• Director , Corporate Insurance (including…

    Raymond James Financial, Inc. (St. Petersburg, FL)
    …+ Interpret, analyze, and apply technical information. + Perform human resource management activities. + Plan, assign, monitor, review , evaluate and lead ... for effectiveness in achieving specified results. Extensive contact with executive management and is required to lead others in identifying, researching, analyzing… more
    Raymond James Financial, Inc. (08/11/25)
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  • Director Of Nursing

    MTC (Quincy, FL)
    …performing the duties of the position. 11. Practice advanced cost containment and utilization management for inmate care and facility operations. 12. Maintain ... and military leave + Opportunities for job advancement Impact lives with Management & Training Corporation (MTC)! At the **Gadsden Correctional Facility** **in… more
    MTC (08/08/25)
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  • Non-Clinical Coding and OASIS Review

    BAYADA Home Health Care (Orlando, FL)
    …+ Candidates should be available Monday-Friday from 8:30am-5:00pm. _Medicare, Coder, OASIS Review , Utilization Review , Quality Assurance, Remote, Home Health ... Home Health Care is hiring a full time OASIS Review and Coding Manager. The OASIS and Coding ...and procedures. As a member of the Medicare Case Management (MCM) office, individuals in this role are expected… more
    BAYADA Home Health Care (08/15/25)
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  • Coord Life Safety

    HCA Healthcare (Atlantis, FL)
    …development, implementation, and monitoring of safety management . Reports to the Director of Facilities Mgmt regarding safety and health related projects and ... walks). Assists the hospital in the maintenance of state-of-the-art developments in safety management . Communicates to the Director of Facilities Management ,… more
    HCA Healthcare (08/14/25)
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  • Prior Authorization Nurse

    Actalent (Sunrise, FL)
    …activities as assigned. Essential Skills + Clinical review + Utilization review + Utilization management + Interqual + Milliman Commercial Guidelines ... utilization . Working under the general supervision of the Director and/or Manager/Supervisor of Medical Management , and...+ Valid Florida Driver's License. + Knowledge of case management and utilization review concepts,… more
    Actalent (08/17/25)
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  • Manager, Project Management ( remote )

    AssistRx (Orlando, FL)
    …initiatives, to pharmacy client implementations. We are looking for an Manager of Project Management to assist the Director of Project Management with ... their assigned project managers + Ensures PM utilize scope management practices + Review and/or approve Status...and workflows within the Implementation team in conjunction with Director of Project Management + Participate in… more
    AssistRx (08/09/25)
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  • Acute Care Manager, Complex Care (Registered…

    ChenMed (Pembroke Pines, FL)
    …support patient self- management + Facilitate patient/family conferences to review treatment goals, optimize resource utilization , provide family education ... engagement with patient and family. + Facilitate patient/family conferences to review treatment goals, optimize resource utilization , provide family education… more
    ChenMed (08/16/25)
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  • Manager Case Management

    HCA Healthcare (Gainesville, FL)
    …physical, psycho-social, financial). 1. Participates in IDT rounds, 1. Conducts utilization review , evaluates clinical information, and communicates findings to ... Florida Hospital team is looking for a(an) Manager Case Management . HCA Healthcare is an advanced healthcare network that...on a timely basis in accordance with the NFRMC Utilization Review Plan and managed care contractual… more
    HCA Healthcare (08/02/25)
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  • Acute Care Case Manager , Registered Nurse…

    ChenMed (North Miami Beach, FL)
    …of 2 years' clinical work experience required. + A minimum of 1 year of utilization review and/or case management , home health, hospital discharge planning ... assess and record patients' progress and adjust and plan accordingly. + Understanding utilization review and how to leverage with inpatient staff for possible… more
    ChenMed (05/28/25)
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  • Sr Analyst, Scope Management - Healthcare

    Evolent (Tallahassee, FL)
    …sources to establish and maintain the definitive source of truth for specialty Utilization Management (UM) agreements. This important work is achieved through ... Minimum 3 years of professional experience in value-based healthcare analytics or utilization management within a payer, provider, clinical vendor, managed care,… more
    Evolent (07/18/25)
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