospective quality management / practice improvement reviews as… more
    HCA Healthcare (09/18/25)
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  • Pediatric Clinical Documentation Specialist 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 (10/09/25)
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  • Clinical Document Spec II

    AdventHealth (Maitland, FL)
    …or Emergency Department experience. + Three plus of Clinical Documentation Specialist experience + RN - Registered Nurse - State Licensure and/or Compact ... stewardship in the management of resources entrusted to them. + Reviews concurrent medical record for compliance including completeness and accuracy for severity of… more
    AdventHealth (10/03/25)
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  • Burn Performance Improvement Coordinator

    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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  • Medical Management Clinician

    Elevance Health (FL)
    …moderately complex case types that do not require the training or skill of a registered nurse . **Primary duties may include but are not limited to:** + ... less experienced staff. + Conducts and may approve precertification, concurrent , retrospective, out-of-network, and/or appropriateness of treatment setting reviews… more
    Elevance Health (10/08/25)
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  • Medical Management Clinician Associate

    Elevance Health (Miami, FL)
    …following standard procedures that do not require the training or skill of a registered nurse . **How You Will Make an Impact** Primary duties may include, ... plans and/or contracts. + Conducts and may approve precertification, concurrent , retrospective, out-of-network, and/or appropriateness of treatment setting reviews… more
    Elevance Health (10/07/25)
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