• 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 ... of education and experience. + Valid Florida Driver's License. + Knowledge of case management and utilization review concepts, including InterQual and Milliman… more
    Actalent (08/21/25)
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  • Nurse Educator - Medical Simulation…

    University of Miami (Miami, FL)
    …Medical Training Lab at the Gordon Center is currently seeking a full time Nurse Educator - Medical Simulation and Education Lab to work in Miami, FL. The ... Nurse Educator provides clinical education to nursing and patient...+ Assists staff with educational needs, problem resolution, time management , and critical thinking skills development. + Collaborates with… more
    University of Miami (07/24/25)
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  • Nurse Manager Medical Surgical

    HCA Healthcare (Panama City, FL)
    …cart, blanket warmer checks, and other unit-specific quality indicators . Implements active case management of the patient's healthcare process for all patients ... **Description** **Introduction** We are seeking a(an) Nurse Manager Medical Surgical with HCA Florida Gulf...designated shift in collaboration with other members of the management team. Formulates staff schedule along with the department… more
    HCA Healthcare (07/31/25)
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  • Hybrid Bilingual Manager, Care Integration Team

    CenterWell (Tampa, FL)
    …a part of our caring community and help us put health first** The Manager Care/ Case Management in **Tampa area (** **_this is not a remote position_** **)** ... both languages without limitations or assistance + 5 years or more prior nursing, case management , disease management and/or social work experience + **Must… more
    CenterWell (08/09/25)
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  • Manager, OPO Organ Procurement

    University of Miami (Miami, FL)
    …+ Provide Organ Procurement Clinical (OPC) staff with guidance on clinical donor management to keep patients stable while maximizing the number of organs procured ... with OPC staff to keep an accurate account of case related details + Ensure that legal and regulatory...education, etc. + Provide technical assistance to the Sr. Director of LAORA in the coordination, planning and implementation… more
    University of Miami (08/26/25)
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  • Technician, Workers' Compensation

    Polk County Public Schools (Bartow, FL)
    …lawsuits involving the District's risk management program. * Works closely with the RN Nurse Case Manager from the TPA regarding claims management ... legal requests, subpoenas, and correspondence. * Advises manager or director of all risk management issues through...Advises manager or director of all risk management issues through memos, reports, and correspondence. * Is… more
    Polk County Public Schools (08/29/25)
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  • Nurse Educator Emergency Department

    HCA Healthcare (Largo, FL)
    …outcomes, or work to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at HCA Florida St. ... **Are you passionate about delivering patient-centered care?** Submit your application for Nurse Educator Emergency Department position and spend more time at the… more
    HCA Healthcare (07/18/25)
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  • Utilization Review Clinician

    Monte Nido (Miami, FL)
    …peer to peer reviews. + Communicate emerging trends with insurance companies to Director of Utilization Management . + Maintain database of insurance company ... Communicate with billing regarding billing/claims issues and status of single case agreements as needed. + Effectively communicate with program leadership,… more
    Monte Nido (08/28/25)
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