• Transitions of Care - RN, 100% Virtual, CareBridge

    Elevance Health (FL)
    …patients, patients with IDD and patients with special needs is preferred. + Home Health , Utilization Management or Case Management experience strongly ... nursing and minimum of 2 years of condition specific clinical or home health /discharge planning experience; or any combination of education and experience, which… more
    Elevance Health (08/01/25)
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  • Utilization Management Nurse Consultant…

    CVS Health (Tallahassee, FL)
    At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...all with heart, each and every day. **Position Summary** Utilization Management is a 24/7 operation and work schedule… more
    CVS Health (07/30/25)
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  • Utilization Management Nurse Consultant

    CVS Health (Tallahassee, FL)
    …authorization. + 5 years of a variety clinical experience required including acute care, home health , or long-term care. + 5 years demonstrated ability to make ... At CVS Health , we're building a world of health...is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that… more
    CVS Health (07/30/25)
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  • Supervisor ED Utilization Management

    AdventHealth (Tampa, FL)
    …Loan Repayment Program Career Development Whole Person Wellbeing Resources Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is ... specializes in advanced cardiovascular medicine, neuroscience and neurology, digestive health , orthopedics, womens services, pediatrics, oncology, endocrinology, bariatrics, wound… more
    AdventHealth (08/08/25)
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  • Utilization Management Assistant

    BayCare Health System (Tampa, FL)
    …Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With ... of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Management Assistant responsibilities include:** + Participating on the … more
    BayCare Health System (06/03/25)
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  • Utilization Coordinator

    BayCare Health System (Largo, FL)
    …Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With ... of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Coordinator(Homecare) responsibilities include:** + Coordinates utilization more
    BayCare Health System (05/22/25)
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  • Utilization Management Nurse 2

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently… more
    Humana (08/09/25)
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  • Utilization Management Nurse

    CenterWell (Tallahassee, FL)
    …Previous Medicare Advantage/Medicare + Current nursing experience in Hospital, SNF, LTAC, DME or Home Health . + Bilingual **Use your skills to make an impact** ... largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is… more
    CenterWell (08/08/25)
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  • SNF Utilization Management RN - Compact Rqd

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Utilization Management Registered Nurse 2 utilizes clinical nursing skills to support ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently… more
    Humana (08/09/25)
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  • Registered Nurse Utilization Management

    AdventHealth (Tampa, FL)
    …Loan Repayment Program Career Development Whole Person Wellbeing Resources Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is ... specializes in advanced cardiovascular medicine, neuroscience and neurology, digestive health , orthopedics, womens services, pediatrics, oncology, endocrinology, bariatrics, wound… more
    AdventHealth (08/08/25)
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